3-MCTA Bid Quals GC Rebid.pdf

MCTA Transit Facility BIDDER’S QUALIFICATIONS

PROJECT MANUAL 004513 - 1

August 29, 2025

SECTION 004513 – BIDDER’S QUALIFICATIONS

This form must be completed and returned with submission of a Bid. The undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.

Date: _______

Submitted By: ______________________________________________________________

Mailing Address: ____________________________________________________________

Phone Number: ______________________________________________________________

Principal Contact: ____________________________________________________________

Email Address: ______________________________________________________________

Principal Office: _____________________________________________________________

Name of Project: _____________________________________________________________

Type of Work: General Construction Electrical

HVAC Plumbing

Other: __________________________

1. Organization:

1.1 How many years has your organization been in business?

1.2 How many years has your organization been in business with its present name?

1.3 Under what other business name has your organization worked as?

1.4 If your organization is a corporation? Answer the following:

• Date of Corporation:

X

X

X X

X

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• State of Incorporation:

• Tax Identification #:

• President Name:

• Vice President Name:

• Treasurer Name:

• Secretary Name:

1.5 If your organization is a partnership, answer the following questions:

• Date of Organization:

• Type of Partnership:

• Name(s) of general partner(s):

1.6 If your organization is individually owned, answer the following questions:

• Date of Organization:

• Name of Owner:

1.7 If your organization is other than what is listed above, please describe organization and provide names of the principals:

2. Licensing & Insurance:

2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business and indicate registration and license numbers, if applicable:

2.2 List general liability insurance and workers compensation insurer’s name, policy number, and expiration dates:

3. Experience:

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3.1 List the categories of work that your organization normally performs with its own forces:

3.2 Claims & Suits: (If any answer below is yes, please attach details)

• Has your organization ever failed to complete work it has been awarded?

• Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?

• Has your organization filed any claims, lawsuits or requested arbitration with regards to construction contracts within the last five years?

3.3 Within the last five years, has any officer or principal of your organization ever been an officer or a principal of another organization when it failed to complete a construction contract?

3.4 Please list major projects your organization has in progress, giving the name of the project, architect, builder, contractual amount and projected date of completion. State total worth of work in progress under contract.

3.5 On a separate sheet, list the major projects of comparable size and scope your organization has completed in the past five years, giving project name, architect, builder, contractual amount and date of completion. State the average annual amount of work performed over the past five years.

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3.6 List your major equipment available for this project.

4. References:

4.1 Project References: (List Project name and Client contact name, phone number and email address for projects listed in Item 3.5.): (Please list FIVE references)

4.2 Trade References: (Include Organization name, contact name, phone number and email address. Please list THREE references)

4.3 Bank References: (Include Organization name, contact name, phone number and email address. Please list minimum One references)

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August 29, 2025

5. Financing:

5.1 Attach Financial Statement or Dun & Bradstreet Report.

List any further pertinent information regarding your organization in the box below.

5.2 Please list your Bonding Company and current Standard & Poor ratings:

5.3 Total Bondable Amount: $

5.4 Single Project Bond Limit: $

5.5 Do you have Programs that meet the requirements of the Federal and State Equal Employment Opportunity (EEO) sections of Bidding and Contract Requirements?

5.6 Do all subcontractors proposed to be used in the execution of the contract have Programs that meet the Federal and State EEO requirements?

5.7 List of the Proposed Subcontractors for this Project, including contract person, address, phone number, type of work and DBE status, if applicable:

5.8 Have you ever been denied an award of a contractor or ever had funds withheld from your firm for failure to comply with the Federal Equal Employment Provisions required by Executive Order No. 11246 or the Commonwealth of Pennsylvania Affirmative Action Provisions required by Executive Order 1988-1?

5.9 Has the company or Parties in Interest filed for bankruptcy in the last five (5) years?

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August 29, 2025

5.10 Has your company or any principle been convicted or, or plead guilty to, a felony for tax evasion or Medicaid fraud? If so, provide the name, jurisdiction and date of such conviction and/or guilty plea.

5.11 Has the company or Parties in Interest properly verified the ability of their employees to work in the United States?

6 Signature of Approval and Notarization:

__________________________________(name), __________________________________(title) of

_______________________________________(Bidder), being duly sworn deposes and says that the information provided herein is true and sufficiently complete as to not be misleading.

________________________, of ________________________ personally appeared before me, the undersigned notary public, and provided satisfactory identification to be the person who signed this document in my presence and swore or affirmed that the contents of this document are true and accurate to his/her knowledge.

Bidder: ________________________________________ Date: ___________

Notary Stamp:

Subscribed and sworn before this ______ day of __________

My Commission Expires:

Notary Public: ______________________________________

END OF SECTION 004513