24086- Specification 100% CD 8.12.24 - Signed Rev-1.pdf

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Attached to
CU Anschutz - Dental School – Revisited 3rd and 4th Fix Cooling Issues
Solicitation number
24-173129 -2
Issued by
Arapahoe County, Aurora City, Colorado

About this file

This is a comprehensive construction bid document from the University of Colorado Denver | Anschutz Medical Campus for the Dental School 3rd and 4th Floor Cooling Issues project. The project seeks bids from General Contractors and/or Mechanical/Plumber/Electrical Contractors to modify the existing HVAC systems on the east side of the 2nd, 3rd, and 4th floor office areas. Key modifications include replacing existing Variable Air Volume (VAV) boxes, updating low-pressure ductwork distribution, replacing slot diffusers, adding perforated return grills, re-balancing VAVs, reconnecting thermostats, integrating new controls with existing building temperature systems, and installing new hydronic control valves and piping. The project is advertised on September 13, 2024, with a mandatory pre-bid meeting on September 23, 2024, at 9:00 AM. Sealed bids are due on October 14, 2024, at 1:00 PM, with a public bid opening via Zoom at 1:30 PM. The anticipated construction start is November 4, 2024, with an expected completion date of January 10, 2025.

The estimated construction cost is $480,000, and contractors must meet specific qualifications, including having completed at least two projects over $600,000 in the last three years and demonstrating bonding capability up to $600,000. The project is subject to state prevailing wage requirements for projects over $500,000 and must comply with the Buy Clean Colorado Act for material environmental product declarations. Contractors will be required to use the LCPTracker cloud-based labor compliance system and provide documentation of apprenticeship program participation. The University reserves the right to give preference to Colorado resident bidders and labor, and bidders must submit a bid bond of 5% of the total bid. Additional requirements include compliance with state regulations on immigrant labor, environmental standards, and local tax considerations.

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University of Colorado / Anschutz Medical Campus

Dental School -Revisit 3rd and 4th Fix Cooling Issues

July, 24 2024

PROJECT NO. 24-173129

Submitted by:

MEP ENGINEERING, INC.

6402 S. Troy Circle, Ste 100

Centennial, CO 80111

303.936.1633 | www.mep-eng.com

Construction Documents 24 July 2024

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

Dental School – Revisit 3rd and 4th Fix Cooling Issues

Project No. 24‐173129

Section No. Section Title No. of Pages

00 01 00 TABLE OF CONTENTS ‐ 1

DIVISION 00 – PROCUREMENT AND CONTRACTING REQUIREMENTS

00 01 00 TABLE OF CONTENTS

00 01 04 PROJECT DIRECTORY

00 01 05 DESIGN CONSTRUCTION NARRATIVE

00 11 00 ADVERTISEMENT FOR BIDS

00 21 13 INFORMATION TO BIDDERS

00 41 53 BID FORM

00 43 13 BID BOND

00 43 23 BID ALTERNATES FORM

00 43 33 BID TABULATION FORM

00 43 40 CERTIFICATE AND AFFIDAVIT REGARDING UNAUTHORIZED IMMIGRANTS

00 45 17 SUBCONTRACTOR PREQUALIFICATION

00 51 00 NOTICE OF AWARD (D/B/B)

00 52 53.05 CONTRACTOR’S DESIGN/BID/BUILD (D/B/B) AGREEMENT

00 55 00 NOTICE TO PROCEED (DESIGN/BID/BUILD CONTRACT) (SBP‐6.26)

00 61 13.13 PERFORMANCE BOND

00 61 13.16 LABOR AND MATERIAL BOND

00 62 16 CERTIFICATE OF INSURANCE

00 62 76 APPLICATION AND CERTIFICATE FOR CONTRACTORS PAYMENT

00 63 46 CHANGE ORDER BULLETIN

00 63 53 CHANGE ORDER PROPOSAL

00 63 58 CHANGE ORDER LOG

00 63 63 CHANGE ORDER

00 63 64.05 CONTRACT AMENDMENT

00 65 15 NOTICE OF PARTIAL SUBSTANTIAL COMPLETION

00 65 16 NOTICE OF SUBSTANTIAL COMPLETION

00 65 19.01 BUILDING INSPECTION RECORD

00 65 19.03 NOTICE OF APPROVAL OF OCCUPANCY/USE

00 65 19.23 PRE‐ACCEPTANCE CHECKLIST

00 65 19.25 NOTICE OF PARTIAL FINAL ACCEPTANCE

00 65 19.26 NOTICE OF FINAL ACCEPTANCE

00 65 19.30 NOTICE OF CONTRACTOR'S SETTLEMENT

00 72 53 CONTRACT GENERAL CONDITIONS

00 73 00 CONSTRUCTION PURCHASE ORDER TERMS AND CONDITIONS

00 73 01 SUPPLEMENTARY GENERAL CONDITIONS (D/B/B)

00 73 46 WAGE DETERMINATION SCHEDULE

00 73 80 SALES TAX

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

Dental School – Revisit 3rd and 4th Fix Cooling Issues

Project No. 24‐173129

00 01 00 TABLE OF CONTENTS ‐ 2

DIVISION 01 – GENERAL REQUIREMENTS

01 10 00 SUMMARY

01 22 00 UNIT PRICES

01 25 00 SUBSTITUTION PROCEDURES

01 26 00 CONTRACT MODIFICATION PROCEDURES

01 29 00 PAYMENT PROCEDURES

01 31 00 PROJECT MANAGEMENT AND COORDINATION

01 32 00 CONSTRUCTION PROGRESS DOCUMENTATION

01 32 33 PHOTOGRAPHIC DOCUMENTATION

01 33 00 SUBMITTAL PROCEDURES

01 35 44 SPECIAL PROCDURES FOR ENVIRONMENTAL HEALTH AND SAFETY

AND FIRE AND LIFE SAFETY

01 35 46 INDOOR AIR QUALITY PROCEDURES

01 40 00 QUALITY REQUIREMENTS

01 41 00 REGULATORY REQUIREMENTS

01 42 00 REFERENCES

01 50 00 TEMPORARY FACILITIES AND CONTROLS

01 60 00 PRODUCT REQUIREMENTS

01 73 00 EXECUTION

01 73 07 TEMPORARY FIRE DETECTION AND SUPPRESSION REQUIREMENTS

01 74 19 CONSTRUCTION WASTE MANAGEMENT AND DISPOSAL

01 77 00 CLOSEOUT PROCEDURES

SUPPLEMENTAL NOTICE OF OCCUPANCY AND USE LIST

SUPPLEMENTAL BUILDING / PROJECT ACCEPTANCE LIST

01 78 23 OPERATION AND MAINTENANCE DATA

01 78 39 PROJECT RECORD DOCUMENTS

01 78 46 EXTRA STOCK MATERIALS

01 79 00 DEMONSTRATION AND TRAINING

DIVISION 02 – EXISTING CONDITIONS

02 41 19 SELECTIVE DEMOLITION

DIVISION 03 – CONCRETE (Not Used)

