ascension parish RFQ - Bayou McCall Drainage Improvements 6-10-26 - Copy.pdf

Ascension Parish

Request for Qualifications for

West Ascension Drainage Improvements Ascension Parish Bayou McCall State Project No. H.015974

Date: J u n e 1 8 , 2026 http://www.ascensionparish.net/

TABLE OF CONTENTS

1. GENERAL INFORMATION

1.1 Purpose

1.2 Intent

1.3 Background

1.4 Scope of Services

2. ADMINISTRATIVE INFORMATION

2.1 Term of Contract

2.2 RFQ and Inquiries

2.3 Definitions / Acronyms

2.4 Schedule of Events

3. RESPONSE INFORMATION

3.1 RFQ Addenda

3.2 Waiver of Administrative Informalities

3.3 Proposal Rejection/RFQ Cancellation

3.4 Withdrawal of Qualification Statement

3.5 Subcontracting Information

3.6 Ownership of Qualification Statement

3.7 Proprietary Information

3.8 Cost of Preparing Qualification Packages

3.9 Errors and Omissions in Qualification Statements

3.10 Contract Award and Execution

3.11 Code of Ethics

4. RESPONSE INSTRUCTIONS

4.1 Response Submission

4.2 Certification Statement

4.3 SAM registration

5. QUALIFICATION SUBMISSION FORMAT

5.1 Transmittal Letter

5.2 Project Title and Number

5.3 Specialized Knowledge

6. EVALUATION AND SELECTION

6.1 Selection committee

6.2 Administrative and Mandatory Screening

6.3 Evaluation and Review

6.4 Announcement of Contractor

7. SUCCESSFUL CONTRACTOR REQUIREMENTS

7.1 Corporation requirements

7.2 Monthly Invoices

7.3 Confidentiality

7.4 Audit

EXHIBITS

Exhibit A: Scorecard Exhibit B: Certification Statement Exhibit C: Standard Form APG-1001

1. GENERAL INFORMATION

1.1 Purpose

Ascension Parish Government (Parish) hereby issues a Request for Qualifications (RFQ) from consulting firms (Consultant) to provide professional engineering services for the Bayou McCall Drainage Improvements Engineering Services for the Louisiana Department of Transportation and Development (DOTD) State Flood Control Program. The Parish is soliciting Statements of Qualifications (SOQ) for Professional Engineering Design & Related Services. The services under the contract will commence after the Parish’s evaluation process, recommendation, and Parish Council approval. Responders must have experience in state and federal grant programs, including DOTD. The selected firm will be required to comply with applicable regulations identified under the funding source for this project.

1.2 Intent

The Parish seeks to retain an engineering firm licensed in the State of Louisiana and authorized under Louisiana statutes to perform the professional services sought by this RFQ. The selected Consultant(s) will perform engineering services in support of the Parish as required to prepare preliminary and final plans, and associated services for DOTD Program funds and subsequent implementation of the Bayou McCall Drainage Improvements project. Tasks associated with the project include, but are not limited to, H&H analysis, surveying, environmental services, benefit-cost analysis, project design and specifications, construction bid package, submittal reviews, and field visits as needed.

The procedures for the selection of this firm will be in accordance with the procurement requirements of the State of Louisiana and Ascension Parish. All responses received will be evaluated in accordance with the selection criteria and corresponding point system that is identified in the request for qualifications package.

That package also identifies the scope of services to be performed by the selected firm. Ascension Parish will award the contract to the respondent obtaining the highest score in the selection process; engineering and land surveying firms must be registered with the Louisiana State Board of Registration for Professional Engineers and Land Surveyors, in accordance with LA RS 37:689. A copy of the current certificate(s) of registration shall be attached to each Statement of Qualifications (Standard Form APG 1001). Failure to be registered in good standing with the aforementioned Board will result in the SOQ being rejected.

1.3 Background

This project is funded by state funds through the Flood Control Program that must meet the State requirements for the DOTD program.

The eight (8) miles of Bayou McCall Drainage Improvements Project is located along the North side of Donaldsonville. The project aims to combat frequent flooding and reduce the risk of structural damage throughout the area. Nature-based solutions will be used where applicable to comply with state initiatives.

