9-01.2 General Contractors Statement of Qualifications Part 2 Attachments Fillable.pdf
PDF 201 KB Posted
- Attached to
- Re-Bid Modular Home Contractor and Construction Services State and local contract opportunity
- Solicitation number
- RFP-2026-11BK
- Issued by
- Doña Ana County, New Mexico
About this file
This is a General Contractor's Statement of Qualifications form Part 2 Attachments document for the Gallup-McKinley County Public School District No. 1 in New Mexico related to a re-bid for modular home contractor and construction services. The form requires general contractors to submit comprehensive documentation demonstrating their qualifications and experience, including up to five projects of similar capacity and scope with detailed project descriptions, contract types, liquidated damages assessments, and customer satisfaction measurements. Contractors must also provide a current active project list for projects valued less than $500,000, a management plan, and any additional clarifications or explanations needed for items in their Statement of Qualifications. The document allows contractors to include up to fifteen pages of optional additional information to showcase company qualifications in areas not covered by the main questionnaire.
The form requires contractors to execute an Affidavit of Non-violation of Labor Codes, certifying that their firm has been free of any court or administrative agency determinations of repeated or willful violations of prevailing wage and apprenticeship laws on public works projects during the past five years. Additionally, all general contractors, subcontractors, suppliers, and sub-subcontractors must execute an Assignment of Antitrust Claims agreement, assigning any claims for overages resulting from antitrust violations related to goods, services, and materials purchased for the project to the school district, while retaining rights to any overcharges not passed on to the district, including treble damages attributable thereto.
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Text version
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 1
PART 2 – ATTACHMENTS
ATTACHMENT PAGE
A – Project Experience of Similar Capacity and Scope 2
B – Current Active Project List Valued less than $500,000 3
C – Substantiation of Non-Violation of Labor Codes 4
D – Management Plan 5
E – Clarifications and Explanations 6
F – Additional Information (Optional) 7
ASSIGNMENT OF ANTITRUST CLAIMS 8
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 2
ATTACHMENT A
REFERENCE: 4.b. Project Description of Similar Capacity and Scope
COMPLETE ONE FORM FOR EACH PROJECT LISTED ON THE QUESTIONNAIRE (MAXIMUM 5)
PROJECT DESCRIPTION
Project Type: Contact Title:
Project Name: Contact Name:
Owner: Contact Phone No:
PROJECT EXECUTION
Were Liquidated Damages Assessed on this Project? [ ] No [ ] Yes Days $
Percentage of Work Subcontracted: % Contract Type: [ ] Competitive Bid LS [ ] Negotiation Lump Sum
Major Subcontractors: [ ] Guaranteed Max. Price [ ] Other (Describe)
Mechanical
Electrical
Plumbing
Concrete
Fire Protection
CUSTOMER SATISFACTION
How was this measured? [ ] Customer Survey Attached [ ] Yes [ ] No [ ] other (describe)
GENERAL CONTRACTOR'S STATEMENT OF QUALIFICATIONS Page3
GENERAL CONTRACTOR 1S STATEMENT OF QUALIFICATIONS
ATTACHMENT B
Projects currently under contract valued less than$500,000
PROJECT TITLE & LOCATION START DATE PROJECTED COMPLETION
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 4
ATTACHMENT C
REFERENCE: 11.b. Affidavit of non-violation of Labor Codes.
Name of Firm:
Address:
Project: Job Order Contracting Services
Reference: Affidavit of Non-violation of Labor Codes Request for Proposal No. RFP-2024-36RB
TO: Gallup-McKinley County Public School District No.1
The undersigned officer of hereby states that has, during the past five years, been free of any determinations by a court of an administrative agency, of repeated or willful violations of laws and/or regulations pertaining to the payment of prevailing wages or employment of apprentices of public works projects.
Name
Title
Signature
NOTARY
State of )
County of )
Signed or attested before me on by
(Seal)
My Commission Expires:
GENERAL CONTRACTOR'S STATEMENT OF QUALIFICATIONS Page 5
GENERAL CONTRACTOR 1S STATEMENT OF QUALIFICATIONS
ATTACHMENT D REFERENCE:
12. Management Plan
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 6
ATTACHMENT E
Part 1 Clarifications and Explanations (Optional)
Additional written explanations or comments required for clarification of items contained in the Statement of Qualifications.
ITEM REFERENCE NO. COMMENTS
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 7
ATTACHMENT F
Additional Information
Additional written qualifications (optional) are limited to a maximum of fifteen (15) pages of text/photos. This is an opportunity for you to showcase your company and qualifications in areas not already shared through response to the Questionnaire.
GENERAL CONTRACTOR’S STATEMENT OF QUALIFICATIONS Page 8
ASSIGNMENT OF ANTITRUST CLAIMS
TO BE EXECUTED BY GENERAL CONTRACTORS,
SUBCONTRACTORS, SUPPLIERS
AND SUBCONTRACTORS OF SUBCONTRACTORS.
FIRM NAME: PROJECT:
ADDRESS:
PHONE NO:
PROJECT NO:
agrees that any and all claims which it may have or may incur to it for overages resulting from antitrust violations as to goods, services, and materials purchased in connection with the above-referenced project are hereby assigned to the Gallup-McKinley County School District No. 1, but only to the extent that such overcharges are pass on to the District. It is agreed that the undersigned retains all rights to any such antitrust claims to the extent of any overcharges not passed on to the District, including the right to any treble damages attributable thereto.
FIRM:
BY:
Signed by Individual empowered to obligate Suppliers, Subcontractors, or Sub subcontractors.
TITLE:
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