26019 RFPQ Brooklyn Creek Interceptor Impro.pdf

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Request for Pre-Qualification

RFPQ #26019

BROOKLYN CREEK INTERCEPTOR IMPROVEMENTS PHASE 2

PUBLIC UTILITIES DEPARTMENT

THE UNIFIED GOVERNMENT OF

ATHENS-CLARKE COUNTY, GEORGIA

January 9, 2026

I. General

You are invited to submit an application for pre-qualification for RFPQ #26019 – Brooklyn Creek Interceptor Improvements Phase 2. Pre-qualification applications must be received at the office of the Unified Government of Athens-Clarke County Purchasing Division/Finance Department, 375 Satula Avenue, Athens, Georgia 30601, no later than 3:00 P.M. ET, Thursday, February 5, 2026.

A. Pre-qualified vendors will be invited to submit pre-qualification proposals on the ensuing RFP #26019 – Brooklyn Creek Interceptor Improvements Phase 2. A list of names of vendors providing pre-qualification proposals may be obtained from Georgia Procurement Registry or via email request to accbids@accgov.com after the cost proposal due date and time stated herein.

B. The Owner reserves the right once RFPQ proposals have been submitted to not move the project forward.

C. The work included in this project consists of furnishing all personnel, superintendence, skilled and unskilled labor, materials, equipment, services, and all work necessary to complete the work as generally described below:

• The replacement of approximately 3,600 linear feet of 18-inch and 24-inch sanitary sewer line, including approximately 1,000 linear feet of sewer line replacement under existing public roadways.

• Approximately seven (7) sections of trenchless construction, ranging in length from 20 to 260 linear feet each, with casing diameter of 30 inches, utilizing a variety of trenchless methods (including those listed in Section IV, Part B below).

Anticipated Schedule:

• The Invitation to Bid and Final Construction Documents including Drawings and Specifications are expected to be available for purchase on or around February 2026.

• Project Notice to Proceed anticipated to be awarded by June 2026.

• Project duration: approximately 12 months.

The estimated project construction value range is $9,000,000 to $13,000,000 http://ssl.doas.state.ga.us/PRSapp/PR_index.jsp http://ssl.doas.state.ga.us/PRSapp/PR_index.jsp

Request for Pre-Qualification (RFPQ) RFPQ #26019 – Brooklyn Creek Interceptor Improvements Phase 2

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All construction must be carried out in coordination with the Owner to minimize operational impacts to the Owner’s facilities.

D. Inquiries regarding proposals should be made to Toro Holt, Senior Buyer, (706) 613-3068 or accbids@accgov.com. Technical questions may be directed to Brian Jones, Hazen and Sawyer at email: bjones@hazenandsawyer.com. All questions that are to be given consideration must be received no later than 3:00 P.M. ET, Thursday, February 5, 2026.

Any and all such interpretations and any supplemental instructions will be in the form of written Addenda to the RFPQ which, if issued, will be posted prior to the Application submittal deadline. All Addenda shall become part of the RFPQ.

E. Any prospective vendor who wishes to submit a cost proposal on RFP #20219 – Brooklyn Creek Interceptor Improvements Phase 2 is required to complete and submit the Application for Pre-Qualification documents (including all instructions and forms) regardless of whether the vendor has previously pre-qualified for other work for the Unified Government of Athens-Clarke County.

Cost proposals received by the Unified Government of Athens-Clarke County for this Project from vendors who have not been pre-qualified through this process will be rejected.

F. SUBMITTAL INSTRUCTIONS: ALL bids/proposal copies must be submitted in a sealed envelope or container with the OUTER MOST Container stating the address, telephone number, the RFPQ number and title (RFPQ #26019 – Brooklyn Creek Interceptor Improvements Phase 2). Please provide the below:

Two (2) hardcopy original of the complete signed proposal One (1) flash drive of the complete signed proposal

Deliver to:

The Unified Government of Athens-Clarke County Finance Department, Purchasing Division 375 Satula Avenue Athens, Georgia 30601

Not later than 3:00 P.M. ET, Thursday, February 5, 2026. (IN ORDER TO BE

CONSIDERED).