Solutions also include more than 20 existing crossings possibly being upgraded but are not limited to bio-retention cells to incorporate wetland plantings. Channel improvements, such as dredging, widening, and optimizing, will be included as an alternate in design based on available funding. The Parish desires to select an engineering firm to perform tasks shown in the Scope of Services (Section 1.4).

The Parish is an Equal Opportunity Employer. We encourage all small minority or veteran-owned firms and women’s business enterprises to apply. Any person with disabilities requiring special accommodation must contact Ascension Parish no later than seven (7) days prior to the bid opening.

1.4 Scope of Services

The Parish is soliciting qualification statements for engineering services to assist the Parish with preliminary engineering, design engineering, and compliance with Department of Transportation and Development requirements. The agreement will be on a cost reimbursement “not to exceed” basis, with payment terms to be negotiated with the selected offeror. Reimbursement for services will be contingent on the Parish receiving funding from the Department of Transportation. The maximum amount of engineering fees that can be with DOTD funds will be determined by the state and may require adjustments in the proposed contract amount.

The services to be provided will include, but not be limited to:

1. The design standards shall comply with DOTD criteria. The format of the plans shall conform to the standards used by DOTD in the preparation of its contract plans for items of work of similar character, including plans for all drainage and utilities affected, as contained in the current edition of DOTD’s Hydraulics Manual.

2. Perform a hydraulic and hydrologic analysis (H&H), including the evaluation of both the existing and proposed conditions, and provide study results that include upstream/downstream and environmental impacts. (Existing culverts/bridges will be the priority; dredging/channel improvements will be the alternate) Based on available funding, the administration will determine what is included within the final 100% plans and specifications. The alternate will still need a 100% set of design plans in preparation for future funding if the full scope of work is beyond the available budget.

3. The administration will expect a cost estimate on channel crossing upgrades as an independent scope and design, along with the same for the proposed channel improvements.

4. Environmental permitting shall include ALL necessary services within the scope of work of the prime or the subconsultant. This may include the standard USACE 404 permitting process and the USACE nationwide permitting process; any additional environmental requirements, such as a cultural analysis, ESA, ERR, and Tribal processes, need to be included within the firm’s scope of work as well. There will be no supplements for failure to have these processes included within the scope of the environmental team.

5. Design surveys, right-of-way surveys, and the preparation of right-of-way maps shall be performed by the Sponsor in accordance with the requirements specified in the current edition of DOTD "Location & Survey Manual.”

6. After preliminary plans have been developed to show all information required, four (4) sets of prints shall be submitted to DOTD for review and comments. If DOTD determines that a plan-in-hand inspection is required, one complete set of reproducible, if required, shall be submitted to DOTD for its use in scheduling a plan-in-hand field inspection with members of DOTD, the Sponsor, and/or its Consulting Engineer at a time and date mutually agreed upon in advance by all parties.

7. After the review and comments, the Sponsor shall make such changes in the plans as necessary to reflect agreements reached at this stage and shall show existing and taking lines required for rights-of-way.

8. Following the completion of preliminary plans, four (4) complete sets of prints of the basic plans, dated and stamped “Advanced Check Prints,” together with four (4) draft copies of the bid proposal and four

(4) Copies of the Project cost estimate shall be submitted to DOTD for review and comment.

9. Specifications for the Project shall be in accordance with the current edition of the "Louisiana Standard Specifications for Roads and Bridges,” latest revision, as amended to comply with DOTD's current practices. Any exceptions to the use of these Standard Specifications must have the prior approval of

DOTD.

10. Upon completion of its review of the preliminary plans and advance draft of the bid proposal, DOTD will return one (1) set to the Sponsor with comments, if any, marked thereon, and the above documents will be revised to reflect agreements reached.

11. Upon completion of DOTD’s review of the design and right-of-way plans and written approval of the same, the Sponsor may proceed with the acquisition of the right-of-way. After the completion of DOTD's review of final plans, the acquisition of all required rights-of-way and agreements to relocate and/or adjust all utility conflicts, and the securing of the Sponsor's portion of funds, the Sponsor shall adopt a Resolution certifying completion of the above and submit a certified copy of said Resolution to DOTD.

12. Benefit cost analysis to include benefits before and after mitigation.

13. Evaluation of environmental impacts including all environmental clearance in accordance with federal regulations and providing all National Environmental Policy Act (NEPA) environmental assessments and applicable permits.