DIVISION 04 – MASONRY (Not Used)

DIVISION 05 – METALS (Not Used)

DIVISION 06 – WOOD, PLASTICS, AND COMPOSITES (Not Used)

DIVISION 07 – THERMAL AND MOISTURE PROTECTION

07 84 13 PENETRATION FIRESTOPPING

DIVISION 08 – OPENINGS (Not Used)

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

Dental School – Revisit 3rd and 4th Fix Cooling Issues

Project No. 24‐173129

00 01 00 TABLE OF CONTENTS ‐ 3

DIVISION 09 – FINISHES

09 22 16 NON‐STRUCTURAL METAL FRAMING

09 29 00 GYPSUM BOARD

09 51 13 ACOUSTICAL PANEL CEILINGS

09 65 13 RESILIENT BASE AND ACCESSORIES

09 91 23 PAINTING

DIVISION 10 – SPECIALTIES (Not Used)

DIVISION 11 – EQUIPMENT (Not Used)

DIVISION 12 – FURNISHINGS (Not Used)

DIVISION 13 – SPECIAL CONSTRUCTION (Not Used)

DIVISION 14 – CONVEYING EQUIPMENT (Not Used)

DIVISIONS 15 – 19 (Reserved)

DIVISION 20 – FACILITY SERVICES (Not Used)

DIVISION 21 – FIRE SUPPRESSION (Not Used)

DIVISION 22 – PLUMBING (Not Used)

DIVISION 23 – HEATING, VENTILATING, AND AIR CONDITIONING

23 00 00 HEATING, VENTILATION AND AIR CONDITIONING (HVAC)

23 01 30.51 HVAC AIR DISTRIBUTION SYSTEM CLEANING

23 05 10 BASIC MECHANICAL REQUIREMENTS

23 05 23 GENERAL DUTY VALVES FOR PIPING

23 05 29 HANGERS AND SUPPORTS FOR HVAC PIPING AND EQUIPMENT

23 05 48 VIBRATION AND SEISMIC CONTROLS FOR HVAC

23 05 53 IDENTIFICATION FOR PIPING AND EQUIPMENT

23 05 93 TESTING, ADJUSTING AND BALANCING FOR HVAC

23 07 13 DUCT INSULATION

23 07 19 PIPING INSULATION

23 09 13 INSTRUMENTATION AND CONTROL DEVICES

23 21 13 HYDRONIC PIPING

23 21 14 HYDRONIC SPECIALTIES

23 31 00 HVAC DUCTS AND CASINGS

23 33 00 AIR DUCT ACCESSORIES

23 36 00 AIR TERMINAL UNITS

23 37 13 DIFFUSERS, REGISTERS AND GRILLES

DIVISIONS 24 – 25 (Reserved)

DIVISION 26 – ELECTRICAL

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

Dental School – Revisit 3rd and 4th Fix Cooling Issues

Project No. 24‐173129

00 01 00 TABLE OF CONTENTS ‐ 4

26 01 00 BASIC ELECTRICAL REQUIREMENTS

26 05 19 LOW-VOLTAGE ELECTRICAL POWER CONDUCTORS AND CABLES

26 05 26 GROUNDING AND BONDING FOR ELECTRICAL SYSTEMS

26 05 29 HANGERS AND SUPPORTS FOR ELECTRICAL SYSTEMS

26 05 33.13 CONDUIT FOR ELECTRICAL SYSTEMS

26 05 33.16 BOXES FOR ELECTRICAL SYSTEMS

26 05 53 IDENTIFICATION FOR ELECTRICAL SYSTEMS

26 05 83 WIRING CONNECTIONS

DIVISION 27 – COMMUNICATIONS (Not Used)

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY

28 46 00 FIRE DETECTION AND ALARM

DIVISION 31 – CIVIL (Not Used)

DIVISION 32 – LANDSCAPE (Not Used)

DIVISIONS 33 THROUGH 49 (Not Used)

END OF TABLE OF CONTENTS

00 01 04 PROJECT DIRECTORY

‐ 1

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

Dental School – Revisit 3rd and 4th Fix Cooling Issues

Project No. 24‐173129

SECTION 00 01 04 – PROJECT DIRECTORY

PART 1 - GENERAL

1.1 PROJECT DIRECTORY

A. OWNER

University of Colorado Denver | Anschutz Medical Campus Andy Madsen

Campus Services, Mail Stop F418 andy.madsen@cuanschutz.edu

1945 Wheeling Street, Rm 334

Aurora, CO 80045

B. ENGINEERS

MEP Engineering Inc. Karena, Broman-Ballas, PE

6402 S. Troy Circle, Suite 100 Karena@mep-eng.com

MEP Engineering Inc. Roger Crawford, PE

6402 S. Troy Circle, Suite 100 roger@mep-eng.com

PART 2 - PRODUCTS (Not Applicable)

PART 3 - EXECUTION (Not Applicable)

END OF SECTION 00 01 04

08.12.24

08.12.24 mailto:andy.madsen@cuanschutz.edu mailto:Karena@mep-eng.com mailto:roger@mep-eng.com

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

ADVERTISEMENT FOR BIDS 00 11 00 - 1

SECTION 00 11 00 – ADVERTISEMENT FOR BIDS

PART 1 - GENERAL

1.1 RELATED DOCUMENTS (Not Applicable)

1.2 SUMMARY

A. Section incudes administrative and procedural requirements for project advertisement

1.3 DEFINITIONS

A. ADVERTISEMENT: Posting of project description, requirements, schedule, and related requirements necessary to solicit submittals from contractors.

1.4 ADVERTISEMENT

A. FORM: State of Colorado form “Advertisement for Bids for Contractor’s Agreement Design/Bid/Build”

(OSA-AFB-1)

B. A copy of the above noted form is attached at the end of this section.

1.5 PROCEDURE

A. If a project is less than $150,000 or greater than $500,000, remove red “Open to SCPP” box.

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 11 00

OSA-AFB-1 pg. 1

REV 1/2024

ADVERTISEMENT FOR BIDS

Design/Bid/Build State of Colorado

Anschutz Medical Campus Notice Number: PN 24-173129

Project No: 24-173129

Project Title: Dental School – Revisited 3rd and 4th Fix Cooling Issues

Estimated Construction Cost: $480,000.00

Settlement Notice For all projects with a total dollar value above $150,000 Notice of Final Settlement is required by C.R.S. §38-26-107(1). Final Settlement, if required, will be advertised in the same location as the original solicitation.

