26-00718-00-MS_BC_8_Statement_of_Experience.pdf
PDF 280 KB Posted
- Solicitation number
- FY2027-RFP-213
- Issued by
- Champaign County, Illinois
About this file
This is a Statement of Experience form (BC 8) used by the City of Urbana, Illinois, for evaluating contractor qualifications in response to the Miscellaneous Sewer Repairs 2027 project (Section 26-00718-00-MS). The project encompasses unplanned repair work on storm sewer and sanitary sewer systems owned and maintained by the City of Urbana at various locations within the city's street and alley rights-of-way and utility easements. The form requires applicants to document their construction experience and past project performance, with specific instructions varying based on whether the contractor holds IDOT prequalification in drainage. Contractors with IDOT drainage prequalification must submit records of major projects performed by their own forces for the previous fiscal year, while those without such prequalification must provide records for the previous three fiscal years. The form does not specify response dates, due dates, bidder's meetings, site visits, award dates, or contract term details.
The Statement of Experience form requires contractors to provide detailed information about past work organized by category, including earthwork, PCC paving, HMA plant mix, landscaping, aggregate bases and surfaces, structures, drainage, electrical, concrete construction, and other work types, with dollar amounts listed for each project. Applicants must also document the construction experience, qualifications, and certifications of technical, supervisory, and key personnel who would manage projects. First-time prequalifiers with the Department are required to submit resumes for key personnel, with a sample resume template provided on the form. The document does not address pricing terms, set-asides, incumbents, funding requirements or sources, or other financial considerations relevant to the contract opportunity.
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Text version
Printed 10/12/2026 Page 1 of 5 BC 8 (Rev. 07/01/16)
Statement of Experience
Business Name of Applicant
Business Address (Street or P.O. Box)
City State Zip Code
Telephone ( ) Telefax No. ( )
E-Mail Address
Illinois Office Address City Zip Code
Illinois Telephone No. ( )
F.E.I.N. No.
I.D.H.R. No.
IDHR No.
Expires
Instructions
Each item must be answered. Whenever a particular item does not apply, write “none” or “n/a” (not applicable).
Please complete electronically in Microsoft Word, use typewriter or print legibly in dark ink when preparing the application. If additional space is needed, attach a separate sheet.
This form is a reduced version of the IDOT Application for Prequalification (BC 8) form. It is intended for providing a Statement of Experience for evaluation by the City of Urbana. As an alternative to filling out this form, an applicant may submit information from a BC 8 form which was submitted to IDOT within the past three (3) years.
Printed 10/12/2026 Page 2 of 5 BC 8 (Rev. 07/01/16)
Record of Past Experience
Applicants with IDOT Prequalification in Drainage - List major projects performed by the contractor’s own forces for the previous fiscal year, including Federal, State, County, City and private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors. by subcontractors.
Applicants without IDOT Prequalification in Drainage - List major projects performed by the contractor’s own forces for the previous three (3) fiscal years, including Federal, State, County, City and private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Please see Appendix “A” of the IDOT rules for prequalification to determine the appropriate category for completed work.
Name, Address and Phone Number of Reference
Year
Total in
(1000’s)
Earth-work
PCC
Paving
HMA
Plant Mix
Land-scaping
Agg Bases & Surf.
Str
Drain
Elect
Conc.
Const.
Other (List)
Sub-Total
Sub-Total (page 4)
Total(s)
Printed 10/12/2026 Page 3 of 5 BC 8 (Rev. 07/01/16)
Record of Past Experience
Applicants with IDOT Prequalification in Drainage - List major projects performed by the contractor’s own forces for the previous fiscal year, including Federal, State, County, City and private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Applicants without IDOT Prequalification in Drainage - List major projects performed by the contractor’s own forces for the previous three (3) fiscal years, including Federal, State, County, City and private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Please see Appendix “A” of the IDOT rules for prequalification to determine the appropriate category for completed work.
Name, Address and Phone Number of Reference
Year
Total in
(1000’s)
Earth-work
PCC
Paving
HMA
Plant Mix
Land-scaping
Agg Bases & Surf.
Str
Drain
Elect
Conc.
Const.
Other (List)
Sub-Total
Printed 10/12/2026 Page 4 of 5 BC 8 (Rev. 07/01/16)
What is the construction experience of the technical, supervisory and key personnel of the company?
Individual’s Name
Present Position
Years Experience
Type of Work
In What Capacity
Printed 10/12/2026 Page 5 of 5 BC 8 (Rev. 07/01/16)
Resume
Contractors prequalifying with the Department for the first time are required to submit a resume of technical, supervisory and key personnel who would manage a project. Provided below is a sample resume for the contractor’s use. Personalized resumes are also accepted. In addition, this form may be used for the appraiser of equipment or real estate.
Name:
Address:
Dates: Current Position:
Job Duties:
Dates: Previous Position:
Dates: Previous Position:
Education Diploma(s)/Degree(s) Held:
Additional Education (include any follow-up or self-improvement courses, programs or seminars):
Professional Affiliations, Licenses or Registrations:
Other (any pertinent information that would be beneficial in considering this prequalification application):
References (required for equipment or real estate appraiser only):
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