14. Provide a bid package including 100% sealed plans and specifications along with the latest front-end Parish documents as per DOTD standards.

15. Provide bidding services through the Parish Purchasing Department.

16. Review and approve submittals with the owner.

2. ADMINISTRATIVE INFORMATION

2.1 Term of Contract

The period of any contract resulting from this RFQ is tentatively scheduled to begin following conclusion of Parish evaluation, selection & negotiation of a contract, and shall be valid for a period of two years, with the option of two (2), one-year renewals after the original two-year period ends, not to exceed a total of four (4) years.

2.2 RFQ and Inquiries

Interested parties are invited to secure a proposal package from:

Ascension Parish Purchasing Department

Email: Purchasing@apgov.us

Written questions regarding RFQ requirements or Scope of Services must be submitted to:

Ascension Parish Purchasing Department Email: Purchasing@apgov.us

Questions will be forwarded to the RFQ coordinator. The Parish will consider written inquiries and requests for clarification of the content of this RFQ received from potential respondents. Written inquiries must be received by the date and time spelled out in Paragraph 2.4 Schedule of Events. The Parish reserves the right to modify the RFQ should a change be identified that is in the best interest of the Parish.

Official responses to all questions submitted by potential respondents will be available by the date indicated in the Paragraph 2.4 Schedule of Events. They will be posted at that time at http://www.centralauctionhouse.com.

Only the RFQ Coordinator has the authority to officially respond to respondent’s questions on behalf of the Parish. Any communications from any other individuals will not be binding on the Parish.

2.3 Definitions / Acronyms

None are necessary.

2.4 Schedule of Events

EVENT DATE & TIME (CT)

Advertise RFQ (The Gonzales Weekly/Donaldsonville Chief) June 18, 2026 June 25, 2026 July 2, 2026 Deadline for receipt of written inquiries June 30, 2026 Issue responses to written inquiries July 7, 2026 Deadline for receipt of Qualification Packages July 16, 2026

Upon receipt of qualification packages, a selection committee will be formed and hold a public meeting.

The selection committee will determine, and recommend to the Council, the winning SOQ. Qualification under this RFQ does not guarantee any respondent’s selection to provide services.

3. RESPONSE INFORMATION

3.1 RFQ Addenda

Parish reserves the right to change the schedule of events or revise any part(s) of the RFQ by issuing an addendum to the RFQ at any time.

3.2 Waiver of Administrative Informalities

The Parish reserves the right, at its sole discretion, to waive administrative informalities contained in any proposal.

3.3 Proposal Rejection/RFQ Cancellation

Issuance of this RFQ in no way constitutes a commitment by the Parish to award a contract. The Parish reserves the right to accept or reject, in whole or part, all qualifications for participating firms submitted and/or cancel this announcement if it is determined to be in the best interest of the Parish.

3.4 Withdrawal of Qualification Statement

A respondent may withdraw from a qualification statement that has been submitted at any time up to the date and time of the submission deadline. To accomplish this, a written request signed by the authorized representative of the proposer must be submitted to the RFQ Coordinator.

3.5 Subcontracting Information

The Parish shall have a single prime contractor as the result of any contract negotiation, and that prime contractor shall be responsible for all deliverables specified in the RFQ and Scope. This general requirement notwithstanding, respondents may enter subcontractor arrangements, however, should acknowledge in their statement’s total responsibility for the entire contract.

If the respondent intends to subcontract for portions of the work, the respondent should identify any subcontractor relationships and include specific designations of the tasks to be performed by the subcontractor. Information required of the respondent under terms of this RFQ is also required for each subcontractor.

Unless provided for in a contract with the Parish, the prime contractor shall not contract with any other party for any of the services herein contracted without the express prior written approval of the Parish.

3.6 Ownership of Qualification Statement

All materials submitted in response to this request shall become the property of Ascension Parish. Selection or rejection of an offer does not affect this right.

3.7 Proprietary Information

Only information which is legitimate trade secrets or non-published financial data may be deemed proprietary or confidential. Any material within a submittal identified as such must be clearly marked in the package and will be handled in accordance with the Louisiana Public Records Act, R.S. 44: 1-44 applicable rules and regulations. Any statements/packages marked as confidential or proprietary in its entirety may be rejected without further consideration or recourse.