Project Description

The University of Colorado Anschutz Medical Campus seeks Bids from General

Contractors and/or Mechanical/Plumber/Electrical Contractors for this project. The project will be conducted in the CU Anschutz School of Dental Medicine on the East side of the 2nd, 3rd, and 4th floors office area. To resolve the heating and cooling issues being experienced in these areas, the following modifications will be provided to the existing system:

1. Existing VAVs; where indicated on plans, will be replaced with new ones to provide additional airflow to zones. Downstream distribution and linear slot diffusers will be replaced to accommodate the increased airflow.

2. Acoustically lined transfer ducts will be provided, as required, through full-height fire-rated walls to establish/maintain the return air pathway back to central air handlers serving each floor.

3. The piping serving existing perimeter baseboard heaters will be modified to provide 2 separate zones on each floor.

The Mechanical/Plumber/Electrical Contractor can be the prime for this Project and will include cost bid allocation to secure drywall patching and repair and painting to match the existing of all areas.

OSA-AFB-1 pg. 2

Scope of Services

The University of Colorado Anschutz Medical Campus anticipates the Contractor to provide construction services, necessary materials, and labor for the Project to complete all work according to published project schedule deadlines. The project will be conducted in the CU Anschutz School of Dental Medicine on the East side of the 2nd, 3rd, and 4th floors office area. The work will consist of the following: install new Variable Air Volume (VAV) Boxes, replace low-pressure ductwork distribution, replace slot diffusers, add perforated return grills into ceiling grid, re-balance new VAVs, reuse and reconnect thermostat to new VAV box, integrate new controls with the existing building temperature control system, install new hydronic control valves, new hydronic piping distribution with insolation, provide new 1” acoustically lined transfer ducts in ceiling plenum to establish return air pathway back to air handler.

The following items are requirements and points of clarification for the Project.

• If the Contractor's bid goes over $500,000.00 Prevailing Wage requirements need to be included in the bid.

• Mechanical Contractor can be the prime on this Project and will include cost bid allocation to secure drywall patching and repair and painting to match existing paint of all areas.

• All ceiling and wall-mounted fire sprinklers to be protected and remain in place during construction. There is no modification to the existing fire system assumed in the scope of work. If required, coordinate with facilities management for shut-off locations and local fire officials for jurisdictional requirements for temporarily disabling water to affected areas during construction, in order to temporarily disconnect and reconnect sprinkler heads. All duct runs are to be field coordinated with existing conditions.

• Temporarily remove, protect, and reinstall any lighting or ceiling-mounted fixtures as required to perform new work.

• Ensure all new fire/smoke dampers are installed, functioning, and readily accessible. Provide access panels where required.

• Coordinate any work that may disrupt adjacent offices or laboratories in advance with the Project Manager. It is anticipated the majority of work will be performed during normal operating business hours. If required, any work in areas that may not be disrupted shall be coordinated with the facilities PM and will need to be performed between the hours of 6:00 pm and 7:00 am or on weekends.

Minimum Requirements

Notice is hereby given to all interested parties that all firms will be required to meet all minimum requirements to be considered for this project. Interested bidders should be prepared to show evidence of the following to be considered as qualified, as a minimum:

1. Provided General Contracting services within the last three (3) years for at least two (2) projects each over $ 600,000.00 (hard costs), utilizing the expertise present in their Colorado Office; and

OSA-AFB-1 pg. 3

2. Demonstrated specific General Contracting experience in projects of similar scope and complexity; and

3. Demonstrated bonding capability up to $600,000.00 for an individual project coincidentally with current and anticipated workloads; provide a letter from the surety that affirms this capacity.

4) Per C.R.S. §24-92-115 unless prohibited by applicable federal law, a contract for any public project in the amount of one million dollars or more, that does not receive federal money, in the amount of one million dollars or more shall require the general contractor to which the contract is awarded to submit, at the time the mechanical, electrical, or plumbing subcontractor is put under contract, documentation that Identifies the contractors or subcontractors that will be used for all mechanical, sheet metal, fire suppression, sprinkler fitting, electrical, and plumbing work required on the project and certifies that all firms identified participate in apprenticeship programs registered with the United States department of labor’s employment and training administration or state apprenticeship councils recognized by the United States department of labor and have a proven record of graduating a minimum of 15% of its apprentices for at least three of the past five years.

5) Per C.R.S. §24-92-Part 2, a public construction project in the amount of five hundred thousand dollars or more shall be subject to the State prevailing wage rate, of the regular, holiday, and overtime wages paid and the general prevailing payments on behalf of employees to lawful welfare, pension, vacation, apprentice training, and educational funds in the State, for each employee needed to execute the contract. Payments to the funds must constitute an ordinary business expense deduction for federal income tax purposes by contractors and subcontractors.

Contractors are required to pay their employees at weekly intervals and shall comply with the enforcement provisions of C.R.S. §24-92-209. Contractors awarded a project of this size will be required to utilize the LCPTracker cloud-based labor compliance and certified payroll application.

Per C.R.S. §24-92-117, a public construction project in the amount of five hundred thousand dollars or more shall be subject to the Buy Clean Colorado (BCCO) Act program requirements.

The BCCO Act requires the Office of the State Architect to establish a maximum acceptable global warming potential (GWP) limit for each category of eligible materials, which include asphalt and asphalt mixtures, cement and concrete mixtures, glass, post-tension steel, reinforcing steel, structural steel, and wood structural elements. For any solicitation for a contract for the design of an eligible project, a State Agency or institution shall require the designer who is awarded the contract to include, in project specifications when final construction documents are released, a current Environmental Product Declaration (EPD) that meets the maximum acceptable GWP limits for each eligible material specified for the project. A contractor that is awarded a contract for an eligible project shall not install any eligible materials on the project until the contractor submits an EPD for each eligible material procured for the project.

Firms meeting the minimum requirements may obtain the bidding documents on the website accompanying this advertisement.

Bid Documents

Available on Bidnet website:

https://www.bidnetdirect.com/colorado/universityofcoloradodesignandconstruction

OSA-AFB-1 pg. 4

Other Information

Preference shall be given to Colorado resident bidders and for Colorado labor, as provided by law. Per C.R.S. §24-105-201 If the construction value is $50,000 or greater a Bid Bond and Power of Attorney or Proposal Guaranty is required in an amount not less than 5% of the total Bid.

