732_2 PWPF G_SGP_Proposers Qualifications.pdf

CITY OF CUMMING –

PWPF GENERATOR AND SWITCHGEAR PROJECT

STATEMENT OF PROPOSER’S QUALIFICATIONS

SECTION 00 45 16

ARTICLE 1—GENERAL INFORMATION

1.01 Provide contact information for the Business:

Legal Name of Business:

Corporate Office

Name: Phone number:

Title: Email address:

Business address of corporate office:

Local Office

Name: Phone number:

Title: Email address:

Business address of local office:

1.02 Provide information on the Business’s organizational structure:

Form of Business: ☐ Sole Proprietorship ☐ Partnership ☐ Corporation

☐ Limited Liability Company ☐ Joint Venture comprised of the following companies:

1.

2.

3.

Provide a separate Qualification Statement for each Joint Venturer.

Date Business was formed: State in which Business was formed:

Is this Business authorized to operate in the Project location? ☐ Yes ☐ No ☐ Pending

1.03 Identify all businesses that own Business in whole or in part (25% or greater), or that are wholly or partly (25% or greater) owned by Business:

Name of business: Affiliation:

Address:

Name of business:

Affiliation:

Name of business:

Affiliation:

1.04 Provide information regarding the Business’s officers, partners, and limits of authority.

Name: Title:

Authorized to sign contracts: ☐ Yes ☐ No Limit of Authority: $

Name: Title:

Authorized to sign contracts: ☐ Yes ☐ No Limit of Authority: $

Name: Title:

Authorized to sign contracts: ☐ Yes ☐ No Limit of Authority: $

Name: Title:

1.05 Provide information regarding the Business’s financial.

Financial Institution:

Account Manager

Phone: Credit Available

Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by OWNER?

☐ Yes ☐ No

ARTICLE 2—LICENSING

2.01 Provide information regarding licensure for Business:

Name of License:

Licensing Agency:

License No: Expiration Date:

Name of License:

Licensing Agency:

License No: Expiration Date:

ARTICLE 3—CONSTRUCTION EXPERIENCE

3.01 Provide information that will identify the overall size and capacity of the Business.

Average number of current full-time employees:

Estimate of revenue for the current year:

Estimate of revenue for the previous year:

3.02 Provide information regarding the Business’s previous contracting experience.

Years of experience with projects like the proposed project:

As a general contractor: As a joint venturer:

Has Business, or a predecessor in interest, or an affiliate identified in Paragraph 1.03:

Been disqualified as a Proposer by any local, state, or federal agency within the last 5 years?

☐ Yes ☐ No

Been barred from contracting by any local, state, or federal agency within the last 5 years?

Been released from a proposal in the past 5 years? ☐ Yes ☐ No

Refused to construct or refused to provide materials defined in the contract documents or in a change order? ☐ Yes ☐ No

Been a party to any currently pending litigation or arbitration? ☐ Yes ☐ No

Provide full details in a separate attachment if the response to any of these questions is Yes.

Defaulted on a project or failed to complete any contract awarded to it? ☐ Yes ☐ No

If YES, attach as an Attachment details including Project Owner's contact information.

Has any Corporate Officer, Partner, Joint Venture participant or Proprietor ever failed to complete a construction contract awarded to them in their name or when acting as a principal of another entity?

☐ Yes ☐ No

If YES, attach as an Attachment details including Project Owner's contact information.

Are there any judgments, claims, disputes or litigation pending or outstanding involving your firm or any of its officers in the past five years (or any of its partners if a partnership or any of the individual entities if a joint venture)?

☐ Yes ☐ No

If YES, attach as an Attachment details including Project Owner's contact information.

Has your firm been involved in liquidated damages in the past five years or served the Owner with a claim for additional compensation prepared by an attorney or a claims consultant, excluding routine change order requests?

If YES, attach as an Attachment details including Project Owner’s contact information.

