260178_Contractor_Responsibility_Form.pdf
PDF 177 KB Posted
- Solicitation number
- 260178
- Issued by
- Pima County, Tucson City, Arizona
About this file
This is a Contractor Responsibility Form from the City of Tucson, Arizona, required for the apparent low bidder on Invitation for Bid No. 260178 for UA 2nd Street Bike and Pedestrian Improvements, a project funded by the Federal Highway Administration (FHWA) under the Transportation Alternatives Program in partnership with the University of Arizona. The form must be completed and submitted within five business days after bid opening and notification of the apparent low bidder. The project scope includes converting the existing paved UA Maintenance Road into a mixed-use path, reconstructing ADA-compliant curb access ramps and sidewalks, eliminating two-way traffic on Olive Road by closing the east lane, installing high-visibility crosswalks and lighting, and performing pavement removal and replacement across approximately 2,207 linear feet of pavement. The mandatory pre-bid meeting is scheduled for Thursday, March 26, 2026, at 9:00 AM Arizona time via Zoom, with a mandatory bid submission deadline of Tuesday, April 7, 2026, at 2:00 PM Arizona time. The project must be completed within 90 calendar days during the UA Summer Session from May 18, 2026, to August 16, 2026, with work restricted to daytime hours and prohibited during peak traffic periods. Notice of Intent to Award will be issued within 60 days of bid opening.
The Contractor Responsibility Form requires certification of financial resources, ability to meet delivery and performance schedules, satisfactory performance record, demonstrated integrity and ethics, adequate experience, technical expertise, quality controls, and access to necessary equipment. Bidders must provide current workers' compensation insurance, commercial general liability insurance with minimum limits of $1,000,000 per occurrence and $2,000,000 general aggregate, and commercial automobile liability of $1,000,000 combined single limit. The form requests detailed responses regarding debarment status, criminal convictions, civil judgments, prior contract performance including liquidated damages and terminations, and current legal actions or bankruptcy proceedings. Contractors must submit three representative projects with similar scope, owner references, descriptions of work performed, specialty subcontractors, total project values including original and final amounts with change order descriptions, original and actual construction schedules, and current workload with resource availability. The estimated project cost range is between $500,000 and $1,000,000. Contractors must comply with Section 3 of the Housing and Urban Development Act requiring at least 25 percent of labor hours performed by Section 3 workers and 5 percent by Targeted Section 3 workers, register in the Arizona Unified Transportation Registration and Certification System (AZ UTRACS), submit a Subcontractors List and SBE Plan, comply with Davis-Bacon prevailing wage requirements, perform at least 30 percent of total contract work with their own organization, submit 10 percent bid security, and furnish 100 percent performance and payment bonds prior to contract execution. No retainage is permitted on progress payments due to federal funding requirements, and subcontractors must receive payment within seven days of prime contractor receipt of funds.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACTOR RESPONSIBILITY INFORMATION (2 pages)
The Apparent Low Bidder must complete and submit this form by 4:00 p.m. local time on the fifth (5th) full business day after bid opening and notification of Apparent Low Bidder.
A.R.S. Title 34 requires an agent to contract with the lowest responsible bidder. To be deemed responsible, a contractor must have adequate financial resources, the ability to meet delivery/performance schedules, a satisfactory performance record, demonstrated integrity/ethics, adequate experience, technical expertise and quality controls, and access to necessary equipment. The City of Tucson has processes in place to ensure that contractors engaged with the City meet required standards for award of contract. These include reviews of bids and inquiries to the State of Arizona Registrar of Contractors (AZROC), as well as review of the information requested below. Contract Officers may solicit additional information from or about the Contractor.
Please complete the following:
Company Name (“Contractor”):_____________________________________________________________
Project Name and Solicitation Number: ___________________________________________________
Contractor certifies, to the best of its knowledge and belief, that—
Contractor and/or any of its Principals—
(A) Are [___] are not [___] presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any agency.
(B) Have [___] have not [___], within the three-year period preceding this certification, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property.
Certification of Prior Contract Performance
Please respond “Yes” or “No” as applicable for the following questions, for any “Yes” responses, provide additional detail. In the last three (3) years -
Has Contractor paid liquidated damages on any contracts? Yes [ ] No [ ]
Has Contractor been terminated on a project for poor performance? Yes [ ] No [ ]
Has a claim been made against Contractor for improper, delayed or Yes [ ] No [ ] non-compliant work or failure to meet warranty obligations?
Has a formal legal action been filed against Contractor Yes [ ] No [ ] asserting that Contractor failed to make payments to anyone? If so, describe the outcome or current status.
Has a successful claim been made against a Bid, Performance, or Payment Bond supplied by Contractor in connection with a project? Yes [ ] No [ ]
260178- UA 2nd Street Bike and Pedestrian Improvements
Provide current Experience Modification (EMod) Rating: _______ (Additional documentation may be requested)
Describe three (3) representative projects completed by Contractor that are similar to the scope of work for this Project. Include the following information for each of the three (3) projects:
• Name and location of the Project
• Owner References including contact information. The City reservices the right to contact the references provided.
• Description of work performed by Contractor
• Description of any specialty subcontractors and their scope of work
• The Total Project Value, including the original amount and final amount and a description of Change Orders, if applicable.
• The Original Construction Schedule and Actual Construction Schedule, including a description of discrepancies, if applicable.
Is Contractor currently, or do you have reason to expect Contractor will be subject to legal action or bankruptcy proceedings that could materially impact Contractor’s ability Yes [ ] No [ ] to perform the Project?
List current workload and % of availability of resources (personnel and equipment) that you intend to use to complete the Project by the fixed delivery date for the Project. It may be advantageous to identify key personnel and equipment availability by date, if not currently available, in order to support a claim that work can be completed in the time allotted.
NOTE: Additional pages may be attached to support or explain any item on this certification. Failure to provide sufficient explanation of any item on this certification may result in the City being unable to reach a favorable responsibility determination.
By signing below, you acknowledge that this certification will be considered in connection with a determination of Contractor’s responsibility, that the obligation to demonstrate responsibility is on Contractor, and that, although the City reserves the right to make additional inquiries, it is not obligated to do so in the absence of sufficient supporting information. Failure to furnish a certification or provide any additional information requested the City of Tucson Contract Officer may result in Contractor being found Non-Responsible.
This certification is a material representation of fact upon which the City will rely when making this award. If it is later determined that Contractor knowingly made an erroneous factual statement in this certification, the City may, in addition to any other available remedies, terminate the contract resulting from this solicitation.
SIGNATURE: DATE:
PRINTED NAME & TITLE:
File details come from the government source that posted it. Updated .