4-Proposal Attachments A-I.pdf

SECTION 01 13 13

PROPOSAL REQUIREMENTS

TRADE PACKAGE 26A - ELECTRICAL

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Rochester Public Schools Bid Pack 2 - Mayo High School IAQ Improvements (Best Value Trade Packages)

ATTACHMENT A

Cover Page and Checklist

The Respondent must complete and submit this Attachment. This Attachment shall be the cover page for the Respondents Proposal. Do NOT modify the format of any of the required attachments. If the Proposal has modified Attachments or does not follow the instructions outlined in the RFP, the proposal may be disqualified.

Project Number: 23-30357

Project Name: Mayo High School IAQ Improvements

PROPOSAL CHECKLIST

The following documents are required for this Proposal

Attachment A Complete all required information

Attachment B Complete all required information

Attachment B MUST be submitted in a separate sealed envelope

Attachment C Complete all required information (No Names / 2-page limit)

Attachment D Complete all required information (No Names / 1-page limit)

Attachment E Complete all required information (No Names / 2-page limit)

Attachment F Complete all required information

Attachment G Complete all required information

Attachment H Insurance Requirements

Attachment I Responsible Contractor Information

Milestone Schedule Submit a milestone schedule for the project

Package Containing: Firm name, RFP name and RFP number on the outside

ADDENDA ACKNOWLEDGEMENT

Respondent acknowledges receipt of the following addenda, and has incorporated the requirements of such addenda into the proposal (List all addenda dates issued for this project and initial):

No.

Date/Initials

AUTHORIZED SIGNATURE

By signing below, the Respondent acknowledges that they have carefully examined all RFP Documents and understands all instructions, requirements, specifications, terms and conditions; and that all statements, information, costs, and schedules submitted in response to the RFP are current, complete, true and accurate.

Name of Company Date

Printed Name of Firm Representative* Signature of Firm Representative

E-mail Phone

* Must be an authorized officer of the company that has authorization to bind it to the provisions of the RFP/Contract

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ATTACHMENT B

Proposal Form

CRITICAL TEAM COMPONENTS

Name of Contractor:

Name of Project Manager:

Name of Site Superintendent/Foreman:

PROJECT DURATION

Must comply with schedule as outlined in schedule of critical dates.

PROJECT COST

Base Bid: $ _______________________ Dollars

ALTERNATES

Refer to Spec Section 01 2300 for complete description of alternates.

State bid in figures.

Alternate No. 01 (Area D 1st Floor Office Space) for lump sum of: $ __________________________________ Dollars

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ATTACHMENT C

Risk Assessment

2 Pages

This template must be used. The Risk Plan should address the risks that the Respondent does NOT control. The risks should be prioritized (list the greatest risks first). The Respondent may add or delete Risk table templates, but do not exceed the 2-page limit. Do NOT include any identifying information in the Plan. Information listed under the “Documented Performance” line may describe where the Respondent has used the approach or solution previously, and what the results were in terms of verifiable metrics. YOU MAY DELETE THESE INSTRUCTIONS TO ALLOW MORE ROOM FOR CLAIMS.

Risk 1 Description:

Solution:

Documented Performance:

Risk 2 Description:

Risk 3 Description:

Risk 4 Description:

Risk 5 Description:

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ATTACHMENT D

Team Expertise

1 Page

This template must be used. The Team Expertise Plan should identify the Respondent’s capability to meet the project’s requirements with a plan that meets time and cost goals. The capability claims should be prioritized (list the most important claims first). The Respondent may add or delete Project Capability Claim table templates, but do not exceed the 1-page limit. Do NOT include any identifying information in your Plan. Information listed under the “Documented Performance” line may describe where the Respondent has used the approach or solution previously, and what the results were in terms of verifiable metrics. YOU MAY DELETE THESE INSTRUCTIONS TO ALLOW MORE ROOM FOR

CLAIMS.

Project Capability 1 Claim:

Project Capability 2 Claim:

Project Capability 3 Claim:

Project Capability 4 Claim:

Project Capability 5 Claim:

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ATTACHMENT E

Value Enhancement Plan 1 Page

Identify any options, ideas, alternatives, or suggestions to add value to this project. Include a short description of how it adds value to the project and identify if the items will increase or decrease schedule, cost, or satisfaction. All cost and schedule impacts associated with these value added options must NOT be included in your base cost/schedule. You may add/delete additional rows if necessary but do not exceed the 1-page limit. YOU MAY DELETE THESE INSTRUCTIONS TO ALLOW MORE ROOM FOR

CLAIMS.

