25-009149M Required Solicitation Documents.docx

REQUIRED SOLICITATION DOCUMENTS

QUALIFICATION STATEMENT

In order for the City to expedite selection of the successful Firm, please complete this questionnaire. The completed questionnaire shall be submitted with the Firm’s Response.

How many years has the Firm been in business? _________

List the names, in order of succession, under which the Firm has previously operated:

Has the Firm failed to accept a contract award or to complete a contract awarded to you?

If yes, please state the project(s), date(s), owner(s), and reason(s):

Within the last five (5) years, has any owner, officer, or partner of the organization ever been an owner, officer, or partner of another organization which failed to complete a construction contract? _______

If yes, please attach a separate sheet(s) of explanation.

Has the Firm ever had a contract terminated? ________

If yes, state the project(s), date(s), owner(s) and reason(s):

Has the Firm’s bonding company ever been required to perform under a bid bond, labor and material payment bond, or a performance bond issued on the Firm’s behalf? __________

If yes, state the project(s), date(s), and owner(s) and reason(s): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Within the last five (5) years has the current Firm, any predecessor organization, or any subcompany working under the Firm on this project been involved as a party in any bankruptcy, litigation, or arbitration proceedings? _________

If yes, please provide an explanation:

SUBCOMPANY & SUPPLIER LIST

This form is to be filled out in its entirety, listing all subcontractors/subcompanies and material suppliers. Include additional pages as necessary. The completed form shall be submitted with the Firm’s Response.

☐Not applicable, the Firm shall not utilize subcompanies or material suppliers to complete the project.

NAME __________________________________________________________ PHONE ______________

ADDRESS __________________________________________ CITY, STATE, ZIP_____________________

SERVICE OR PRODUCT ___________________________________________________________________

APPROXIMATE PERCENTAGE OF TOTAL CONTRACT ______________________________________________

NAME __________________________________________________________ PHONE ______________

ADDRESS __________________________________________ CITY, STATE, ZIP_____________________

AFFIDAVIT OF RESIDENCY

To apply for residency consideration, complete and return this form with the response.

To qualify for the Local Business Preference of the City of Brighton, the Firm must satisfy the following requirements:

· Business is physically located within the corporate limits of the City of Brighton;

· Must operate the business inside the corporate limits of the City of Brighton;

· Must be listed on the City of Brighton property tax rolls or, must lease or rent a property for its business which is on the property tax rolls of the City of Brighton;

· Maintain a current City business license; and

· Collect and remit sales tax to the City.

The undersigned Firm hereby affirms that all of the above information is correct and true.

Submitting Firm

By:________________________________________________ Officer

Title

Date

☐ Not applicable; the Firm does not qualify for the Local Business Preference of the City of Brighton.

Disadvantaged Business Enterprise (DBE) Self-Certification Form

The following certification(s) are self-identified, and the City of Brighton reserves the right to require additional information to verify the claimed status.

Definitions:

Disadvantaged Business Enterprise (DBE): an entity owned or controlled by a socially and economically disadvantaged individual(s) who are of good character and citizens of the United States.

(a) Ownership or control. “Ownership” and “control” shall have the same meanings as set forth in 13 CFR 124.105 and 13 CFR 124.106, respectively. (See also 13 CFR 124.109 for special rules applicable to Indian tribes and Alaska Native Corporations; 13 CFR 124.110 for special rules applicable to Native Hawaiian Organizations).

(b) Socially disadvantaged individual. A socially disadvantaged individual is a person who has been subjected to racial or ethnic prejudice or cultural bias because of his or her identity as a member of a group without regard to his or her individual qualities and as further defined by the implementing regulations of section 8(a)(5) of the Small Business Act (15 U.S.C. 637(a)(5); 13 CFR 124.103; see also 13 CFR 124.109 for special rules applicable to Indian tribes and Alaska Native Corporations; 13 CFR 124.110 for special rules applicable to Native Hawaiian Organizations).

(c) Economically disadvantaged individual. An economically disadvantaged individual is a socially disadvantaged individual whose ability to compete in the free enterprise system is impaired due to diminished capital and credit opportunities, as compared to others in the same business area who are not socially disadvantaged and as further defined by section 8(a)(6) of the Small Business Act (15 U.S.C. 637(a)(6)) and its implementing regulations (13 CFR 124.104). (See also 13 CFR 124.109 for special rules applicable to Indian tribes and Alaska Native Corporations; 13 CFR 124.110 for special rules applicable to Native Hawaiian Organizations). Under EPA's DBE Program, an individual claiming disadvantaged status must have an initial and continued personal net worth of less than $750,000.

Please identify the status of the Firm:

· Woman-Owned Business A Women's Business Enterprise (WBE) is an independent business concern that is at least 51% owned and controlled by one or more women who are U.S. citizens or Legal Resident Aliens; whose business formation and principal place of business are in the US or its territories; and whose management and daily operation is controlled by one or more of the women owners.

· Disabled American A Disabled American means, with respect to an individual, permanent or temporary physical or mental impairment that substantially limits one or more of the major life activities of such an individual; a record of such an impairment; or being regarded as having such an impairment.

· Minority-Owned Business A Minority Business Enterprise (MBE) is an independent business concern that is at least 51% owned and controlled by one or more minority persons who are U.S. citizens or Legal Resident Aliens; whose business formation and principal place of business are in the US or its territories; and whose management and daily operation is controlled by one or more of the minority owners.

Check the box below which best indicates the racial/ethnic character of the owner(s) and controller(s) of 51% or more of the business. When 51% or more is not owned and controlled by any single racial/ethnic category, check the box which seems most appropriate.

