Attachment H - Bidder Qualification Form for Historic Treatment Work.pdf

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK 000115 - 1

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK

[BUILDING]

[PROJECT NAME]

[ADDRESS]

[BUILDING] is a significant historic structure eligible to be listed in the National Register of Historic Places. The Bidder must demonstrate to the satisfaction of the Owner that its firm, and the personnel to be employed in the execution of the work, possess requisite experience in the successful completion of comparable work on other buildings listed in the National Register of Historic Places.

All items of this Bidder Qualification Form must be answered, and the data given must be clear and comprehensive. Failure to answer these questions in a complete and satisfactory manner will result in rejection of the Bid. The Owner reserves the right to reject any Bidder who, in the judgment of the Owner and based on a review of the Bidder Qualification Form, is not qualified to perform the work required for this Project. The Owner's decision regarding rejection of any Bidder Qualification Form shall be final.

Questions No. 1 through 5 refer specifically to the General Contractor's firm and will be used to determine the ability of the General Contractor to manage and perform the quality of work required for this Project. Questions 6 through 22 refer to the Specialists that would be performing the indicated work. If needed, answers may be on separate attached sheets. Submit photographic data as required.

“Specialist” shall mean an individual or firm of established reputation (or, if newly organized, whose personnel have previously established a reputation in the same field), which is regularly engaged in, and which maintains a regular force of workers skilled in either (as applicable) manufacturing or fabricating items required for the Project, installing items required for the Project, or otherwise performing work required for the Project. Bidder Qualification shall be required for the following:

General Contractor Historic Removals and Dismantling Specialist Historic Stone Masonry Repair and Repointing Specialist Historic Metal-Framed Skylight Specialist

If necessary, questions may be answered on separate attached sheets. The bidder may submit any additional information he desires. In submitting the names of the persons and firms below, the Bidder represents that he has investigated the qualifications of the submitted persons and firms and has found them to have performed the work stated.

GENERAL CONTRACTOR

1. How many years has your organization been in business under its present name?

2. How many years under previous business names (if any)?

3. List previous names.

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK 000115 - 2

4. List projects on which historic preservation/restoration/renovation work was performed within the past five (5) years on buildings listed in the National Register of Historic Places.

A minimum of three (3) projects successfully completed in the past five (5) years is required to be acceptable. A contractor need not have performed all of the above types of construction on a single project. Provide a brief description and at least 5 photographs of each of the listed projects, clearly depicting the scope of work of the project. Two of the following projects should be similar in size, nature, and scope to the [PROJECT].

Project Name & Address Year Cost Owner (Tel.#) Architect (Tel.#)

A.

B.

C.

D.

5. Provide the names of proposed supervisors and foremen to be employed on this job.

Indicate on which job, of the ones listed above, they have worked. On a separate sheet, give brief resume of each describing their specific qualifications and past experience in supervising, directing and executing work comparable to that required in this project.

Name Number of years Jobs on which they have worked assoc. with firm (selected from above)

SPECIALISTS

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK 000115 - 3

6. Will you subcontract any part of the work? If so, list subcontractors and their trade:

7. List at least three (3) jobs involving Historic Removals and Dismantling work that your firm (or subcontractor) has executed in the past five (5) years on buildings listed in the National Register of Historic Places.

8. Provide the names of skilled personnel proposed for Historic Removals and Dismantling work. Indicate on which job, of the ones listed above, they have worked. On separate sheet, give brief resume of each describing their specific qualifications and past experience in performing Historic Removals and Dismantling work.

9. List at least three (3) jobs involving Historic Stone Masonry Repair and Repointing work

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK 000115 - 4

that your firm (or subcontractor) has executed in the past five (5) years in buildings listed in the National Register of Historic Places.

10. Provide the names of skilled personnel proposed for Historic Stone Masonry Repair and

Repointing work. Indicate on which job, of the ones listed above, they have worked. On separate sheet, give brief resume of each describing their specific qualifications and past experience in performing Historic Stone Masonry Repair and Repointing work.

11. List at least three (3) jobs involving Historic Metal-Framed Skylight Repair work that your firm (or subcontractor) has executed in the past five (5) years on buildings listed in the National Register of Historic Places.

BIDDER QUALIFICATION FORM FOR HISTORIC TREATMENT WORK 000115 - 5

12. Provide the names of skilled journeyman personnel proposed for Historic Metal-Framed Skylight Repair work. Indicate on which job, of the ones listed above, they have worked.

On separate sheet, give brief resume of each describing their specific qualifications and past experience in performing Historic Metal-Framed Skylight Repair work.

Submitted by:

_________________________________________________ Seal: (If firm is a corporation) Legal name of firm (please type)

Address (please type)

Name and title of signer (please type)

Signature Date

Notary Public Date