G. Documentation provided must be specific and the data given must be clear and comprehensive. Documentation provided must pertain specifically to the entity that will bid for and install the project, not an affiliated company, parent firm or entity.

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II. Pre-Qualification Determination

A. Applicants may not be deemed pre-qualified if:

1. The Applicant fails to submit a responsive Application, including failing to provide all required documentation;

2. The Applicant fails to meet all the Technical Experience Requirements;

3. The Applicant fails to meet all the Corporate Experience Requirements;

4. The Applicant, or any of its affiliated companies, is a party to more than one

Application;

5. Reasonable grounds exist that Applicant is involved in collusion among other applicants; or

6. The Applicant fails to execute the Disclosure Affidavit.

B. Final determination of Applicant's pre-qualification status for this project rests solely with the

Unified Government of Athens-Clarke County.

III. Qualification Criteria:

A. Project Construction Experience Criteria – General Contractor must meet ALL the requirements below:

1. The General Contractor Applicant has corporate experience gained from having successfully completed at least three (3) gravity sewer installation projects within the past five (5) years. The Applicant shall show experience among these projects that include the following:

a. All three projects shall include construction of at least 5,000 linear feet of gravity sewer.

b. At least two of the three projects shall include construction of at least 3,000 linear feet of ductile iron pipe gravity sewer with a diameter of 24 inches or larger.

c. At least two of the three projects shall have been performed in a suburban / highly developed area.

d. At least one successful wastewater bypass pumping operation of flows greater than 3,500 gpm.

e. Completed work submitted for references should be of the type and complexity comparable to the project scope description.

f. Submit Project Construction Experience Information Form (attached) for all projects required to meet these criteria.

2. The General Contractor Applicant has an available Project Manager and an onsite

Construction Superintendent to be employed on the Project with at least ten (10) years of project management and/or construction experience that includes Project Construction experience that is comparable to the descriptions above.

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a. The General Contractor Project Manager and Project Superintendent have successfully completed at least three (3) gravity sewer construction projects of the size and complexity comparable to the project scope description included in this RFPQ and that at least one of projects includes the required bypass pumping component of a capacity listed in the above criteria.

b. Resumes are required to be submitted for the General Contractor’s proposed Project Manager and Project Superintendent. It will be required that the staff listed in the resumes are mobilized on the project.

c. The proposed Project Manager and Project Superintendent shall be approved by both Athens-Clarke County Public Utilities Department (PUD) and Transportation and Public Works (TPW). PUD and TPW have the right to reject proposed project personnel for any reason, and such rejection is grounds for Contractor disqualification.

B. Project Construction Experience Criteria – Trenchless Construction Contractor

(whether this work is performed by the GC or a Subcontractor) team must meet ALL the requirements below:

1. For the purposes of the Project, Trenchless Construction may include:

a. Guided Bore and Jack

b. Hand Tunneling

c. Tunneling with Tunnel Boring Machine (TBM)

d. Tunneling with Microtunneling Boring Machine (MTBM)

e. Pipe Jacking with Shield

f. Pilot Tube Auger Boring

2. The contractor(s) who will perform trenchless construction on this project has corporate experience gained from having successfully completed at least five (5) trenchless construction projects within the past five (5) years.

The Trenchless Construction Applicant shall show experience among these projects that include the following:

a. At least three (3) of the projects shall include trenchless construction with a carrier pipe diameter of 18 inches or larger over a minimum length of 100 linear feet.

b. At least one (1) of the projects shall include trenchless construction with a carrier pipe diameter of 30 inches or larger over a minimum length of 200 linear feet.

c. At least one (1) of the projects shall include TBM, MTBM, or Pipe Jacking with Shield with grouted annular space over a minimum length of 200 linear feet.

d. At least one (1) of the projects shall include Auger Boring over a minimum length of 100 linear feet.

e. Completed work submitted for references should be of the type and complexity comparable to the project scope description.

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f. Submit Project Construction Experience Form (attached) for all projects required to meet these criteria.