06.13.2024

· White American

· Hispanic American

· Black American

· Native American

· Asian/Pacific Islander American

· Hasidic Jew

· Other: ________________

· Historically Black College or University A Historically Black College or University (HBCU) is an institution of higher education in the United States established prior to 1964 with the principal mission of educating Black Americans, as defined by the Higher Education Act of 1965.

· Historically Underutilized Business Zone (HUBZone) A Historically Underutilized Business Zone is an area located within one or more qualified census tracts, qualified metropolitan counties, or lands within the external boundaries of an Indian reservation.

· Small Business Enterprise (SBE) A Small Business Enterprise is independently owned and operated, not dominant in the field of operation in which it is bidding, and qualified as a small business under the criteria and size standards in 13 CFR part 121.

· Small Business in a Rural Area (SBRA) A Small Business in a Rural Area is a small business operating in an area identified as a rural county with a code 6-9 in the Rural-Urban continuum Classification Code developed by the United States Department of Agriculture in 1980.

· Entity is not certified and/or does not qualify for any of the above DBE categories.

Pursuant to 28 USC § 1746: I declare under penalty of perjury under the laws of the United States of America that the foregoing information is true and correct. I further acknowledge and understand that falsification of any of the information contained herein could subject me and/or the entity to disqualification from participation, including suspension and/or debarment.

SIGNATURE FORM

The undersigned Firm declares and stipulates that the bid/proposal submitted is made in good faith, without collusion or connection with any other person or persons bidding for the same work, and that it is made in pursuance of and subject to all the terms and conditions of the advertisement for bid/proposal, all of which have been read and examined prior to signature.

Submitting this bid/proposal will be taken by the City of Brighton as a binding covenant that the Firm will finish the project as follows:

The Firm agrees to commence the project work as agreed upon in the pre-project meeting with the City's Project Manager and shall be completed in the established timeline, as determined at the meeting. If, due to seasonally anticipated adverse weather conditions, the Firm is delayed at any time and such delay had a dilatory effect on the scheduled project or progress of the work by any cause beyond the control of the Firm as determined by the Project Manager, the Firm shall be entitled to an equitable extension of the Contract time. The Project Manager will work with the Firm to define an acceptable extension of time.

The City reserves the right to make the award based on the bid/proposal deemed to be the most responsive and responsible and to waive any informalities or reject any or all bids.

The City shall not pay the Firm for defective work and/or for repairs or additional work required for successful completion of the project. All work not specifically set forth as a pay item in the Contract shall be considered a subsidiary obligation of the Firm and all costs in connection therewith shall be included in the prices for the various items of work. Prices shall include all costs in connection with the proper and successful completion of the work, including furnishing all materials, equipment and tools, and performing all labor and supervision to fully complete the work to the City’s satisfaction.

Poor quality and workmanship shall not be paid for by the City of Brighton. Such work product must be removed immediately and replaced properly at no cost to the City.

All quantities stipulated in the Firm’s bid/proposal are approximate and are to be used only as a basis for estimating the probable cost of the work. The basis of payment shall be the actual amount of materials furnished and work done. The Firm agrees to make no claim for damages, anticipated profits, or otherwise on account of any differences between the amounts of work actually performed and materials actually furnished and the estimated amount of work.

The City reserves the right to increase or decrease the amount of work to be done on the basis of the bid/proposal unit price up to plus or minus twenty-five percent (25%) of the total bid/proposal. Prices in written form will govern over prices in figures.

By responding to the solicitation, the Firm agrees to the liquidated damages, if applicable and outlined within the solicitation documents.

Pursuant to the solicitation for the above named project, and being familiar with all contractual requirements therefore, the undersigned Firm hereby proposes to furnish all labor, material, tools, supplies, equipment, plant, transportation, services, and all other things necessary for the completion of the contractual work, pay all taxes and patent costs, and perform the work in accordance with the requirements and intent of the Contract Documents, within the time of completion as set forth herein, for and in consideration of the included unit prices found on the Fee Schedule.

The undersigned hereby affirms that (1) they are a duly authorized agent of the Bidder, (2) they have read all terms and conditions and technical specifications which were made available in conjunction with this solicitation and fully understands and accepts them unless specific variations have been expressly listed in the bid/proposal, (3) the bid/proposal is being submitted on behalf of the Firm in accordance with any terms and conditions set forth in this solicitation, and (4) the Firm will accept any awards made to it as a result of the bid/proposal submitted herein for a minimum of one hundred twenty (120) calendar days following the date of submission.

The undersigned hereby affirms that they do not now, nor will they in the future, violate the provisions of said specifications, so long as they are under contract with the City of Brighton for the performance of work on the project. The undersigned further acknowledges, understands, and agrees to all terms and conditions of the Brighton Municipal Code and the incorporation of said Code as a material part of the contract with the City of Brighton.

WE THE UNDERSIGNED HEREBY ACKNOWLEDGE RECEIPT OF:

Addendum # _____ Issue Date _________ Addendum # _____ Issue Date ________ Addendum # _____ Issue Date _________ Addendum # _____ Issue Date _______

FIRM NAME FEDERAL TAX ID NUMBER

FIRM ADDRESS CITY STATE ZIP

AUTHORIZED SIGNATURE DATE SIGNED

AUTHORIZED SIGNER (NAME PRINTED) AUTHORIZED SIGNER PHONE

Please enter complete and accurate information above; all information entered will be used for contract/agreement document preparation.

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