2027-183_Contractor_Qualification_Form.pdf
PDF 107 KB Posted
- Attached to
- DNR RFB Tamarac River Channel Dredging
- Solicitation number
- 2000018629
- Issued by
- Beltrami County, Minnesota
About this file
This is a Contractor Qualification Form submitted to the Minnesota Department of Natural Resources for Solicitation #2027-183, a river channel dredging project in Beltrami County near Waskish. The project involves the mechanical removal of sand deposits from the mouth of the Tamarac River at Upper Red Lake and disposal of materials at a site approximately 1.7 miles from the project location. The work scope includes creating a channel approximately 750 feet long by 30 feet wide and 4 feet deep, with an estimated removal of 1,300 cubic yards. Prime contractors must submit this qualification form with their bid response; failure to include the form or provide an outdated version may result in bid rejection. Interested contractors should contact Project Supervisor Lance Crandall at (218) 732-8452 x238 or lance.d.crandall@state.mn.us for site visits. All responses must be submitted electronically through the Swift Portal, with the state reserving the right to award items separately, by grouping, or by total.
Prime contractor eligibility requires substantiation of at least three similar written and verifiable contracts completed since January 2022, with one contract valued at $25,000 or greater. Contractors must provide property owner information, contact persons, telephone numbers, contract dollar amounts, and substantial completion dates for each project reference. Additionally, companies must certify that they have not been found in default or had a contract terminated for cause within the last 36 months, and must not have received OSHA willful or repeated safety citations with final orders issued within the last 36 months. Bid pricing must include all costs encompassing labor, materials, tools, transportation, equipment, sales tax, use tax, and all other expenses necessary for project completion. The state reserves the right to clarify qualification information before award and may contact references or request additional project documentation to verify contractor responsibility and qualifications.
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Contractor Qualification Form Tamarac River Channel Dredging Beltrami County / near Waskish
Solicitation # 2027-183
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 THREE written and verifiable contracts since January 2022 of similar scope and activity. ONE contract must have had a value of $25,000 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
Dollar Amount of Contract: Substantial Completion Date:
Contract substantially completed under (check one): ☐ Current Company Name
Dollar Amount of Contract: Substantial Completion Date:
Contract substantially completed under (check one): ☐ Current 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 .