3.8 Cost of Preparing Qualification Packages

The Parish shall not be liable for any costs incurred by respondents prior to issuance of or entering a contract and given notice to proceed. Costs associated with developing the package, preparing for oral presentations, and any other expenses incurred by the respondent in responding to this RFQ are entirely the responsibility of the respondent and shall not be reimbursed in any manner by the Parish.

3.9 Errors and Omissions in Qualification Statements

The Parish will not be liable for any errors in SOQs. The Parish reserves the right to make corrections or amendments due to errors identified by the Parish or the respondent. The Parish, at its option, has the right to request clarification or additional information from the respondent.

3.10 Contract Award and Execution

The Parish reserves the right to contract for all, or a partial list of services offered in the proposal and/or listed in the RFQ. The RFQ and SOQ of the selected respondent(s) may become part of any contract initiated by Parish. The selected respondent(s) will be expected to enter a contract. In no event may a proposer submit its own standard contract terms and conditions as a response to this RFQ. The proposer should submit with its proposal any exceptions or exact contract deviations that its firm wishes to negotiate. Negotiations may begin with the announcement of the selected proposer(s).

If the contract negotiation period exceeds 30 days or if a selected respondent fails to sign the final contract within 30 business days of delivery, the Parish may elect to cancel the award or begin negotiations with an alternate selection or cancel the RFQ.

3.11 Code of Ethics

Respondents are responsible for determining that there are no conflicts or violations of the Ethics Code if their company is awarded a contract. The Louisiana Board of Ethics is the only entity which can officially rule on ethics issues. RFQ from companies that are determined to be in violation shall be disqualified and removed from the eligible prospect list.

4. RESPONSE INSTRUCTIONS

4.1 Response Submission

Firms/individuals who are interested in providing services requested under this RFQ must submit one (1) signed original and five (5) copies of their submittal containing the information specified in this section. The submittal shall be received in hard copy (printed) version by: Ascension Parish Government, Purchasing Department, 615 East Worthey Road, Gonzales, LA 70737 on or before the date and time spelled out the schedule of events (section 2.4). Electronic submittals are permitted via http://www.centralauctionhouse.com; however (6) hard copies must still be submitted within 24 business hours of the Proposal submission deadline (i.e. the Monday following the submission deadline since Parish buildings are closed on Fridays).

Each qualification package must be delivered at the proposer’s expense. FAX or e-mail submissions are not acceptable. Respondents mailing their proposals should allow sufficient mail delivery time to ensure receipt of their qualification package by the time specified. It is solely the responsibility of each respondent to ensure that their package is delivered at the specified place and prior to the deadline for submission. Package(s) received after the deadline will not be considered.

At least one set of the qualification statement shall be labeled “ORIGINAL”, bolded letters on the front cover, and should contain original signatures of those company officials or agents duly authorized to sign proposals or contracts on behalf of the organization. A certified copy of a board resolution granting such authority should be submitted if respondent is a corporation. The copy of the package with original signatures will be retained and used for incorporation in any contract that may result from this RFQ.

4.2 Certification Statement

The proposer must sign and submit the Certification Statement shown in Exhibit B.

4.3 SAM Registration

Each proposer must be registered in the System for Award Management (SAM) before you submit a bid, proposal, or quotation. This new rule is in effect since October 26, 2018. Proposers must include a copy of their SAM registration with the submission.

5. QUALIFICATION SUBMISSION FORMAT

Responses should provide a straightforward and concise description of the firm’s capabilities to satisfy the requirements of the RFQ. Emphasis should be on completeness and clarity of content. Responses should be submitted in letter size (8-1/2”x11”) format with a type of font of Times New Roman or similar and font size of 12 points. Responses should follow the format and order of presentation described below. Standard Form APG-1001 (Exhibit C) must be utilized for submittal to be considered.

5.1 Transmittal Letter

By signing the letter, the Respondent certifies that the signatory is authorized to bind the Respondent. The RFQ response should include:

1. A brief statement of the Respondent’s understanding of the scope of the work to be performed.

2. A confirmation that the Respondent meets the appropriate state licensing requirements to practice in the State of Louisiana.