Pre-Bid Meeting

A mandatory Pre-Bid Meeting will be held at:

Address: 13121 E. 17th Avenue, Aurora, CO 80045

Room: ED 2 Room L28-1102

Date/Time

September 23, 2024, 9:00 AM

Schedule/Submission Details

1. The schedule of events for the AFB process and an outline of the schedule for the balance of the project is as follows:

DATE TIME

Advertisement 09/13/2024

Mandatory Pre-Bid Conference and Tour 09/23/2024 9:00 AM

Date Email Questions Due Thru Bidnet 09/30/2024 1:00 PM

Date Email Answers Issued 10/07/2024 1:00 PM

Sealed Bids Due 10/14/2024 1:00 PM

Public Bid Opening via Zoom 10/14/2024 1:30 PM

Negotiation of General Contractor Contract 10/14/2024

Contract Approval (projected) 10/28/2024

Anticipated Design Start Complete

Anticipated General Contractor Start 11/04/2024

Anticipated Construction Finish 01/10/2025

2. Bids are due 10/07/2024 and shall be received no later than 1:00 PM (MD/ST) and shall be submitted/accepted via Bidnet project Advertisement.

Comments: Late sealed bids will be rejected without consideration. The University of Colorado – Anschutz Medical Campus and the State of Colorado assume no responsibility for costs related to the preparation of submittals.

3. The above schedule is tentative. Responding firms shall be notified of revisions in a timely manner by email or posted on Bidnet website. Respondents may elect to verify times and dates by email, but no earlier than 36 hours before the scheduled date and time.

OSA-AFB-1 pg. 5

Point of Contact/Clarification

Name: Andy Madsen

Agency: University of Colorado Anschutz Medical Campus (GFE)

Phone: 303-880-7569

Email: Andy.madsen@cuanschutz.edu

This Notice is also available on the web at:

Media of Publication(s): Bidnet

Publication Dates: 9/13/2024

APPENDICES:

Appendix A: Information for Bidders (SBP-6.12)

Appendix B: Bid Form (SBP-6.13)

Appendix B1: Bid Alternates (SBP-6.131) N/A

Appendix B2: Unit Pricing (SBP-6.133) N/A

Appendix B3: Bid Bond (SBP-6.14)

Appendix B4: SCPP Subcontractor Verification Form N/A

Appendix B5: Prevailing Wage and Apprenticeship Acknowledgement (If applicable)

Appendix C: Direct Labor Burden Calculation (SBP-6.18)

Appendix D: Applicable Prevailing Wage and Apprenticeship and Fringe Rates

(If Applicable)

Appendix E: Apprenticeship Utilization Certifications (SBP-6.17) N/A

Appendix F: Sample: SC6.21 and SC6.23 Design/Bid/Build Contractor’s Agreement and

General Conditions of the Contract)

STATE OF COLORADO

OFFICE OF THE STATE ARCHITECT

STATE BUILDINGS PROGRAMS

INFORMATION FOR BIDDERS

Institution or Agency: University of Colorado Denver – Anschutz Medical Campus

Project No./Name: PN24-173129 / Dental School Revisit 3rd and 4th Fix Cooling Issues

1. BID FORM: Bidders are required to use the Bid form attached to the bidding documents. Each bidder is required to bid on all alternates and indicate the time from the date of the Notice to Proceed to Substantial Completion in calendar days, and in addition, the bidder is required to indicate the period of time to finally complete the project from Substantial

Completion to Final Acceptance, also in calendar days. Bids indicating times for Substantial Completion and Final

Acceptance in excess of the number of days indicated in the Advertisement for Bids for completion of the entire Project may be found non-responsive and may be rejected. The bid shall not be modified or conditioned in any manner. Bids and applicable bid security shall be submitted according to the following instructions:

INSTRUCTIONS FOR ELECTRONIC BID SUBMISSION

Bids shall be submitted/accepted via Bidnet Project Advertisement. Address for the Bidnet Project Advertisement website:

2. INCONSISTENCIES AND OMISSIONS: Bidders may request clarification of any seeming inconsistencies, or matters seeming to require explanation, in the bidding documents at least three (3) business days prior to the time set for the opening of Bids. Decisions of major importance on such matters will be issued in the form of an addendum.

3. APPLICABLE LAWS AND REGULATIONS: The bidder’s attention is called to the fact that all work under this

Contract shall comply with the provisions of all state and local laws, approved state building codes, ordinances and regulations which might in any manner affect the work to be done or those to be employed in or about the work. Labor for work shall be governed by the provisions of Colorado law which are hereinafter set forth in Articles 27 and 52 of the

General Conditions. This includes the requirements for apprenticeship and prevailing wage on Public Projects. The bidder should be aware that reporting of embodied carbon emissions of eligible materials shall be governed by the provisions of Colorado State Law. This includes the requirements for Environmental Product Declarations (EPDs) that meet the maximum acceptable Global Warming Potential (GWP) limits as established by the Office of the State

Architect.

4. BID SECURITY: A bid security of not less than 5% of the bid price is required when the price is estimated to be $50,000 or more. The security shall be a bond by a surety company, the equivalent in cash, or otherwise supplied in a form satisfactory for the State. Noncompliance requires the bid to be rejected as nonresponsive.

5. TAXES: The bidder’s attention is called to the fact that the Bid submitted shall exclude all applicable federal excise or manufacturers’ taxes and all state sales and use taxes as hereinafter set forth in Article 9.3 of the GENERAL

CONDITIONS.

6. OR EQUAL: The words “OR EQUAL” are applicable to all specifications and drawings relating to materials or equipment specified. Any material or equipment that will fully perform the duties specified, will be considered “equal”, provided the bid submits proof that such material or equipment is of equivalent substance and function and is approved, in writing. Requests for the approval of “or equal” shall be made in writing at least five (5) business days prior to bid opening. During the bidding period, all approvals shall be issued by the Architect/Engineer in the form of addenda at least two (2) business days prior to the bid opening date.

7. ADDENDA: Owner/architect initiated addenda shall not be issued later than two (2) business days prior to bid opening date. All addenda shall become part of the Contract Documents and receipt must be acknowledged on the Bid form.

8. METHOD OF AWARD - LOWEST RESPONSIBLE BIDDER: If the bidding documents for this project require alternate prices, additive and/or deductible alternates shall be listed on the alternates bid form provided by the Principal

Representative. Bidders should note the Method of Award is applicable to this Bid as stated below.

