2026-712_Contractor_Qualification_Form.pdf

PDF 109 KB Posted

Attached to
DNR RFB Yawkey Road Improvement
Solicitation number
2000018088
Issued by
Dakota County, Minnesota

About this file

Summary

This is a Contractor Qualification Form for Solicitation #2026-712 issued by the Minnesota Department of Natural Resources (DNR) for Yawkey Road Improvement project located within the Cuyuna Country State Recreation Area near Ironton, Minnesota. The solicitation seeks bids for labor, equipment, materials, tools, transportation, and incidentals necessary to complete road improvements. Prospective bidders must submit responses electronically through the Swift Portal, with no email or faxed responses accepted. A site visit can be arranged by contacting Project Supervisor Barry Osborne at 612-283-5271 or barry.osborne@state.mn.us. Contractors requiring assistance with registration or response completion may contact the Contractor Assistance Help Desk at 651-201-8100, Option 1. All responses must comply with the latest event version to avoid rejection.

The qualification requirements mandate that prime contractors demonstrate substantial completion of at least two similar scope projects since January 2022, with one contract valued at $10,000 or greater, supported by verifiable references including property owner contact information and completion dates. Additionally, responding companies must certify they have not been found in default, had a contract terminated for cause within the last 36 months, or received willful or repeated OSHA safety citations with final orders issued in that timeframe. Failure to meet these requirements or incomplete submission of the qualification form will result in rejection. The award will be made to the lowest responsible vendor meeting specifications and all terms and conditions, with the State reserving the right to award items separately, by grouping, or by total as deemed most advantageous.

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Text version

Contractor Qualification Form Yawkey Road Improvement

Solicitation # 2026-712

This Prime Contractor Response Qualification Form must be submitted with your solicitation response. A solicitation response received without this form, or with an outdated version, may be rejected. Prime contractors are responsible for checking all addenda for the final version of this form.

Each responder must answer every question and provide all information requested on this form. Failure to meet this requirement may result in the rejection of the entire solicitation response as non-responsive.

The State (or its representative) reserves the right to clarify the required qualification information submitted on this form before an award is made. The solicitation response will be rejected if qualifications are not met.

Qualification Requirements

1. Responder has substantially completed, as a prime contractor not a subcontractor, the work for at least TWO written and verifiable contracts since January 2022 of similar scope and activity. ONE contract must have had a value of $10,000 or greater.

Fill in the required information for your previous projects relating to Qualification Requirement #1:

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Dollar Amount of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

☐ Current Company Name ☐ Previous Company Name

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Dollar Amount of Contract: Substantial Completion Date:

Contract substantially completed under (check one): ☐ Current Company Name

☐ Previous Company Name

*The term “Property Owner” means the person or entity identified as the owner of the property where the work referenced for Qualification Requirement #1 was performed.

The State (or its representative) reserves the right to contact the references listed above for Qualification.

Requirement #1 or to request the Responder to provide additional reference projects for review. The solicitation response will be rejected if the State, in its sole discretion, receives information that indicates the responder is non- responsible. Information considered includes but is not limited to: 1) project milestones (meeting substantial and final completion dates); 2) communication with project owner and subcontractors; 3) on-site supervision; 4) coordination of subcontractors; 5) violation of Minnesota prevailing wage law; and 6) nonpayment of subcontractors.

2. Has your Company been found in default or had a contract terminated for cause in the last 36 months?

It is required that your company has not had this occur.

NOTE: If this question is answered as “yes”, your solicitation response will be rejected.

☐YES ☐NO

3. Has your Company received from OSHA any willful or repeated safety citations for which a final order has been issued within the last 36 months?

It is required that your company has not had this occur.

NOTE: If this question is answered as “yes”, your solicitation response will be rejected.

☐YES ☐NO

Certification By signing this form, I certify the information provided is complete and accurate.

Authorized Signature: Date:

Printed Name: Telephone:

Company Name: Title:

File details come from the government source that posted it. Updated .