Item 1 Claim:

How will this add value?

Cost Impact (%): Schedule Impact (%)

Item 2 Claim:

Item 3 Claim:

Item 4 Claim:

Item 5 Claim:

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ATTACHMENT F

Non-Collusion Declaration

The following Non-Collusion Declaration shall be executed by the Respondent:

Project Name:

Mayo High School IAQ Improvements

Project No:

23-30357

I, , do state under penalty of perjury under 28 (Name of person signing this declaration)

USC 1746 of the laws of the United States:

1. That I am the authorized representative of

(Name of individual, partnership or corporation submitting this proposal)

And that I have the authority to make this declaration for and on behalf of said Respondent;

2. That, in connection with this proposal, the said Respondent has not directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding;

3. That, to the best of my knowledge and belief, the contents of this proposal have not been communicated by the Respondent or by any of his/her employees or agents to any person who is not an employee or agent of the Respondent or its surety on any bond furnished with the proposal, and will not be communicated to any such person who is not any employee or agent of the Respondent or of the said surety prior to the official opening of the proposal; and

4. That I have fully informed myself regarding the accuracy of the statements made in this declaration.

Company Name Authorized Signature Title Date Subscribed and sworn to before me this Proposer’s E.I. Number:

_____day of _______________, 20______ _______________________________ (Number used on Employer’s Quarterly Federal Tax Return) Notary Public

My Commission Expires ____________, 20____

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ATTACHMENT G

Authorization / Signature Document

If a Corporate Office is signing, return only the Acknowledgement of Corporate/Authorization.

If someone other than a Corporate Officer is signing, both the Acknowledgement of Corporation/Authorization and the Authorization of Corporate Agent must be returned.

If you are a Limited Liability Company sign and return the Acknowledgement of Limited Liability Company Authorized Signature.

If you are a Company or an individual signing on your behalf, sign and have notarized the Contractor requirement at the bottom of the proposal.

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ACKNOWLEDGEMENT OF CORPORATION

AUTHORIZED SIGNATURE

STATE OF MINNESOTA

COUNTY OF OLMSTED

Name of Limited Liability Company Name of Officer:

Title:

The individual identified above appeared to me personally know, who, being by me duly sworn, did say that he/she is in the position identified above for the company listed above, a corporation; and that said instrument was executed in behalf of said corporation by authority of its Board of Directors; and that said they acknowledged said instrument to be the free act and deed of said corporation.

Date

My Commission Expires

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AUTHORIZATION OF CORPORATION AGENT

Name of Corporation:

Name of Authorized Officer:

Title:

Authorization Date:

The Corporation identified above does hereby authorize the officer identified above to act as an agent of the Corporation and to bind the Corporation to contracts entered into with ISD 535. The purpose of this authorization is to allow officials of ISD 535 to accept the individual’s signature as an official act of the Corporation. This authorization is effective on the date identified above and remains effective until such time as it is revoked by the corporation’s Board of Directors. No revocation of this authorization shall be effective until such time as it is filed with the Purchasing Department at ISD 535.

Chairman, Board of Directors

Name of Corporation

Name of Corporation:

Name of Individual:

Title: Chairman, Board of Directors Authorization Date:

The Chairman, Board of Directors identified above, appeared before me personally, known to me to be the Chairman of the Board of Directors of the Corporation identified above who has indicated to me that (s)he is authorized by the Board of Directors of the Corporation to execute the above Authorization of Corporate Agent for purposes of executing contracts with ISD 535.

Date

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ACKNOWLEDGEMENT OF

LIMITED LIABILITY COMPANY AUTHORIZED SIGNATURE

Name of Limited Liability Company Name of Chief Manager

The individual identified above, personally known to me to be the Chief Manager of the company listed above, a Limited Liability Company under Minnesota Law, who has indicated that he/she is authorized under the articles of organization or operating agreement to execute the attached instrument for and on behalf of the Limited Liability Company, and the he/she hereby executes said instrument for and on behalf of the Limited Liability Company.