A. DEDUCTIBLE ALTERNATES: The lowest responsible Bid, taking into account the Colorado resident bidder preference provision of Colorado law, will be determined by and the contract will be awarded on the base bid combined with deductible alternates, deducted in numerical order in which they are listed in the alternates bid form provided by the Principal Representative. The subtraction of alternates shall result in a sum total within available funds. If this bid exceeds such amount, the right is reserved to reject all bids. An equal number of alternates shall be subtracted from the base bid of each bidder within funds available for purposes of determining the lowest responsible bidder.

B. ADDITIVE ALTERNATES: The lowest responsible Bid, taking into account the Colorado resident bidder preference provision of Colorado law, will be determined by and the contract will be awarded on the base bid plus all additive alternates added in the numerical order in which they are listed in the alternates bid form provided by the

Principal Representative. The addition of alternates shall result in a sum total within available funds. If this bid exceeds such amount, the right is reserved to reject all bids. An equal number of alternates shall be added to the base bid of each bidder within funds available for purposes of determining the lowest responsible bidder.

C. DEDUCTIBLE AND ADDITIVE ALTERNATES: Additive alternates will not be used if deductible alternates are used and deductible alternates will not be used if additive alternates are used.

10. NOTICE OF CONTRACTOR’S SETTLEMENT – Agencies/institutions must indicate in the initial Solicitation

(Advertisement for Bids, Documented Quotes, or Requests for Proposals) whether settlement will be advertised in newspapers or electronic media.

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

BID FORM 00 41 53 - 1

SECTION 00 41 53 – BID FORM

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. 00 43 13 - Bid Bond (SBP-6.14)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 BID FORM

A. FORM: State of Colorado form “Bid” (SBP-6.13).

B. A copy of the above noted form is attached to the end of this section.

C. Additional State and University of Colorado forms to be attached to the submitted bid are listed in the

Articles below.

1.5 PROCEDURES

A. The durations for Bidder’s Time of Completion shall match the project advertisement duration.

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 41 53

State Form SBP-6.13

Rev 07/2022

STATE BUILDINGS PROGRAMS

BID

Institution/Agency: University of Colorado / Anschutz Medical Campus

Bidder Acknowledges Receipt of Addenda Numbers:

Bidder Anticipates Services outside the United States or Colorado:* No ☐ Yes ☐ If Yes see 3A below

Bidder will comply with 80% Colorado Labor on project above $500,000: Yes☐ No ☐ If No see 3B below

Bidder is a Service-Disabled Veteran Owned Small Business:* No ☐ Yes ☐ If Yes see 3C below

Base Bid $

(Refer to Bid Alternate Form SC-6.13.1 Attached, If Applicable)

Bidder’s Time of Completion

a. Time Period from Notice to Proceed to Substantial Completion:

b. Time Period from Substantial Completion to Final Acceptance:

c. Total Time of Completion of Entire Project (a + b):

1. BID: Pursuant to the advertisement by the State of Colorado dated the undersigned bidder hereby proposes to furnish all the labor and materials and to perform all the work required for the complete and prompt execution of everything described or shown in or reasonably implied from the Bidding Documents, including the Drawings and Specifications, for the work and for the base bid indicated above. Bidders should include all taxes that are applicable.

2. EXAMINATION OF DOCUMENTS AND SITE: The bidder has carefully examined the Bidding Documents, including the Drawings and Specifications, and has examined the site of the Work, so as to make certain of the conditions at the site and to gain a clear understanding of the work to be done.

3. PARTIES INTERESTED IN BID: The bidder hereby certifies that the only persons or parties interested in this Bid are those named herein, and that no other bidder or prospective bidder has given any information concerning this Bid.

A. If the bidder anticipates services under the contract or any subcontracts will be performed outside the United States or Colorado, the bidder shall provide in a written statement which must include, but need not be limited to the type of services that will be performed at a location outside the United States or Colorado and the reason why it is necessary or advantageous to go outside the United States or Colorado to perform such services. (Does not apply to any project that receives federal moneys) *

B. For State Public Works projects per C.R.S. 8-17-101, Colorado labor shall be employed to perform at least 80% of the work. Colorado Labor means any person who is a resident of the state of Colorado at the time of the Public Works project. Bidders indicating that their bid proposal will not comply with the 80% Colorado Labor requirement are required to submit written justification along with the bid submission. (Does not apply to any project that receives federal moneys) *

C. A Service-Disabled Veteran Owned Small Business (SDVOSB) per C.R.S. 24-103-211, means a business that is incorporated or organized in Colorado or maintains a place of business or has an office in Colorado and is officially registered and verified by the Center for Veteran Enterprise within the U.S. Department of Veteran Affairs. Attach proof of certification along with the bid submission. *

D. Projects estimated to be $1 million or more that do not receive federal funds are required to comply with the State Apprenticeship Utilization requirements C.R.S. 24-92-115

E. Projects estimated to be $500,000 or more that do not receive federal funds are required to comply with the State Prevailing Wage requirements C.R.S. 24-92-201 through 210.

4. BID GUARANTEE: This Bid is accompanied by the required Bid Guarantee. Per C.R.S. §24-105-201 If the construction value is $50,000 or greater a Bid Bond and Power of Attorney or Proposal Guaranty is required in an amount not less than 5% of the total Bid. You are authorized to hold said Bid Guarantee for a period of not more than

State Form SBP-6.13

Rev 07/2022 thirty (30) days after the opening of the Bids for the work above indicated, unless the undersigned bidder is awarded the Contract, within said period, in which event the Office of the State Architect, may retain said Bid Guarantee, until the undersigned bidder has executed the required Agreement and furnished the required Performance Bond, Labor and Material Payment Bond, and Insurance Policy.

5. TIME OF COMPLETION: The bidder agrees to achieve Substantial Completion of the Project from the date of the Notice to Proceed within the number of calendar days entered above, and in addition, further agrees that the period between Substantial Completion and Final Acceptance of the Project will not exceed the number of calendar days noted above. If awarded the Work, the bidder agrees to begin performance within ten (10) days from the date of the Notice to Proceed subject to Article 46, Time of Completion and Liquidated Damages of the General Conditions of the Contract, and agrees to prosecute the Work with due diligence to completion. The bidder represents that Article 7D of the Contractor’s Agreement (SC-6.21) has been reviewed to determine the type and amount of any liquidated damages that may be specified for this contract.