3. A confirmation that the Respondent has not had a record of substandard work within the last five years.

4. A confirmation that the Respondent has not engaged in any unethical practices within the last five years.

5. A confirmation that, if awarded the contract, the Respondent acknowledges its complete responsibility for the entire contract, including payment of all charges resulting from the contract.

6. Any other information that the Respondent feels appropriate.

7. The signature of the individual who is authorized to provide information of this nature in the name of the Respondent submitting the RFQ.

5.2 Project Title and Number

The following project title shall be used for this submittal:

Bayou McCall Drainage Improvements

Engineering Services for the State Drainage Program Qualifications Statements”

5.3 Specialized Knowledge

Preference will be given to firms with a demonstrated track record of successfully completed specific items outlined in the scope of services, describe their knowledge of DOTD’s requirements for the Flood Control Program and describe their knowledge of the State program. The amount of data detail, the time frame in which the work can be done, and the cost associated will also be considered and factored in while grading the specialized knowledge. In addition to all other requested information, the following must be included in all responses under Section 13 of Standard Form APG-1001 (Exhibit C).

The interested Prime Consultant must be able to perform at least 50% of the expected scope of services and show demonstrated experience with:

At least one (1) principal of the prime consultant shall be a registered professional engineer in the state of Louisiana.

At least one (1) professional engineer of the prime consultant, registered in the state of Louisiana, shall have a minimum of ten (10) years of experience in hydrologic and hydraulic modeling.

Either through the prime consultant or subconsultant, at least one (1) professional land surveyor registered in the state of Louisiana, shall have a minimum of five (5) years of experience.

Either through the prime consultant or subconsultant, a minimum of one professional engineer registered in the State of Louisiana, with at least five (5) years of experience in conducting civil, geotechnical and structural design and preparation of design plans, specifications and supporting documents.

The Prime firm and other team members must provide resumes for the key personnel who will execute its proposed scope of services.

6. EVALUATION AND SELECTION

6.1 Selection committee

All submittals will be ranked by a selection committee, with the highest rated firm being awarded a contract.

The evaluation of responses will be accomplished by a selection committee, to be designated by the Parish, which will determine the response most advantageous to Parish, taking into consideration all evaluation factors set forth in the RFQ. The selection committee will evaluate each potential contractor in terms of its:

1. Professional qualifications necessary for satisfactory performance of required services.

2. Specialized experience and technical competence in the type of work required.

3. Capacity to accomplish the work in the required time.

4. Past performance on contracts with Government agencies and private industry in terms of cost control, quality of work, and compliance with performance schedules.

5. Location in general geographical area of the project and knowledge of the locality of the project;

provided, that application of this criterion leaves an appropriate number of qualified firms, given the nature and size of the project.

6.2 Administrative and Mandatory Screening

All responses will be reviewed to determine compliance with administrative and mandatory requirements as specified in the RFQ. Responses that are not in compliance may be rejected from further consideration.

6.3 Evaluation and Review

Responses will be evaluated based on information provided in the SOQ. The Selection committee will evaluate and score the responses using the criteria and scoring as listed in the attached Score Card (Exhibit A). The highest-ranked competitors will be selected and recommended to the Parish Council, subject to negotiations and final agreement on contract terms and amounts. In the event of a tie, oral interviews will be held with those firms.

As a result of the interviews, the Parish will determine which firm will be selected to enter contract negotiations.

6.4 Announcement of Contractor

The Parish will notify the successful responder(s) and proceed to finalize a contract. Unsuccessful respondents will be notified in writing accordingly. The award of a contract is subject to the approval of the Ascension Parish Council and DOTD review approval.

7. SUCCESSFUL CONTRACTOR REQUIREMENTS

7.1 Corporation Requirements

If the contractor is a corporation not incorporated under the laws of the State of Louisiana, the contractor shall have obtained a certificate of authority pursuant to R.S 12:301-302 from the Secretary of State of Louisiana, prior to submittal of qualification package.

If the contractor is a for-profit corporation whose stock is not publicly traded, the contractor shall ensure that a disclosure of ownership form has been properly filed with the Secretary of State Louisiana.

7.2 Monthly Invoices

Certified itemized invoices to the Parish for the payment of these services shall be submitted monthly by the Consultant. Each invoice shall be processed through the Finance Department and contain all justification necessary to verify the percentage of the task being billed or the task deliverable as applicable to each invoice.