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ATTACHMENT H

Insurance Requirements

You are hereby instructed to provide insurance based on Article 11 of AIA Document A232, General Conditions of the Contract for Construction, Construction Manager as Adviser, as modified by ISD 535.

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Attachment I

Responsible Contractor Certificate

A responsible contractor is defined in Minnesota Statutes §16C.285, subdivision 3.

Any prime contractor or subcontractor who does not meet the minimum criteria under Minnesota Statute §16C.285, subdivision 3, or who fails to verify that it meets those criteria, is not a responsible contractor and is not eligible to be awarded a construction contract for the project or to perform work on the project.

A false statement under oath verifying compliance with any of the minimum criteria shall render the prime contractor or subcontractor that makes the false statement ineligible to be awarded a construction contract for the project and may result in termination of a contract awarded to a prime contractor or subcontractor that makes a false statement.

A prime contractor shall submit to the contracting authority upon request copies of the signed verifications of compliance from all subcontractors of any tier pursuant to subdivision 3, clause 7.

By signing this statement, I, ____________________________________________________________, (type or print name) __________________________________________ certify that I am an owner or officer of the company (title) and do verify under oath that my company is in compliance with each of the minimum criteria listed in the law.

(name of the person, partnership, or corporation submitting this proposal)

(business address)

Signed: __________________________________________ Date: _____________________ (bidder or authorized representative)

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Responsible Contractor Certification of Compliance

Minn. Stat. §16.285, Subd,. 7, IMPLEMENTATION. any prime contractor or subcontractor that does not meet the minimum criteria in subdivision 3 or fails to verify it meets those criteria is not a responsible contractor and is not eligible to be awarded a construction contract for the project or to perform work on the project.

Minn. Stat. §16.285, Subd. 3. RESPONSIBLE CONTRACTOR, MINIMUM CRITERIA. “Responsible contractor” means a contractor that conforms to the responsibility requirements in the solicitation document for its portion of the work on the project and verifies that it meets the following minimum criteria:

8. The Contractor:

a. is in compliance with workers' compensation and unemployment insurance requirements;

b. is currently registered with the Department of Revenue and the Department of

Employment and Economic Development if it has employees;

c. has a valid federal tax identification number or a valid Social Security number if an individual; and

d. has filed a certificate of authority to transact business in Minnesota with the secretary of state if a foreign corporation or cooperative.

e.

9. The contractor or related entity is in compliance with and, during the three-year period before submitting the verification, has not violated section 177.24, 177.25, 177.41 to 177.44, 181.13, 181.14, or 181.722, and has not violated United States Code, title 29, sections 201 to 219, or United States Code, title 40, sections 3141 to 3148. For purposes of this clause, a violation occurs when a contractor or related entity:

a. repeatedly fails to pay statutorily required wages or penalties on one or more separate projects for a total underpayment of $25,000 or more within the three-year period;

b. has been issued an order to comply by the commissioner of labor and industry that has become final;

c. has been issued at least two determination letters within the three-year period by the Department of Transportation finding an underpayment by the contractor or related entity to its own employees;

d. has been found by the commissioner of labor and industry to have repeatedly or willfully violated any of the sections referenced in this clause pursuant to section 177.27;

e. has been issued a ruling or findings of underpayment by the administrator of the Wage and Hour Division of the United States Department of Labor that have become final or have been upheld by an administrative law judge or the Administrative Review Board; or

f. has been found liable for underpayment of wages or penalties or misrepresenting a construction worker as an independent contractor in an action brought in a court having jurisdiction. Provided that, if the contractor or related entity contests a determination of underpayment by the Department of Transportation in a contested

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10. The contractor or related entity is in compliance with and, during the three-year period before submitting the verification, has not violated section 181.723 or chapter 326B. For purposes of this clause, a violation occurs when a contractor or related entity has been issued a final administrative or licensing order.

11. The contractor or related entity has not, more than twice during the three-year period before submitting the verification, had a certificate of compliance under section 363A.36 revoked or suspended based on the provisions of section 363A.36, with the revocation or suspension becoming final because it was upheld by the Office of Administrative Hearings or was not appealed to the office.

12. The contractor or related entity has not received a final determination assessing a monetary sanction from the Department of Administration or Transportation for failure to meet targeted group business, disadvantaged business enterprise, or veteran-owned business goals, due to a lack of good faith effort, more than once during the three-year period before submitting the verification.