6. EXECUTION OF DOCUMENTS: The bidder understands that if this Bid is accepted, bidder must execute the required Agreement and furnish the required Performance Bond, Labor and Material Payment Bond, Insurance Policy and Certificates of Insurance within ten (10) days from the date of the Notice of Award, and that the bidder will be required to sign to acknowledge and accept the Contract Documents, including the Drawings and Specifications.

7. ALTERNATES: Refer to the Information for Bidders (SC-6.12) for Method of Award for Alternates and use State Form SBP-6.13.1 Bid Alternates form to be submitted with this bid form if alternates are requested by the institution/agency in the solicitation documents.

8. Submit wage rates (direct labor costs) for prime contractor and subcontractor as requested by the institution/agency in the solicitation documents.

9. The right is reserved to waive informalities and to reject any and all Bids.

*Does not apply to projects for Institutions of Higher Education that have opted out of the State Procurement Code.

SIGNATURES: If the Bid is being submitted by a Corporation, the Bid shall be signed by an officer, i.e., President or Vice-President. If a sole proprietorship or a partnership is submitting the Bid, the Bid shall so indicate and be properly signed.

Dated this Day of , 20

THE BIDDER:

Company Name Address (including city, state and zip)

Phone number:

Name (Print) and Title Signature

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

DIRECT LABOR BURDEN CALCULATION 00 41 55 - 1

SECTION 00 41 55 – DIRECT LABOR BURDEN CALCULATION

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 DIRECT LABOR BURDEN CALCULATION

A. FORM: State of Colorado form “Direct Labor Burden Calculation” (SBP-6.18).

B. A copy of the above noted form is attached to the end of this section.

C. Additional State and University of Colorado forms to be attached to the submitted bid are listed in the Articles below.

1.5 PROCEDURES

A. The form shall be submitted for the bidding firm on award of low bid and prior to contract being issued.

B. Submission of a project bid acknowledges agreement of this requirement. Fail to submit this form may deem a bid as non-responsive

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 41 55

State Form SBP–6.18 Issued 7/2022

STATE BUILDINGS PROGRAM

DIRECT LABOR BURDEN CALCULATION

This form is required to be submitted for review prior to execution of a construction agreement.

List items below by the percentage of what makes up the total labor burden; Items include benefits that a contractor pays to employees on their payroll. Examples include taxes, pension cost, health and dental insurance etc. The Labor Burden amount must be agreed to by both the contractor and Principal Representative and will be included in the contract as part of Exhibit A and will be used in the calculation of any future Change Order Proposals (SC-6.312) Line 2.

Major sub-contractors defined as electricians, plumbers, mechanical contractors, excavators, millwork, concrete, block layers etc. Please provide one (1) Labor Burden Calculation Sheet per contractor and for each sub-contractor. These labor burdens shall be used in the calculation of any future Change Order Proposals (SC-6.312) Line 10.

State reserves the right to require back-up confirmation of all information included in this calculation.

Contractor/Subcontractor Name:

Percent of Salary Paid

Payroll Taxes

Pension Costs

Health Insurance

Dental Insurance

Life Insurance

Other (Specify) Description: _________________________

Other (Specify) Description: _________________________

Total Labor Burden: 0%

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

BID BOND 00 43 13 - 1

SECTION 00 43 13 – BID BOND

PART 1 - GENERAL

1.1 RELATED DOCUMENTS (Not Applicable)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 BID BOND

A. FORM: State of Colorado form “Bid Bond” (SBP-6.14).

B. A copy of the above noted form is attached to the end of this section.

1.2 PROCEDURES

A. This bid bond must be accompanied by Power of Attorney.

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 43 13

SBP-6.14

Rev. 7/2022

STATE BUILDINGS PROGRAM

BID BOND

KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, hereinafter called the “PRINCIPAL”, is submitting a PROPOSAL for the above described project, to the STATE OF COLORADO, hereinafter called the “OBLIGEE”.

WHEREAS, the Advertisement for Bids has required as a condition of receiving the Proposals that the Principal submit with the PROPOSAL GUARANTY in an amount not less than five per cent (5%) of the Proposal, which sum it is specifically agreed is to be forfeited as Liquidated Damages in the event that the Principal defaults in his obligation as hereinafter specified, and, in pursuance of which Requirement, this Bid is made, executed and delivered.

NOW THEREFORE, the Principal and a corporation of the State of , duly authorized to transact business in Colorado, as Surety, are held and firmly bound unto the Obligee, in the sum of five per cent (5%) of the Principal’s total bid price, lawful money of the United States for the payment of which sum, well and truly to be made to the Obligee, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

FURTHER THAT, a condition of the obligation that the Principal shall maintain his Proposal in full force and effect for thirty (30) days after the opening of the proposals for the project, or, if the Principal’s Proposal is accepted, the Principal shall, within the prescribed time, execute the required Agreement, furnish the required Performance Bond, Labor and Material Payment Bond, Insurance Policy, and Certificates of Insurance, then this obligation shall be null and void, otherwise it shall remain in full force and effect, and subject to forfeiture upon demand as Liquidated Damages.

IN WITNESS WHEREOF said Principal and Surety have executed this Bond, this day of , A.D., 20 .

(Corporate Seal) THE PRINCIPAL

Company Name

ATTEST

Address (including city, state and zip)

Secretary Phone number:

Name (Print) Signature

Name (Print) and Title

SIGNATURES If the “Principal” is doing business as a Corporation, the Bid Bond shall be signed by an officer, i.e., President or Vice President. The signature of the officer shall be attested to by the Secretary and properly sealed.

If the “Principal” is an individual or a partnership, the Bid Bond shall so indicate and be properly signed.

(Corporate Seal) THE SURETY

By __________________________________________

Secretary Attorney-in-Fact

THIS BOND MUST BE ACCOMPANIED BY POWER OF ATTORNEY, EFFECTIVELY DATED.

FAILURE TO PROVIDE A PROPERLY EXECUTED BID BOND WITH A PROPERLY EXECUTED POWER OF ATTORNEY

WILL RESULT IN THE BIDDER’S PROPOSAL BEING DEEMED NON-RESPONSIVE.

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

BID ALTERNATES FORM 00 43 23 - 1

SECTION 00 43 23 – BID ALTERNATES FORM

1.1 RELATED DOCUMENTS

A. 00 41 53 - Bid Form (SPB-6.13)

1.2

SUMMARY (Not Applicable)

1.3

DEFINITIONS (Not Applicable)

1.4

BID FORM

A. FORM: State of Colorado form “Bid Alternates Form” (SBP-6.131).

B. A copy of the above noted form is attached to the end of this section.

C. Additional State and University of Colorado forms to be attached to the submitted bid are listed in the

Articles below.