7.3 Confidentiality

All financial, statistical, personal, technical and other data and information relating to the Parish’s operation which are designated confidential by the Parish and made available to the contractor in order to carry out a contract, or which become available to the contractor in carrying out a contract, shall be protected by the contractor from unauthorized use and disclosure through the observance of the same or more effective procedural requirements as are applicable to the Parish. The identification of all such confidential data and information as well as the Parish procedural requirements for protection of such data and information from unauthorized use and disclosure shall be provided by the Parish in writing to the contractor. If the methods and procedures employed by the contractor for the protection of the contractor’s data and information are deemed by the Parish to be adequate for the protection of the Parish’s confidential information, such methods and procedures may be used, with the written consent of the Parish, to carry out the intent of this paragraph. The contractor shall not be required under the provisions of the paragraph to keep confidential any data or information which is or becomes publicly available, is already in the contractor’s possession, is independently developed by the contractor outside the scope of the contract or is rightfully obtained from third parties.

Under no circumstance shall the contractor discuss and/or release information to the media concerning this project without prior express written approval of the Parish.

7.4 Audit

If requested, the selected Consultant shall provide the Parish with an Independent Certified Public Accountant (CPA)-audited overhead rate developed in accordance with Federal Acquisition Regulations

(FAR).

EXHIBIT A: SCORECARD

Ascension Parish Professional Selection Committee

Federal Grant Score Card

Date of Meeting:

Firm Name:

SCORE CARD FACTORS Weight

Max Total

Firm/Team Qualifications and Experience

Firm/Team shall be evaluated based on project specific experience and resources

Primary focus should be on Prime Consultants Experience; however, the other team members must be considered.

0-25pts

Key Personnel Qualifications and Experience

Specific Personnel Experience with Similar Projects must be considered

While Firm Principals are listed, they traditionally have little involvement in the design; Emphasis should be placed on the Project Managers and Project Engineers/Architects.

0-25 pts

Project Experience Consideration must be given to Firms/Teams that can show experience with

State/Federal regulations, codes, policies, procedures and standards to successfully facilitate project completion and familiarity with government operations in general at parish/county or municipal levels. Letters or other documentation of successfully implementing projects or programs are acceptable.

0-10 pts

Proposal/Understanding

Firm/Teams RFQ should identify understanding of project scope, the past work experience for both the firm and personnel should properly reflect project scope and user agency specifications.

0-5 pts

Compatibility (firm size versus project size)

Consideration for the size of the firm and available key personnel must be considered relative to the size of the project. This must be evaluated concurrently with the firm’s current workload.

0-5pts

Current Workload

Number and size of projects currently under contract must be considered in relation to available staff.

Past Performance

Points will be awarded based on letters or other documentation of successfully implementing projects or programs are acceptable; special capabilities to accomplish this scope of work; ability to meet deadlines and budgets; and quality of work.

0-5 pts

Special Conditions/Requirements Specified in RFQ

As specified in Section 5 of the RFQ

95pts TOTAL

Committee Member

(Print) Committee Member

(Signature) Date

EXHIBIT B: CERTIFICATION STATEMENT

CERTIFICATION STATEMENT

The undersigned hereby acknowledges she/he has read and understands all requirements and specifications of the Request for Qualifications (RFQ) or Request for Proposals (RFP), including attachments.

OFFICIAL CONTACT. The Ascension Parish Government (Parish) requests that the Proposer designate one person to receive all documents and the method in which the documents are best delivered. Identify the contact’s name and fill in the information below: (Print Clearly)

Date: Official Contact Name:

A. E-mail Address:

B. Phone Number: ( ) C. US Mail Address:

Proposer certifies that the above information is true and grants permission to the Parish or Agencies to contact the above-named person or otherwise verify the information provided.

By its submission of this proposal and authorized signature below, Proposer certifies that:

1. The information contained in its response to this RFQ/RFP is accurate.

2. Proposer complies with each of the mandatory requirements listed in the RFQ/RFP and will meet or exceed the functional and technical requirements specified therein.

3. Proposer accepts the procedures, evaluation criteria, mandatory contract terms and conditions, and all other administrative requirements set forth in this RFQ/RFP.

