Best Value JOC - Healthcare General Building - Prequalification Scorecard- Final 100625.pdf

PRE-QUALIFICATION SCORECARD FOR PRIME CONTRACTORS

SEEKING TO BID ON Best VALUE - JOB ORDER CONTRACTING (JOC) PROJECTS

Contractor Name: Category:

Attachment 1 VERIFICATION NO SCORE 0

Attachment 2 AUTHORIZATION TO RELEASE INFORMATION NO SCORE 0

Attachment 3 STANDARDIZED PROJECT REFERENCE INTERVIEW QUESTIONS 240 Total

This section is scored by the client references provided by the Applicant. (Total points for all project references interviewed).

1 On a scale of 1-10 with 10 being the best, Did the contractor provide adequate personnel? (Max 10 Points ) 30 Points

2 On a scale of 1-10 with 10 being the best, Did the contractor provide qualified supervision? (Max 10 Points) 30 Points

3 On a scale of 1-10 with 10 being the best, Was there adequate equipment provided on the job? (Max 10 Points) 30 Points

4 On a scale of 1-10 with 10 being the best, Was the contractor timely in providing reports and other paperwork, including change order paperwork and scheduling updates? (Max 10 Points)

30 Points

Was the project completed on time? (10 points if the answer is "Yes") 30 Points

Or, if the answer is "no," on a scale of 1-9 with 9 representing the least responsibility, to what extent was the contractor responsible for the delay in completion?to what extent was the contractor responsible for the delay in completion? (10 Point Max)

30 Points

6 On a scale of 1-10 with 10 being the best, rate how the contractor performed in the area of turning in Operation & Maintenance manuals, completing as-built drawings, providing required training and taking care of warranty items? (Max 10 Points )

30 Points

7 On a scale of 1-10 with 10 being the best, rate the contractor on whether there were a low number of claims, despite the complexity of the project, and how easy it was to resolve them. (Max 10 Points)

30 Points

8 On a scale of 1-10 with 10 being the best, how would you rate the quality of the contractor's performance overall? (Max 10 Points) 30 Points

Attachment 4 PRE-QUALIFICATION QUESTIONNAIRE

Part I GENERAL INFORMATION NO SCORE 0

Part II ESSENTIAL REQUIREMENTS PASS/FAIL PASS/FAIL

Part III ORGANIZATION AND STRUCTURE NO SCORE 0

SCORE

Attachment 4 Prequalification questionnaire RFQ 4.3.1

Attachment 1 Verficiation Form RFQ 4.3.2

Attachment 2 Release of Information Form RFQ 4.3.3

Notorized Surety Statement RFQ 4.3.4

General Liability Insurance Coverage RFQ 4.3.5

Bank/Financial Institution Letter RFQ 4.3.6

DIR Registration Copy RFQ 4.3.7

Healthcare General Building 559 / 745

Part VI: PROJECT REFERENCES

GRAND TOTAL SCORE

Minimum Scores

Part V: PROJECT EXPERIENCE

Attachment 3 PROJECT REFERENCE INTERVIEW

Attachment 4 PRE-QUALIFICATION QUESTIONNAIRE

Part IV: PERFORMANCE HISTORY - Bankruptcy, Disputes, Criminal Matters, Lawsuits

Part IV: PERFORMANCE HISTORY - Safety, Prevailing Wage & Apprenticeship

Part IV: PERFORMANCE HISTORY - Facilities Constructed

SUB-TOTAL ATTACHMENT NO. 3 STANDARDIZED PROJECT REFERENCE INTERVIEW QUESTIONS

POINTS SUMMARY

SCORE

BEST VALUE HEALTHCARE- JOC Prequalification Score Sheet

Points Available COMMENTS

REQUIRED ATTACHMENTS CHECKLIST

FAIL (do not continue) PASS

TOP INTERVIEW SCORE 1

REQUIRED ATTACHMENTS CHECKLIST

FAIL (do not continue) PASS

TOP INTERVIEW SCORE 2 TOP INTERVIEW SCORE 3

Evaluation Summary

SEEKING TO BID ON JOB ORDER CONTRACTING (JOC) PROJECTS

Part IV A. PERFORMANCE HISTORY - Bankruptcy, Disputes, Criminal Matters & Lawsuits 85 Total

15 points = 11 or more years

10 points = 6-10 years

5 points = 5 years or less

At any time during the past seven (7) years has Applicant or any Applicant Constituent Member (1) declared bankruptcy; (2) had filed against it a petition for involuntary bankruptcy; (3) been placed in receivership; or (4) entered into an assignment of substantially all of its assets for the benefit of its creditors?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Has any license issued by the California State Contractors’ License Board to Applicant, an Applicant Constituent Member, or a Responsible Managing Employee (RME) or Responsible Managing Officer (RMO) of either, been suspended at any time within the past five (5) years?

