2027-151_Contractor_Qualification_Form.pdf

PDF 110 KB Posted

Attached to
DNR RFB Hill River Parking Pad
Solicitation number
2000018728
Issued by
Minnesota

About this file

This Contractor Qualification Form is a Prime Contractor Response document required for Solicitation #2027-151, Hill River Parking Pad, issued by the Minnesota Department of Natural Resources. The project involves establishing 200 feet of gravel road and a 2,500 square-foot gravel parking pad (50' x 50'). Responses must be submitted electronically through the Swift Portal, with no email or faxed submissions accepted. Prospective contractors may schedule site visits by contacting Derek Wagner, Project Supervisor, at 218-429-3019 or derek.wagner@state.mn.us. The vendor is responsible for reviewing all attachments and compliance requirements, and questions should be directed to the designated buyer. Award will be made to the lowest responsible vendor meeting all specifications and terms and conditions, with the State reserving the right to award items separately, by grouping, or by total as deemed most advantageous.

The solicitation requires contractors to provide unit bid prices that include all costs such as labor, materials, tools, transportation, equipment, sales tax, use tax, and all expenses necessary for project completion. Qualification requirements mandate that prime contractors must have substantially completed at least two written and verifiable contracts of similar scope since January 2022, with one contract valued at $5,000 or greater, and must provide verifiable references with property owner contact information and substantial completion dates. Additionally, contractors must certify that their company has not been found in default or had a contract terminated for cause within the last 36 months and has not received willful or repeated OSHA safety citations with final orders within that same period. Failure to meet these qualification requirements or provide complete and accurate information will result in rejection of the solicitation response.

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File Type Posted
DNR_RFB_Hill_River_Parking_Pad.pdf PDF
2027-151_Specifications.pdf PDF
2027-151_Equipment_and_Operator_Form.pdf PDF

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Contractor Qualification Form Hill River Parking Pad Solicitation # 2027-151

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 $5,000 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 .