4. Proposer's quote is valid for at least 90 days from the date of proposal's signature below.

5. Proposer understands that if selected as the successful Proposer, he/she will have 30 business days from the date of delivery of final contract in which to complete contract negotiations, if any, and execute the final contract document.

Typed or Printed Name:

Title:

Company Name:

Address:

City: State: Zip:

Signature of Proposer's Authorized Representative Date

EXHIBIT C: STANDARD FORM AGP -1001

ATTACHMENT C: STANDARD FORM: APG-1001

STANDARD FORM: APG-1001

Professional Engineering and Related Services

(10/2008)

1. Project title 2. Project number

3a. Firm (as registered with the Louisiana Secretary of State) and mailing address of the office to perform work

3b. Name, title, telephone number, and e-mail address of the official with signing authority for this contract

3c. Name, Title, telephone number, e-mail address and registration number of full-time LA licensed engineer in responsible charge of the project (not required for non-engineering projects)

3d. I certify that the following information is accurate and complete to the best of my knowledge (must be same person as 3b):

Signature: Date:

4. Full-time personnel on firm’s payroll who are located at the primary work location identified in 3a above:

a. Civil Engineers, with current Louisiana P.E. registration

b. Environmental Engineers, with current Louisiana P.E. registration (not included in 4a)

c. Land Surveyors, with current Louisiana P.L.S. registration

d. Engineers In Training, with current Louisiana E.I. registration

e. Designers/Draftsmen

f. Survey Party Chiefs

g. Real Estate Professionals (Agents and Certified Appraisers)

h. Other personnel not included in above categories

Total personnel at primary work location (sum of a – h)

5. Full-time personnel on firm’s payroll, not located at the primary work locations, to be used on this project:

a. Civil Engineers

b. Environmental Engineers (not included in 5a)

c. Land Surveyors, with current Louisiana P.L.S. registration

d. Engineers In Training, with current Louisiana E.I. registration

e. Designers/Draftsmen

f. Survey Party Chiefs

g. Real Estate Professionals (Agents and Certified Appraisers)

h. Other personnel not included in above categories

Total personnel not located at the primary work location (sum of a – h)

6. Do you presently have sufficient staff to perform these services in the designated time frame? (Yes/No)

7. Identify the element of work (as defined in the advertisement), and the % of the element to be performed by the firm. Also, identify % of work for the overall project to be performed by the firm (must be at least 50%).

8. Do you intend to use a sub-consultant(s)? yes no

(For use by the Prime Consultant only) All subconsultants/associates listed for this project must attach a signed Form APG-1001

Name and address

Identify the element of work (as defined in the advertisement), and the % of the element to be performed by the sub-consultant Also, identify the % of work for the overall project to be performed by the sub-consultant.

Worked with prime before?

(Yes/No)

1.

2.

3.

4.

5.

9. Staffing Plan – A Diagram showing all personnel specifically assigned to each work element of the project, their duties, and immediate supervisors. The Staffing Plan should also include the same information for Sub-consultants (if applicable).

10. Brief résumé of key persons anticipated to work on this project

a. Name, title & domicile b. Position or Assignment for this project

c. Name of firm by which employed full time d. Years experience:

With this firm: With other firms:

e. Education: Degree(s) / Years / Specialization f. Active registration: Year registered:

Branch: State:

License No.:

g. Specific experience and qualifications relevant to the proposed project:

11. Work by firm which best illustrates project experience relevant to this project (List not more than 10 Projects)

a. Project name & location

b. Project description

c. Nature of firm’s responsibility & firm members involved

d. Client’s name, address, and telephone number

e. Completion date or Percent Complete & cost in thousands

12. All work by firm (all offices) currently being performed for or selected by Ascension Parish Government (as Prime or Sub-consultant)

a. Project name, and location*

b. Nature of your firm’s responsibility (also identify if prime or sub-consultant)

c. Percent complete (by phase/type of work)

d. Contract fees (in thousands)**

(by phase/type of work)

Total Remaining

* For master contracts, list open task orders individually

** Do not include sub-consultant’s fees Total

13. Use this space to provide any additional information or description of resources supporting your firm’s qualifications for the proposed project. This section may also be used to submit proposed prices, if required. A maximum of two (2) additional sheets may be utilized to answer this question.

All other sheets not specifically requested shall be excluded.

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