3.03 List all projects currently under contract in Schedule A and provide indicated information.

3.04 List on Schedule B all projects of similar size, scope, and complexity completed within the last ten years to demonstrate the Business’s experience with projects similar in type and cost of construction.

ARTICLE 4—PROJECT TEAM EXPERIENCE

4.01 The bidder needs to exemplify available project management personnel with at least five years’ experience on projects with similar technical characteristics as the proposed Work.

4.02 RESUMES: Provide information on key individuals whom Business intends to assign to the Project.

Provide resumes for those individuals included in Schedule C. Key individuals include the Project Manager, Project Superintendent, Quality Manager, Field Superintendent who would supervise and be in charge of the project, and Safety Manager. Resumes may be provided for Business’s key leaders as well. Experience can be from previous employment but must be pertinent to the technical aspects of the proposed Work.

ARTICLE 5—EQUIPMENT

5.01 MAJOR EQUIPMENT: List on Schedule C all pieces of major equipment available for use on Owner's Project.

ARTICLE 6—SUBCONTRACTORS:

6.01 List on Schedule D the information about the Subcontractors you propose to use on this project. Provide any information relative to bonding issues or liens that have been filed within the last three years on past or current projects. Provide resumes for key individuals that would manage major technical aspects of the project as a subcontractor.

ARTICLE 7—REQUIRED ATTACHMENTS

4.01 Provide the following information with the Statement of Qualifications:

A. If Business is a Joint Venture, separate Qualifications Statements for each Joint Venturer, as required in Paragraph 1.02.

B. Diverse Business Certifications if required by Paragraph 2.01.

C. Attachments providing additional information as required by Paragraph 3.02.

D. Schedule A (Current Projects) as required by Paragraph 3.03.

E. Schedule B (Previous Experience with Similar Projects) as required by Paragraph 3.04.

G. Schedule C (Major Equipment) as required by Paragraph 5.01.

H. Schedule D (Subcontractors) as required by Paragraph 6.01.

I. Additional items as pertinent.

This Statement of Qualifications is offered by:

Business:

(typed or printed name of organization)

By:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed)

Date:

(date signed)

(If Business is a corporation, a partnership, or a joint venture, attach evidence of authority to sign.)

Attest:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed) Mailing Address for Notices:

Designated Representative:

Name:

(typed or printed)

Title:

(typed or printed)

Phone:

Email:

Schedule A—Current Projects

Project Name Owner's Contact Person Design Engineer Contract Date Type of Work % Complete Contract Amount

Telephone:

Name:

Company:

Telephone:

Begin:

End:

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Schedule B—Previous Experience with Similar Projects Previous Experience (Include ALL Relevant Projects Completed within last 10 years)

Project Name Owner's Contact Person Design Engineer Contract Date Type of Work Contract Amount

Telephone:

Name:

Company:

Telephone:

Telephone:

Name:

Company:

Telephone:

Name:

Company:

Telephone:

Name:

Company:

Telephone:

Name:

Company:

Telephone:

Name:

Company:

Telephone:

Name:

Company:

Telephone:

End:

Schedule C—Major Construction Equipment (Attach Additional Sheets As Necessary) list of major construction equipment you propose to use on this project

EQUIPMENT DESCRIPTION OWNED BY PRIME

(YES OR NO) LEASED OR RENTED FROM WHOM OWNED BY SUB

(YES OR NO) LEASED OR RENTED FROM WHOM

Schedule D— Subcontractors Provide the following information about the Subcontractors you propose to use on this project

Sub’s Name Sub’s Permanent Office Location (City & State) Work Sub Will Perform Dollar Value Have you Worked with this Sub previously?

I, , certify that I am of the Proposer, and that the answers to the foregoing questions and statements contained therein are true and correct.

PROPOSER:

By:

(name signed)

(name printed or typed)

Title:

Date:

Subscribed and sworn to me this day of , 20 ___.

NOTARY PUBLIC:

(name signed)

(name printed or typed)

Commission Expires:

(Date)

(SEAL)

Article 7— REQUIRED ATTACHMENTS