8-Exhibit A - Required Forms and Certifications.docx
DOCX document 28 KB Posted
- Attached to
- General Contractor Horizon Health Center
- Solicitation number
- 950-05-26-006
- Issued by
- El Paso County, Texas
About this file
This is a Required Forms and Certifications exhibit for a Request for Proposals issued by El Paso County Hospital District, doing business as University Medical Center of El Paso, for the Horizon Health Center General Contractor project (RFP Number: 950-05-26-006). The RFP seeks a Construction Manager at Risk to provide preconstruction services including cost estimating, constructability review, phasing analysis, procurement planning, and development of a Guaranteed Maximum Price. The project involves construction of a new outpatient clinic with approximately 35 exam rooms and 15 urgent care rooms, plus imaging, pharmacy, and laboratory services, located at the intersection of Eastlake Blvd and Kenazo Ave on the east side of El Paso, Texas. The proposal submission deadline is June 23, 2026, at 2:00 PM MT. The selected Construction Manager at Risk will support design and pricing development, with potential for a subsequent construction phase agreement under the AIA A133 form, though no commitment to award construction services is guaranteed.
Proposers must submit all required documentation including the submission checklist, proposal forms, firm qualifications, project team information, project understanding and approach, preliminary schedule, references, and applicable certifications such as addenda acknowledgement, non-collusion affidavit, conflict of interest disclosure, and debarment/suspension certification. The exhibit requires proposers to certify that all submitted information is true and correct and that all required forms are complete. No specific pricing terms, set-asides, or funding amounts are detailed in this exhibit; however, the project is funded through University Medical Center's bond funded capital program.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-950-05-26-006 General Contractor Horizon Health Center.docx | DOCX document | |
| 3-Exhibit F - A133-2019 UMC Form.docx | DOCX document | |
| 4-Exhibit E - Horizon Site Constraints.docx | DOCX document | |
| 2-Exhibit D - Prevailing Wage Rate Requirements.docx | DOCX document | |
| 7-Exhibit B - Submission Form - Acknowledgement.docx | DOCX document | |
| 1-Exhibit C - Fee Proposal and Pricing Components.docx | DOCX document | |
| 6-Exhibit G Teams Meeting Information.docx | DOCX document |
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Text version
EXHIBIT A
REQUIRED FORMS AND CERTIFICATIONS
RFP Title: UMC EL Paso County Hospital District – General Contractor Horizon Health Center RFP Number: 950-05-26-006 Proposal Due Date: 06/23/2026 (2:00 PM MT)
Proposer shall complete this attachment and include all required forms and certifications identified below, as applicable to this procurement and as included in the RFP package or issued by addendum.
1. Submission Checklist Check each item included with proposal submission.
Proposal Forms and Submittals ☐ Exhibit A – Required Forms and Certifications ☐ Exhibit B – Proposal Submission Form / Acknowledgement ☐ Exhibit C - CMAR Fee Proposal Form and Pricing Components ☐ Cover Letter ☐ Firm Qualifications and Relevant Project Experience ☐ Proposed Project Team and Key Personnel ☐ Project Understanding and Approach ☐ Preliminary Schedule or Schedule Narrative ☐ References ☐ Exceptions and Clarifications (if any)
Required Certifications / Forms (if applicable) ☐ Addenda Acknowledgement completed ☐ Non Collusion Affidavit (if required) ☐ Conflict of Interest Disclosure (if required) ☐ Debarment / Suspension Certification (if required) ☐ W-9 or vendor registration form (if required at proposal stage) ☐ Other: __________________________________________ ☐ Other: __________________________________________
2. Addenda Acknowledgement (if not completed in Attachment A) Proposer acknowledges receipt of the following addenda (if any):
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________ (If no addenda were issued, write None.)
3. Proposer Certification By signing below, Proposer certifies that the information submitted with this proposal is true and correct to the best of Proposer's knowledge and that all required forms included in this Attachment C are complete, if applicable.
Proposer Legal Name: ____________________________________________________________ Authorized Representative Name (print): __________________________________________ Title: __________________________________________________________________________ Signature: ______________________________________________________________________ Date: ___________________________________________________________________________
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