6. Information Required of Bidders FILLABLE.pdf

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INFORMATION REQUIRED OF BIDDERS

A. INFORMATION ABOUT BIDDER

Failure to complete all information may render your bid non-responsive. [***Indicate not applicable (“N/A”) where appropriate.***]

NOTE: Where Bidder is a joint venture, pages shall be duplicated and information provided for all parties to the joint venture.

1.0 Name of Bidder:

2.0 Type, if Entity:

3.0 Bidder Address:

Facsimile Number Telephone Number E-Mail

4.0 How many years has Bidder’s organization been in business as a Contractor?

5.0 How many years has Bidder’s organization been in business under its present name?

5.1 Under what other or former names has Bidder’s organization operated?:

6.0 If Bidder’s organization is a corporation, answer the following:

6.1 Date of Incorporation:

6.2 State of Incorporation:

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6.3 President’s Name:

6.4 Vice-President’s Name(s):

6.5 Secretary’s Name:

6.6 Treasurer’s Name:

7.0 If an individual or a partnership, answer the following:

7.1 Date of Organization:

7.2 Name and address of all partners (state whether general or limited partnership):

8.0 If other than a corporation or partnership, describe organization and name principals:

9.0 List other states in which Bidder’s organization is legally qualified to do business.

10.0 What type of work does the Bidder normally perform with its own forces?

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11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when, where, and why:

11.1 Has the Bidder ever been in default, debarred or suspended? If so, note when and why:

12.0 Within the last five years, has any officer or partner of Bidder’s organization ever been an officer or partner of another organization when it failed to complete a contract? If so, attach a separate sheet of explanation:

14.0 List Trade References (Materials Suppliers, Vendors, Union Representatives, etc.:

15.0 List Bank References (Bank and Branch Address):

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16.0 Name of Bonding Company and Name, Email Address, Phone Number and Address of Agent:

B. LIST OF CURRENT PROJECTS (Backlog)

[***Duplicate Page if needed for listing additional current projects.***]

Work Description of Bidder’s Work

Completion Date

Cost of Bidder’s Work

Contact Name & Phone

C. LIST OF COMPLETED PROJECTS - LAST THREE YEARS

[***Duplicate Page if needed for listing additional completed projects.***]

Please include only those projects which are similar enough to demonstrate Bidder’s ability to perform the required Work.

Work Client Description of

Bidder’s Work Period of

Performance Cost of Bidder’s

Work Contact Name &

Phone

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D. EXPERIENCE AND TECHNICAL QUALIFICATIONS QUESTIONNAIRE

Personnel:

The Bidder shall identify the key personnel to be assigned to this project in a management, construction supervision or engineering capacity.

1. List each person’s job title, name and percent of time to be allocated to this project:

2. Summarize each person’s specialized education:

3. List each person’s years of construction experience relevant to the project:

4. Summarize such experience:

Bidder agrees that any personnel named in this Bid will remain on this project until completion of all relevant Work, unless substituted by personnel of equivalent experience and qualifications approved in advance by the City.

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Additional Bidder’s Statements:

If the Bidder feels that there is additional information which has not been included in the questionnaire above, and which would contribute to the qualification review, it may add that information in a statement here or on an attached sheet, appropriately marked:

E. VERIFICATION AND EXECUTION

These Bid Forms shall be executed only by a duly authorized official of the Bidder:

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true and correct:

Name of Bidder

Signature

Name

Title

Dated