3. The Trenchless Construction Contractor has an available onsite Operator to be employed on the Project with at least ten (10) years of trenchless construction technique experience that includes Project Construction experience that is comparable to the descriptions above.

a. The Operator has successfully completed at least three (3) projects of the size and complexity comparable to the project scope description included in this

RFPQ.

b. Resumes are required to be submitted for the Trenchless Construction Contractor’s proposed Operator(s). It will be required that the staff listed in the resumes are mobilized on the project.

c. The proposed Operator shall be approved by both Athens-Clarke County Public Utilities Department (PUD) and Transportation and Public Works (TPW). PUD and TPW have the right to reject proposed project personnel for any reason, and such rejection is grounds for Contractor disqualification.

C. Corporate Criteria – General Contractor must meet ALL the requirements below:

1. The GC has operated under the current corporate name for the last three years and the

GC president and identified project manager have at least ten years of experience each.

2. The GC currently has sufficient resources to provide insurance requirements for the project.

3. The GC has not defaulted on a project or failed to complete a project within the last ten years.

4. The GC has not filed for bankruptcy nor been judged bankrupt at any time over the last nine years.

5. The GC has a history of completing projects consistently on time and within the bid amount.

6. The GC has never abandoned a project (even temporarily) during a dispute.

7. The GC does not have a history of being involved in litigation or filing claims against owners, construction contract administration firms, or design firms.

8. The GC, nor any of its affiliated companies, is currently involved in a dispute, formal claim, or litigation with Unified Government of Athens-Clarke County, or with any authority or organization with which Unified Government of Athens-Clarke County has a vested interest.

9. The GC is a Licensed Contractor in the State of Georgia or Licensed Georgia Utility Contractor.

10. The GC has a written Safety Program for their work.

11. The GC Applicant has the ability to provide a proper and logical schedule to demonstrate the effort required to complete the project in a timely manner.

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IV. Required Documentation

A. Application Cover & Disclosure Affidavit – to be completed by all applicants

Applicant must complete and submit the Contractor Pre-Qualification Application Cover and Disclosure Affidavit (attached).

B. Project Construction Experience – General Contractor and Trenchless Construction

Subcontractor (if the Trenchless Construction Contractor is not the GC)

Complete and submit Project Construction Experience Form (see RFPQ Section VII Proposal Forms) for each project referenced as documentation of meeting the Criteria; provide all the information specified in items 1-10 listed below for each Project. (The form may be expanded to accommodate information).

1. Name of project as bid, name of owner, owner contact and contact information

(current address, phone number and email), name of design firm (lead designer name, phone number and email), name of construction contract administration firm (lead project manager, phone number and email).

2. A summary project description including work performed, major components of the project, equipment utilized, etc.

3. Percent and description of labor-related items performed by the Applicant's own work force.

4. If the project was performed as a joint venture, provide the name of the joint venture partner and the percentage of the Applicant’s joint venture responsibility; describe the responsible scope of work conducted by the Applicant and its relationship to qualification of the Applicant.

5. If the Project Construction Experience offered in the Application is that of a Parent Company, sister corporation or subsidiary corporation, describe the associated experience for each entity and its relationship to qualification of the Applicant.

6. Names and contact information for major subcontractors. If work was self-performed, please indicate such.

7. The bid date, bid amount, and final cost to owner.

8. The contract performance time as bid, actual time to complete project and completion date.

9. Description and associated value of major Change Orders including impacts/adjustments to contract time.

10. Provide experience, resumes, of proposed on-site Project Manager and Construction

Superintendent who would be involved in this project. Experience can be from previous employment but must be pertinent to technical characteristics listed under the Project Construction Experience Criteria. Also provide a staffing plan, if appropriate, identifying other key personnel anticipated to be assigned to the Project.

Provide a brief description and title for each position identified in the staffing plan.

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C. Corporate Experience – General Contractor

Complete and submit a narrative response to the following directions/instructions for the General Contractor.

1. Provide name, address and telephone number of Applicant's corporate headquarters, regional offices, subsidiaries and affiliates, if any. Provide name, title, and biographical summary of pertinent corporate officers. Provide a statement that Applicant has operated under the current corporate name for the last five years.

2. Provide a statement that Applicant has not defaulted on a project nor failed to complete a project within the past ten years. If this is not the case, explain.

3. Provide a statement that Applicant has not filed for bankruptcy or been judged bankrupt at any time over the past nine years. If this is not the case, explain.

4. Provide a statement that Applicant has not been involved in liquidated damages in the past five years. If this is not the case, explain

5. Provide a statement that the Applicant has never abandoned a project, even temporarily, during a dispute. If this is not the case, please explain.

6. Provide a statement whether Applicant has or has not been involved in litigation as a plaintiff against an owner, design firm or construction contract administration firm, or served an owner with a claim for additional compensation prepared by an attorney or a claims consultant, excluding routine change order requests, in the past five years. If Applicant has had such involvement, explain. List any lawsuits or administrative actions to which the Applicant is currently a party or has been a party (as either a plaintiff or defendant) during the past ten years. For each suit, list all parties and indicate whether any party was a bonding company, insurance company, an owner, or other. Identify the project giving rise to the suit or administrative action; explain the basis of the claim, and whether a settlement was reached or a judgment entered into for or against the Applicant, or the Applicant’s bonding company or Insurance Company.

7. Provide a statement that the Applicant, as well as all of its affiliated companies, is not involved in any dispute, formal claim, or litigation with neither the Unified Government of Athens-Clarke County, nor any authority or organization with which the Unified Government of Athens-Clarke County has a vested interest. If this is not the case, please explain.

8. Provide a statement that the Applicant has a Safety Program. Also provide the date it was last updated. If this is not the case, please explain.

9. Include a copy of the Applicant’s Georgia Contractor License or Georgia Utility Contractor’s License.

10. Provide a list of all projects currently under contract with a construction contract amount in excess of $1 million. Provide Project Name /Title, Project Owner, contract amount and scheduled completion dates.

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VI. Supplemental Requirements

A The Unified Government of Athens-Clarke County will not be liable in any way for any costs incurred by any Applicant in the preparation of its Pre-Qualification Application nor participation in any discussions.

B. The Unified Government of Athens-Clarke County reserves the right to accept or reject any one or all Pre-Qualification Applications. The Unified Government of Athens-Clarke County, upon receipt of the Application, shall have the right to investigate the information set forth on the Application, including work performed by the Applicant on projects referenced by the Applicant, or any other projects performed by the Applicant. Investigations will be performed by Owner’s personnel or their representatives as deemed appropriate by Unified Government of Athens-Clarke County which may include site visits and interviews with project owners and construction contract administration staff. The Unified Government of Athens-Clarke County has the right to consider any additional information obtained about an Applicant’s qualifications through this process.

C. Application Format: The Application must include responses to all information requested.

The Application shall address required documentation in the order identified above, indexed and clearly identified. Additional data may be submitted as deemed appropriate to support or augment the required documentation. Submittal shall be prepared on standard 8-1/2” x 11” letter size paper, with text on one side, using 12-point font, and bound on the left side. No page limitation has been established for the application submission, but non-pertinent “boilerplate” materials are discouraged.

D. Should any Applicant not be deemed pre-qualified by The Unified Government of Athens-

Clarke County, the Applicant may respond within three business days of being notified of pre-qualification status to The Unified Government of Athens-Clarke County Administrator requesting reasons for not being deemed pre-qualified. The Applicant may then provide further written information in an attempt to correct such deficiencies within three business days of receiving reasons for not being deemed pre-qualified. This will be an informal appeals process.

E. For the purposes of this Application and its review, “project” shall be defined as a single construction contract, including all associated change orders.

F. Applicants will be advised of their status approximately two to four weeks after the submittal deadline.

G. The Invitation to Bid and Final Construction Documents including Drawings and

Specifications are expected to be available for purchase in February 2026.

H. The words “corporation” or “corporate” as used herein shall include limited liability companies, limited partnerships and other similar for-profit business entities organized and existing under the laws of a state government.

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VI. Supplemental Information

A. For the purpose of this Application and its review, “project” shall be defined as a single project, including all associated change orders.

B. The Project will require the Contractor to have at least one Superintendent, which meets the Pre-Qualification Technical Experience Criteria, in responsible charge of the Project during installation activities.

C. Due to potential time length of this project, the Owner reserves the right to approve any changes in personnel prior to assignment to this project.

D. Equal Opportunity Policy Statement: It is the policy of the Athens-Clarke County government that no person or business shall be excluded from participation, denied the benefits of, or otherwise discriminated against in relation to the award and performance of any contract or subcontract on the grounds of race, color, creed, national origin, age, or sex.

E. The Owner anticipates advising Applicants of their Application approval/rejection by February 2026.

VII. Insurance Required for Contractors

1. Before commencing work under the contract, the Contractor shall provide to the Unified Government of Athens-Clarke County, Attn: Purchasing Administrator, a Certificate of Insurance evidencing the required kinds and amounts of insurance.

The contractor shall procure at his own expense the following insurance coverage as listed below:

2. General Liability Insurance:

a. Taken out in the name of the Contractor. A current certificate of insurance shall be provided from the agent, listing the Unified Government of Athens- Clarke County, Georgia as an additional insured and certificate holder.

Certificate of insurance shall reference BID/RFP #26019 – Brooklyn Creek Interceptor Improvements Phase 2 as evidencing this requirement. We require 30 days prior notice of cancellation to be shown on the certificate.

b. The insurance company will only be accepted if it is in good standing within the state of Georgia through the Insurance Commissioner’s office. It must also be rated A or better with AM Best Company.

c. The required limits are one million per occurrence, two million aggregate, fifty thousand fire damage, five thousand medical expenses, one million products completed operations, one million personal & advertising injury or greater. Coverage should be on a per occurrence basis.

3. Worker’s Compensation Insurance:

a. Workmen’s Compensation Insurance covering all employees of the

Contractor and any uninsured sub-contractors is required. A current certificate of insurance shall be provided from the agent, listing the Unified Government of Athens-Clarke County as an additional insured and certificate holder. We require 30 days prior notice of cancellation to be shown on the certificate.

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b. The insurance company will only be accepted if it is in good standing within the state of Georgia through the Insurance Commissioner’s office. It must also be rated A or better with AM Best Company.

c. The required limits are statutory benefits and employers liability of one million each accident, one million each employee, one million policy limit or greater.

4. Automobile Liability Insurance:

a. Auto Liability Insurance covering all vehicles of the Contractor and any borrowed or leased vehicles is required. A current certificate of insurance shall be provided from the agent, listing the Unified Government of Athens- Clarke County as an additional insured and certificate holder. We require 30 days prior notice of cancellation to be shown on the certificate.

b. The insurance company will only be accepted if it is in good standing within the state of Georgia through the Insurance Commissioner’s office. It must also be rated A or better with AM Best Company.

c. The required limits are one million combined single limit on scheduled autos and hired and non-owned auto coverage or greater.

5. Excess Liability:

a. Taken out in the name of the Contractor. A current certificate of insurance shall be provided from the agent, listing the Unified Government of Athens- Clarke County as an additional insured and certificate holder. We require 30 days prior notice of cancellation to be shown on the certificate.

b. The insurance company will only be accepted if it is in good standing within the state of Georgia through the Insurance Commissioner’s office. It must also be rated A or better with AM Best Company.

c. The required coverage limit is one million on a per occurrence basis. The Unified Government of Athens-Clarke County reserves the right to request a higher limit if the completed job amount will exceed this amount.

6. Sub-Contractor’s General Liability and Auto Insurance:

a. The Contractor shall require each of his sub-contractors to procure and to maintain during the life of his sub-contract, sub-contractor’s general liability and auto insurance of the type and amount specified previously.

7. Performance Bond and Payment Bond:

a. Any bid exceeding $75,000 requires a performance and payment bond in the amount of 100% of the job. No material deviation from this language will be accepted. These documents must be filled out completely and notarized with appropriate power of attorney form attached.

b. The bonding company will only be accepted if it is in good standing within the state of Georgia through the Insurance Commissioner’s office. It must also be rated A or better with AM Best Company. The bonding company must appear on the Federal register of approved companies.

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SECTION VIII – PROPOSAL FORMS

GEORGIA SECURITY & IMMIGRATION COMPLIANCE (GSIC) AFFIDAVIT

The Unified Government of Athens-Clarke County and Contractor agree that compliance with the requirements of O.C.G.A. § 13-10-91, as amended, are conditions of this Agreement for the physical performance of services.