1.5

PROCEDURES

A. Fill out each alternate as shown in project documents with associated cost.

END OF SECTION 00 43 23

Additive alternates will not be used if deductible alternates are used and deductible alternates will not be used if additive alternates are used.

STATE OF COLORADO

STATE BUILDINGS PROGRAM

BID ALTERNATES FORM

Additive Alternates (If Applicable) Refer to specification section for descriptions of add alternates. If the add alternates are accepted, the base bid would be modified by the amount entered by the bidder.

A.A. No. 1 Add $

A.A. No. 2 Add $

A.A. No. 3 Add $

A.A. No. 4 Add $

A.A. No. 5 Add $

A.A. No. 6 Add $

A.A. No. 7 Add $

A.A. No. 8 Add $

A.A. No. 9 Add $

A.A. No. 10 Add $

Deductive Alternates (If Applicable)

Refer to specification section for descriptions of the deductive alternates. If the deductive alternates are accepted, the base bid would be modified by the amount entered by the bidder.

D.A. No. 1 Deduct $

D.A. No. 2 Deduct $

D.A. No. 3 Deduct $

D.A. No. 4 Deduct $

D.A. No. 5 Deduct $

D.A. No. 6 Deduct $

D.A. No. 7 Deduct $

D.A. No. 8 Deduct $

D.A. No. 9 Deduct $

D.A. No. 10 Deduct $

Signature Date

State Form SBP –6.131 Issued 7/2010

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

BID TABULATION FORM 00 43 33 - 1

SECTION 00 43 33 – BID TABULATION FORM

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. 00 41 53 - Bid Form (SBP-6.13)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 BID TABULATION FORM

A. FORM: State of Colorado form “Bid Tabulation Form” (SBP-6.132).

B. A copy of the above noted form is attached to the end of this section.

C. Additional State and University of Colorado forms to be attached to the submitted bid are listed in the

Articles below.

1.5 PROCEDURES

A. This form will be used to document receipt of sealed bids and other required forms.

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 43 33

SBP-6.132

Issued 8/2023

STATE BUILDINGS PROGRAM

BID TABULATION FORM

Institution/Agency: University of Colorado / Anschutz Medical Campus Date:

Project No./Name: PN24-173129 / Dental School Revisit 3rd and 4th Fix Cooling Issues Opened By:

Tabulated By:

REQUIRED INFORMATION ALTERNATE NO. (If Applicable)

Bidder Bid

Bond

Addenda (s) # Base

Proposal

1 2 3 4 5 6 7 8

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

Institution/Agency: University of Colorado Denver | Anschutz Medical Campus

A. CERTIFICATION STATEMENT CRS 8-17.5-101 & 102 (HB 06-1343, SB 08-193)

The Vendor, whose name and signature appear below, certifies and agrees as follows:

1. The Vendor shall comply with the provisions of CRS 8-17.5-101 et seq. The Vendor shall not knowingly employ or contract with an unauthorized immigrant to perform work for the State or enter into a contract with a subcontractor that knowingly employs or contracts with an unauthorized immigrant.

2. The Vendor certifies that it does not now knowing employ or contract with and unauthorized immigrant who will perform work under this contract, and that it will participate in either (i) the “E-Verify Program”, jointly administered by the United States Department of Homeland Security and the Social Security Administration, or

(ii) the “Department Program” administered by the Colorado Department of Labor and Employment in order to confirm the employment eligibility of all employees who are newly hired to perform work under this contract.

3. The Vendor shall comply with all reasonable requests made in the course of an investigation under CRS 8- 17.5-102 by the Colorado Department of Labor and Employment. If the Vendor fails to comply with any requirement of this provision or CRS 8-17.5-101 et seq., the State may terminate work for breach and the Vendor shall be liable for damages to the State.

B. AFFIDAVIT CRS 24-76.5-101 (HB 06S-1023)

1. If the Vendor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one):

[ ] I am a United States citizen, or

[ ] I am a Permanent Resident of the United States, or

[ ] I am lawfully present in the United States pursuant to Federal law.

I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the State of Colorado. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the State. I further acknowledge that I will comply with the requirements of CRS 24-76.5-101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under CRS 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.

CERTIFIED and AGREED to this day .

VENDOR:

Vendor Full Legal Name

BY:

Signature of Authorized Representative Title

State Form UI-1 Page 1 of 1 Issued 7/2008

STATE OF COLORADO

OFFICE OF THE STATE ARCHITECT

STATE BUILDINGS PROGRAMS

CERTIFICATION AND AFFIDAVIT REGARDING UNAUTHORIZED IMMIGRANTS

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

UNIT PRICING FORM 00 43 43 - 1

SECTION 00 43 43 – UNIT PRICING FORM

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. 00 41 53 - Bid Form (SBP-6.13)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 UNIT PRICING FORM

A. FORM: State of Colorado form “Unit Pricing Form” (SBP-6.133).

B. A copy of the above noted form is attached to the end of this section.

C. Additional State and University of Colorado forms to be attached to the submitted bid are listed in the

Articles below.

1.5 PROCEDURES

A. Fill out each unit price as shown in project documents with associated cost.

PART 2 - PRODUCTS (Not Applicable)

END OF SECTION 00 43 43

State Form SBP–6.133

Issued 7/2022

STATE OF COLORADO

OFFICE OF THE STATE ARCHITECT

STATE BUILDINGS PROGRAM

UNIT PRICING FORM

The unit prices below shall be used to determine adjustment to the contract sum when changes in the work involving said items are deemed necessary.

Unit Prices shall apply until the date of contract completion established at the time of Notice to Proceed.

All unit prices shall include the pro-rata share of all costs of materials, equipment and disposal required to complete the work item. Overhead, profit and bond will be calculated per Change Order Proposal form SC-6.312.

(Note: Architect/Engineer should complete a brief description below based on their complete description provided in Division 01 of their specification before inserting into the solicitation)

UNIT PRICING

Number Description Unit of

Measure

Unit Price

U1 $

U2 $

U3 $

U4 $

U5 $

U6 $

U7 $

U8 $

U9 $

U10 $

Signature Date

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

SUBCONTRACTOR PREQUALIFICATIONS 00 45 17 - 1

SECTION 00 45 17 – SUBCONTRACTOR PREQUALIFICATION

1.1 RELATED DOCUMENTS (Not Applicable)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 SUBCONTRACTOR PREQUALIFICATION

A. FORM: University of Colorado Denver | Anschutz Medical Campus “Subcontractor’s Statement of

Experience.”

B. A copy of the above noted document is attached to the end of this section.

1.5 PROCEDURE (Not Applicable)

END OF SECTION 00 45 17

UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS

SUBCONTRACTOR PREQUALIFICATIONS 00 45 17 - 1

SECTION 00 45 17 – SUBCONTRACTOR PREQUALIFICATION

1.1 RELATED DOCUMENTS (Not Applicable)

1.2 SUMMARY (Not Applicable)

1.3 DEFINITIONS (Not Applicable)

1.4 SUBCONTRACTOR PREQUALIFICATION

A. FORM: University of Colorado Denver | Anschutz Medical Campus “Subcontractor’s Statement of

Experience.”

B. A copy of the above noted document is attached to the end of this section.

1.5 PROCEDURE (Not Applicable)

END OF SECTION 00 45 17

Facilities Management

SUBCONTRACTOR’S

STATEMENT OF EXPERIENCE

Project Name:

Project #

Project Manager:

Phone:

Email:

Architect/Engineer:

• This is a project specific qualification form. Subcontractor must fill this out on each project.

INDEX OF DOCUMENTS

•INFORMATION FORM

•TYPES OF WORK Page 2 of 13

•IDENTIFICATION FORM Page 3, 4 of 13

•PERSONNEL OF ORGANIZATION FORM Page 5 of 13

•PROJECT EXPERIENCE FORM Page 6 of 13

•WORK CURRENTLY UNDER CONTRACT FORM Page 7 of 13

•SURETIES FORM Page 8 of 13

•CORPORATION / CO-PARTNERSHIP FORM Page 9 of 13

•AFFIDAVIT FOR CORPORATION Page 10 of 13

•AFFIDAVIT FOR CO-PARTNERSHIP Page 11 of 13

•AFFIDAVIT FOR INDIVIDUAL Page 12 of 13

•BIDDING INFORMATION Page 13 of 13

UNIVERSITY OF COLORADO DENVER │ ANSCHUTZ MEDICAL CAMPUS

SUBCONTRACTOR’S QUALIFICATION STATEMENT

INFORMATION FORM

STATEMENT OF

(Subcontractor)

ADDRESS

(Street or PO Box) (City) (State) (Zip)

TELEPHONE/FAX NO.

(telephone) (fax)

DATE OF EXPERIENCE STATEMENT

PRINCIPLE OWNER/OFFICER

(Names(s) and Official Title(s))

Please indicate below if your company qualifies as one of the following:

Minority Business Enterprise (MBE) YES NO

Justification:

Woman-Owned Business Enterprise (WBE)YES NO

Small Business Enterprise (SBE) YES NO

Disadvantaged Business Enterprise (DBE) YES NO

TYPES OF WORK

(1) If you are a General Contractor interested in bidding on all types of construction, mark “All Classes of Construction” only.

(2) If you are interested in contracting directly with the University for certain types of work only, mark in the column provided after the particular types of work on which you wish to bid.

TYPES OF WORK MARK WITH (X)

1. All Classes of Construction

2. General

3. Mechanical

4. Electrical

5. Excavating and Grading

6. Concrete

7. Structural Steel

8. Steel and Miscellaneous Iron

9. Painting and Decorating

10. Laboratory Equipment

11. Elevator Installation

12. Plumbing

13. Heating and Ventilating

14. Air Conditioning

15. Boiler and Equipment

16. Environmental (Describe)

17. Other (Describe)

18. Other (Describe)

19. Other (Describe)

20. Other (Describe)

IDENTIFICATION

(The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to questions hereinafter made.)

LEGAL NAME

PRINCIPAL OFFICE

(Street or PO Box) (City) (State) (Zip)

A Corporation A Copartnership An Individual Combination

GENERAL INFORMATION

A. Are you licensed as a contractor? Yes ( ) No ( )

Licensed in Location License No.

the name of (City or State) & Type

B. How many years has your organization been in business as a contractor under your present business name?

C. How many years experience in construction work has your organization had? (Type)

(a) As a prime contractor? (b) As a subcontractor?

D. Have you or your organization, or any officer or partner thereof, failed to complete a contract?

If so, give details

E. If you have a controlling interest in any firms presently qualified with the University, show names thereof:

F. We normally perform % of the work with our own forces.

List trades:

Where qualification is based on a combination of several organizations, show the experience and equipment of the combined organizations.

G. Has your firm been involved in any litigation in the past five (5) years? Yes ( ) No ( ) If yes, explain (listing type, kind, plaintiff, defendant, etc. and state the current status).

H. Are there any activities or interests of officers, principle stockholders, or employees of your firm or other factors which would place your firm and the University of Colorado Denver in a position of “Conflict of Interests”?

Yes ( ) No ( ) If yes, or in doubt, explain.

I. Has your firm ever been involved in any bankruptcy action as a bankrupt?

Yes ( ) No ( ) If yes, explain.

PERSONNEL OF ORGANIZATION

1. Name the persons with whom you have been associated in business as partners or business associates in each of the last five (5) years.

2. Show the construction experience of the principal individuals of your present organization in the following tabulation:

Individual’s Name

Present Position or Office in Your Organization

Years of Construction Experience

Magnitudes and Type of Work

In What Capacity

PROJECT EXPERIENCE

Show the projects your organization has completed during the last five years in the following tabulation:

Year Completed

Project

(See Page 2)

Location

Contract Value

Contracting Authority

In what Capacity

WORK CURRENTLY UNDER CONTRACT

Expected Completio n Date

Project

(See Page 1)

Location

Contrac t Value

Contracting Authority

Architect or Engineer

SURETIES

List the Surety Companies that have bonded your work for the past five (5) years:

Name of Surety and Name and Address of Agent

Project and Location

Period of Bond From

Period of Bond To

General Comments

CORPORATION / CO-PARTNERSHIP

CORPORATION:

(If a corporation, answer this:)

When Incorporated

In What State

President’s Name

Vice President’s Name

Secretary’s Name

Treasurer’s Name

CO-PARTNERSHIP:

(If a co-partnership, answer this:)

Date of Organization

State whether partnership is general, limited, or association

Name and address of each partner:

(name) (name)

(address) (address)

WHERE QUALIFICATION IS BASED ON A COMBINATION OF ORGANIZATIONS, THE

APPROPRIATE (ATTACHED) AFFIDAVITS MUST BE EXECUTED FOR EACH

MEMBER OF SUCH COMBINATION.

AFFIDAVIT FOR CORPORATION

certifies and says: That he is (Name of officer) of the (Official capacity) corporation submitting this statement of experience: that he/she has read the same, and that the same is true of his/her own knowledge: that the…

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