Bidders-Qualifications.pdf

Bidder’s Qualifications State of Ohio Standard Requirements

(2024-JUL) Page 1 of 3

Project Name: _________________________________________________

1. Company Name:

Physical Address:

Street, Building, Unit

City, State, Zip

Mailing Address (if different):

P.O. Box

City, State, Zip

Telephone Number (w/ Area Code): ( ________ ) __________________

Fax Number (w/ Area Code): ( ________ ) __________________

Email address:

2. Overall Experience. Indicate Bidder’s overall experience performing the trades bid, including the years in business performing the trade under present and former business names.

3. Financial. The apparent low Bidder shall submit, upon request of the Contracting Authority, either:

a) An annual financial statement prepared within the 12 months prior to the bid opening by an independent licensed accounting firm; and the name, address, contact person and phone number of the bank normally used by the Bidder for its primary banking; or,

b) A financial report generated within 30 days prior to the bid opening from Standard and Poor, Dun and Bradstreet or a similar company acceptable to the Contracting Authority documenting the financial condition of the Bidder; and the name, address, contact person and phone number of the bank normally used by the Bidder for its primary banking;

This information is not a public record under Ohio Revised Code Section 149.43; and shall remain confidential, except under proper order of a court.

Bidder’s Qualications

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4. Facilities & Equipment. Indicate Bidder’s relevant facilities and major equipment (leased or owned).

5. Ongoing & Relevant Projects. List all ongoing projects and projects completed in the last 5 years, which are similar in cost and type to the Project. Include scope of Work, Contract value, a description of EDGE participation and performance, and project name/contact person/address/phone number for each owner and the architect or engineer for each project.

6. Regulatory / Contractual. Indicate all occurrences of the following in the last 5 years (indicate if none). For verification, attach documentation, and/or provide sufficient and appropriate detail information such as: project name, owner, contact person and phone number, amount of contract, etc.

a) ODNR Division of Oil & Gas ORC 1509 / OAC 1501:9 violations

b) Affirmative Action program violations

c) Contract abandonment, contract termination, as either a prime- or sub-contractor, or Surety takeover

d) Debarment by state, federal, or local jurisdictions

Document 00 45 13 Bidder’s Qualications

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e) EPA/OSHA violations

f) Liquidated damages and Statutory Delay Forfeiture assessed

g) Drug-Free Safety Program and Drug Free Workplace Program violations

7. Management. Identify individuals assigned to this Project.

Principal _____________________________________ Years with firm ________ Total Exp._______

Project Manager _______________________________ Years with firm ________ Total Exp._______

Field Superintendent ____________________________ Years with firm ________ Total Exp.______

8. Certification. I hereby certify that the information in this entire Bidder’s Qualifications form, including all attachments and referenced information, is factual and complete.

Company Name ___________________________________________________________________

Authorized Official (please print or type) _______________________________________________

Signature of Authorized Official _______________________________ Date _________________

END OF DOCUMENT