If employing or contracting with any subcontractor(s) in connection with this Agreement, Contractor further agrees:

(1) To secure from the subcontractor(s) an affidavit attesting to the subcontractor’s compliance with by O.C.G.A. § 13-10-91(b), as amended; such affidavit being in a form similar to and containing the same information as the form attached hereto; and

(2) To obtain such subcontractor affidavit(s) when the subcontractor(s) is retained. Contractor shall have such forms available for inspection and submit to the Owner, if so requested by the Owner.

The failure of Contractor to supply the affidavit of compliance at the time of the bid will be cause for the bid being deemed non-responsive. Failure of Contractor to continue to satisfy the obligations of O.C.G.A.

§ 13-10-91, as amended throughout the entire contract period shall constitute a material breach of the contract. Upon notice of such breach, Contractor shall be entitled to cure the breach within ten days, upon providing satisfactory evidence of compliance with the terms of this Agreement and State law. Should the breach not be cured, Athens-Clarke County shall be entitled to all available remedies, including termination of the contract and damages.

SEE AFFIDAVITS ON FOLLOWING PAGES

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CONTRACTOR AFFIDAVIT & AGREEMENT UNDER O.C.G.A. § 13-10-

91(b)(1)

(effective July 1, 2013)

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, as amended, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of The Unified Government of Athens-Clarke County, Georgia, has registered with, is authorized to use, and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the provisions and deadlines established in O.C.G.A. § 13-10-91, as amended.

Furthermore, the undersigned will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number Date of Authorization

Name of Contractor: _______________________________________________________________

Name of Project: BROOKLYN CREEK INTERCEPTOR IMPROVEMENTS PHASE 2 Name of Public Employer: The Unified Government of Athens – Clarke County Georgia _

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on ____, ___________, 202__ in _______________________, _____________________.

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

____ DAY OF ____________, 20__

Notary Public My Commission Expires:

MANDATORY SUBMITTAL

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BROOKLYN CREEK INTERCEPTOR IMPROVEMENTS PHASE 2

CONTRACTOR PREQUALIFICATION APPLICATION COVER

Application for:

Applicant (Company) Name:

Applicant Home Address:

Applicant Branch Office Responsible for Project, if different:

Applicant Contact (Person) Name:

Applicant Contact Title:

Applicant Contact Phone Number:

Applicant Contact Email Address:

DISCLOSURE AFFIDAVIT

The undersigned, an officer of the company who is legally authorized to enter into a contractual relationship in the name of the applicant, hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the Unified Government of Athens-Clarke County in verification of the recitals comprising this Application for Pre-Qualification. By this signature the signer affirms that the information provided herein is true and correct to the best of his/her knowledge and belief.

Applicant:

By:

(name signed)

(name printed or typed) Title:

Date:

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PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM

(Page 1 of 3)

Applicant Name:

Project Name:

Project Location:

Project Description (including Trenchless Methods):

Project Owner:

Owner Name:

Contact Person:

Phone Number:

Design Firm:

Company Name:

Contact Person:

Phone Number:

Construction Contract Administration Firm:

Company Name:

Contact Person:

Phone Number:

Joint Venture: No_____ Yes_____

(If applicable) Percentage of Applicant’s Joint Venture responsibility: __________%

(If applicable) Name of Joint Venture partner(s):

(If applicable) Description of JV Work; Basis of Qualification: _____________________________________

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PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM

(Page 2 of 3)

Contract:

Bid Date:

Bid Price / Contract Amount:

Final Contract Price:

Contract Time

Initial:

Final:

Completion Date:

Percentage of Work performed by Applicant: %

Explain Reasons for Variances to Price and/or Time:

Major Subcontractors (or state ‘self-perform’):

Storm Sewer:

Subcontractor PM:

Address:

Phone Number:

Concrete:

Subcontractor PM:

Address:

Phone Number:

Earthwork:

Subcontractor PM:

Address:

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PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM

(Page 3 of 3)

Paving:

Subcontractor PM:

Address:

Phone Number:

Trenchless Construction:

Subcontractor PM:

Address:

Phone Number:

Bypass Pumping:

Subcontractor PM:

Address:

Phone Number:

Landscaping:

Subcontractor PM:

Address: