2027-135_Contractor_Qualification_Form.pdf
PDF 157 KB Posted
- Attached to
- DNR RFB Indian Pine Forest Road Graveling
- Solicitation number
- 2000018616
- Issued by
- Minnesota
About this file
This is a Contractor Qualification Form for Solicitation #2027-135, issued by the Minnesota Department of Natural Resources for the Indian Pine Forest Road Graveling project. The solicitation requests bids for labor, equipment, materials, tools, transportation, mobilization, demobilization, fuel, lubrication, and final cleanup necessary to load, haul, and spread an estimated 5,000 cubic yards of state-provided gravel on Indian Pines State Forest Road within Pine Island State Forest. All responses must be submitted electronically through the Swift Portal, with no email or faxed submissions accepted. A site visit is available by contacting Project Supervisor Nick Abel at 218-395-6028 or Nick.Abel@state.mn.us. The Contractor Assistance Help Desk is available at 651-201-8100, Option 1, for registration and submission assistance.
Prime contractors must meet three qualification requirements to be eligible: (1) substantially completed at least two similar written and verifiable contracts as a prime contractor since January 2022, with documentation of property owner, contact information, dollar amounts, and substantial completion dates; (2) the company has not been found in default or had a contract terminated for cause in the last 36 months; and (3) the company has not received any willful or repeated safety citations from OSHA for which a final order has been issued within the last 36 months. Responses that fail to include the completed qualification form or that do not meet these requirements will be rejected as non-responsive. The unit bid price must include all costs including labor, materials, tools, transportation, equipment, sales tax, use tax, and all other necessary expenses for project completion. 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 in total as deemed most advantageous.
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Other files
| File | Type | Posted |
|---|---|---|
| 2027-135_Equipment_and_Operator_Form.pdf | ||
| 2027-135_Specifications.pdf | ||
| DNR_RFB_Indian_Pine_Forest_Road_Graveling.pdf | ||
| 2027-135_Solicitation_Bond.pdf |
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Text version
Indian Pine Forest Road Graveling Page 1 of 2 Contractor Qualification Form Solicitation # 2027-135
Contractor Qualification Form Indian Pine Forest Road Graveling
Solicitation # 2027-135
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.
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.
Indian Pine Forest Road Graveling Page 2 of 2 Contractor Qualification Form Solicitation # 2027-135
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 .