5 points 5 points = "No" (If "Yes" subtract 5 points)

At any time within the past five (5) years has Applicant been assessed liquidated damages, the assessment of which was not subsequently withdrawn or adjudged improper, on the basis of an assertion by a public or private owner that Applicant did not complete a construction project in accordance with the timing requirements of the construction contract between such owner and Applicant?

5 points 5 points = "No" (If "Yes" subtract 5 points)

At any time within the past five (5) years has Applicant, an Applicant Constituent Member, or any construction firm in which any of Applicant’s or an Applicant Constituent Member’s owners, directors, officers or partners was associated as an owner, director, officer or partner, been debarred or disqualified from bidding on any government agency or public works project for any reason?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Within the past five (5) years has Applicant or an Applicant Constituent Member been denied an award of a public works contract based on a finding by a public agency that it was not a responsible bidder?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Within the past five (5) years has any lawsuit or arbitration been commenced against Applicant concerning Applicant’s work on a public or private construction project?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Within the past five (5) years has commenced any lawsuit or arbitration against a project owner concerning work on, or payment for, a public or private project.

5 points 5 points = "No" (If "Yes" subtract 5 points)

Within the past five (5) years has any surety company made any payments on behalf of Applicant or an Applicant Constituent Member as a result of a default, or to satisfy any claims made against a performance or payment bond issued on Applicant’s or an Applicant Constituent Member’s behalf, in connection with a public or private construction project?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Within the past five (5) years has any insurance carrier, for any form of insurance, refused to renew an insurance policy for Applicant or an Applicant Constituent Member?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Has Applicant, an Applicant Constituent Member, or an owner, director, officer or partner of either, ever been found, based on a finding of its making any false claim or material misrepresentation to any public agency or entity, liable in a civil suit or guilty in a criminal action?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Has Applicant, an Applicant Constituent Member, or an owner, director, officer or partner of either, ever been convicted of a crime involving any federal, state, or local law related to construction?

5 points 5 points = "No" (If "Yes" subtract 5 points)

Has Applicant, an Applicant Constituent Member or an owner, director, officer or partner of either, ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?

5 points 5 points = "No" (If "Yes" subtract 5 points)

5 points = "No"

3 points = 1.0% ≤ 1.3%

0 points for any other answer

5 points = "No"

3 points = one (1) instance 0 points for any other answer

SCORE

Evaluator Name: ______________________________________________________

Contractor Name: Category: Date: ___________________________________________________________

Has Applicant or an Applicant Constituent Member been required to pay a premium of more than 1% for a performance and payment bond on any project(s) on which it worked at any time within the past three (3) years; and, if so, what is the highest percentage that Applicant or any Applicant Constituent Member was required to pay?

5 points

Within the past five (5) years, has Applicant or an Applicant Constituent Member ever been denied bond coverage by a surety company, or has there ever been a period of time when Applicant or an Applicant Constituent Member had no surety bond in place during a public construction project when one was required?

5 points

How many full calendar years prior to submission of its Prequalification Submittal has the Applicant (or if the Applicant is a Project Joint Venture, its Principal Managing Partner) in its current organizational form, been doing business in California as a contractor performing work of the type for which a contractor’s license has been issued to Applicant within the classification of each and all of the Required License(s)?

15 points

Part IV A. PERFORMANCE HISTORY - Safety, Prevailing Wage & Apprenticeship 45 Total

5 points = "No" 4 points = one (1) instance 3 points = two (2) instances 0 points = > two (2) instances 5 points = "No" 4 points = one (1) instance 3 points = two (2) instances 0 points = > two (2) instances

At any time within the past five (5) years has the Environmental Protection Agency (“EPA”), any Air Quality Management District (“AQMD”) or any Regional Water Quality Control Board (“RWQCB”) cited and assessed penalties against either Applicant, an Applicant Constituent Member or the owner of a project on which either was the contractor?

5 points 5 points = "No" ; 0 points = "Yes"

5 points = "Weekly" 3 points = "Bi-weekly" 1 point = "Monthly" 0 points = > "Monthly"

20 State the Applicant’s EMR for the past three (3) full calendar years. 5 points 5 points = less than or equal to 1 (If over 1 then subtract 5 points)

21 Within the past five (5) years has there ever been a period when Applicant or an Applicant Constituent Member had employees but was without workers’ compensation insurance or state-approved self-insurance?

5 points 5 points = "No" ; 0 points = "Yes"

5 points = "No" 4 points = one (1) instance 3 points = two (2) instances 0 points = > two (2) instances 5 points = "No" 4 points = one (1) instance 3 points = two (2) instances 0 points = > two (2) instances 5 points = "None" 4 points = one (1) project 3 points = two (2) projects 0 points = > two (2) projects

Provide below or on separate sheets the name, address, and telephone number of the apprenticeship program (approved by the California Apprenticeship Council) from which Applicant intends to request the dispatch of apprentices to Applicant for use on the Project for which prequalification is sought by Applicant.

NO SCORE 0

26 If Applicant operates its own State-approved apprenticeship program, state below or on separate signed sheets: NO SCORE 0

SCORE

Part IV PERFORMANCE HISTORY - Facilities Constructed 25 Total

25 points = 10 (10) or more 20 points = 6-10 projects 10 points = 3-5 projects 5 points = < three (3) projects

SCORE

Evaluator Name: ______________________________________________________

Contractor Name: Category: Date: ___________________________________________________________

SUB-TOTAL Facilities Constructed

SUB-TOTAL Safety, Prevailing Wage & Apprenticeship

How many Public Agency Facility and/or Public Healthcare Facility remodel, repair, or renovation projects (located in the State of California) has the Applicant (or, if the Applicant is a Project Joint Venture, its Principal Managing Partner) constructed and completed, in its capacity as a Prime Contractor or contractor within the category being qualified for in this prequalification, during the past ten

(10) years?

How frequently does Applicant hold documented safety meetings for construction employees and field supervisors during the course of a project (public or private)?

5 points

Has there been more than one occasion within the past five (5) years when Applicant or any Applicant Constituent Member was required to pay either back wages or penalties for its failure to comply with the Federal Davis-Bacon prevailing wage laws? (Violations of the prevailing wage laws by a subcontractor need not be included in the Applicant’s response)

5 points

Have there been one or more public works projects in the past five (5) years where Applicant has been found by the Department of Industrial Relations to have violated any provision of the California apprenticeship laws or regulations, or the laws pertaining to the use of apprentices on public works?

5 points

Has there been more than one occasion within the past five (5) years when Applicant or any Applicant Constituent Member was required to pay either back wages or penalties for its failure to comply with the California prevailing wage laws? (Violations of the prevailing wage laws by a subcontractor need not be included in the Applicant’s response)

5 points

Within the past five (5) years has CAL OSHA cited and assessed a penalty against Applicant (or, if the Applicant is a Project Joint Venture, its Principal Managing Partner) for any “serious,” “willful” or “repeat” violations of its safety or health regulations?

5 points

At any time within the past five (5) years has the federal Occupational Safety and Health Administration cited and assessed penalties against Applicant or any Applicant Constituent Member?

5 points

Points Available Point Detail COMMENTS SCORE

Part V FORM A. PROJECT EXPERIENCE -Public Healthcare Facilities General Building B (Applicant completes this section only if the Submittal is for Healthcare General Building B License)

350 Total

Medical Imaging Renovations How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant, as a B-Licensed Contractor, constructed and completed in the past five (5) years that included renovation or remodel work involving medical imaging systems (e.g., MRI, CT, X-ray) and associated structural, electrical, and shielding requirements?

Occupied Facility Renovations with Nurse Call Systems How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility, performed in partially occupied areas, has the Applicant constructed and completed in the past five (5) years that included installation, upgrade, or integration of a nurse call or patient communication system?

Medical Gas System Work How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant constructed and completed in the past five (5) years that included medical gas piping, manifolds, alarms, or equipment connections

Surgical Suite Renovations How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant constructed and completed in the past five (5) years that involved renovation or remodel of surgical/operating suite rooms, or other specialized surgical areas

Interim Life Safety Measures (ILSM) Compliance How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant constructed and completed in the past five (5) years that required Interim Life Safety Measure (ILSM) protocols, such as temporary egress modifications, fire watch, or barrier systems?

Specialty Bed Unit Renovations How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant constructed and completed in the past five (5) years that involved renovation or remodel of specialty bed units such as NICU, PICU, ICU, or other specialized patient care areas?

Sterile Processing Department (SPD) and Laboratory Areas How many hospital projects at an existing OSHPD 1 jurisdiction hospital facility has the Applicant constructed and completed in the past five (5) years that included renovation or remodel of a Sterile Processing Department (SPD) or hospital laboratory area?

SCORE

Total Point Detail COMMENTS SCORE

SUB-TOTAL

50 points = 10 or more 40 points = 7-9 projects 30 points = 4-6 projects 20 points = 2-3 projects

10 points = 1 project

BV Healthcare Categories Combin