13. The contractor or related entity is not currently suspended or debarred by the federal government or the state of Minnesota or any of its departments, commissions, agencies, or political subdivisions; and

14. All subcontractors that the contractor intends to use to perform project work have verified to the contractor through a signed statement under oath by an owner or officer that they meet the minimum criteria listed in clauses (1) to (6).

Minn. Stat. 1§16.285, Subd. 5. SUBCONTRACTOR VERIFICATION. A prime contractor or subcontractor shall include in its verification of compliance under subdivision 4 a list of all of its first-tier subcontractors that it intends to retain for work on the project.

If a prime contractor or any subcontractor retains additional subcontractors on the project after submitting its verification of compliance, the prime contractor or subcontractor shall obtain verifications of compliance from each additional subcontractor with which it has a direct contractual relationship and shall submit a supplemental verification confirming compliance with subdivision 3, clause (7),within 14 days of retaining the additional subcontractors.

A prime contractor shall submit to the contracting authority upon request copies of the signed verifications of compliance from all subcontractors of any tier pursuant to subdivision 3, clause (7). A prime contractor and subcontractors shall not be responsible for the false statements of any subcontractor with which they do not have a direct contractual relationship. A prime contractor and subcontractors shall be responsible for false statements by their first-tier subcontractors with which they have a direct contractual relationship only if they accept the verification of compliance with actual knowledge that it contains a false statement.

Minn.Stat. §16.285, Subd. 4. VERIFICATION OF COMPLIANCE. A contractor responding to a solicitation document of a contracting authority shall submit to the contracting authority a signed statement under oath by an owner or officer verifying compliance with each of the minimum criteria in subdivision 3 at the time that it responds to the solicitation document.

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A contracting authority may accept a sworn statement as sufficient to demonstrate that a contractor is a responsible contractor and shall not be held liable for awarding a contract in reasonable reliance on that statement. Failure to verify compliance with any one of the minimum criteria or a false statement under oath in a verification of compliance shall render the prime contractor or subcontractor that makes the false statement ineligible to be awarded a construction contract on the project for which the verification was submitted.

A false statement under oath verifying compliance with any of the minimum criteria may result in termination of a construction contract that has already been awarded to a prime contractor or subcontractor that submits a false statement. A contracting authority shall not be liable for declining to award a contract or terminating a contract based on a reasonable determination that the contractor

CERTIFICATION

By signing this document I certify that I am an owner or officer of the company, and I swear under oath that:

1) My company meets each of the Minimum Criteria to be a responsible contractor as defined herein and is in compliance with Minn. Stat. §16.285,

2) I have included Attachment J with my company’s solicitation response, and

3) if my company is awarded a contract, I will also submit Attachment J, additional subcontractor list as required.

Authorized Signature of Owner or Officer: Printed Name:

Title: Date:

Company Name:

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First Tier Subcontractor List

(Submit with Prime Contractor Response)

Minn. Stat. §16.285, Subd. 5: A prime contractor or subcontractor shall include in its verification of compliance under subdivision 4 a list of all of its first-tier subcontractors that it intends to retain for work on the project.

First-Tier Subcontractor Names (Legal name of company as registered with the Secretary of State)

Name of city where company home office is located

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Additional Subcontractor List

(Prime Contractor to submit as subcontractors are added to the project)

This form must be submitted to the Project Manager or individual as identified in the solicitation document.

Minn. Stat. §16.285, Subd. 5: If a prime contractor or any subcontractor retains additional subcontractors on the project after submitting its verification of compliance, the prime contractor or subcontractor shall obtain verifications of compliance from each additional subcontractor with which it has a direct contractual relationship and shall submit a supplemental verification confirming compliance with subdivision 3, clause (7),within 14 days of retaining the additional subcontractors.

Additional Subcontractor Names (Legal name of company as registered with the Secretary of State)

Name of city where company home office is located

SUPPLEMENTAL CERTIFICATION FOR ATTACHMENT J

By signing this document I certify that I am an owner or officer of the company, and I swear under oath that:

All additional subcontractors listed on Attachment J have verified through a signed statement under oath by an owner or officer that they meet the minimum criteria to be a responsible contractor as defined in Minn. Stat. §16.285.

Authorized Signature of Owner or Officer: Printed Name:

Title: Date:

Company Name: