Contractors Qualification Cert. - ELECTRICAL BIDDERS ONLY.pdf

LEHIGH VALLEY INTERNATIONAL AIRPORT LNAA-CO-26-001

PARKING GARAGE / WALKWAY PROGRAM ISSUED FOR BID

JULY 21, 2026

BID BOOK BID FORMS – BF.25

CONTRACTOR’S QUALIFICATION STATEMENT & CERTIFICATION

**FORM TO BE FILLED OUT BY ELECTRICAL BIDDERS ONLY**

SECTION I – APPLICANT INFORMATION

Company Name*:

Contact Name:

Title:

Address:

E-Mail Address: __

*Insert corporation, partnership or individual as applicable.

Project Name: Parking Garage/Walkway Program

Project Number: LNAA-CO-26-001

As a condition of bidding for construction contracts with the Lehigh-Northampton Airport Authority and performing the above referenced project, all contractors are required to execute this qualification statement and certification. By submitting this form and a bid for the project, the undersigned contractor certifies that the following statements are true, complete, and accurate regarding the firm's qualifications, business integrity, performance capability, and responsibility.

Bids will be considered non-responsive if this qualification statement is not provided at time of bid opening or has not been fully executed. This qualification statement must be completed by a representative of the business who has legal authorization to sign contracts and has adequate knowledge to address the matters specified herein. By executing this qualification statement, the contractor is acknowledging each qualification standard and any and all qualification requirements identified in Part II - Section GP-1.05 and certifies the business currently complies with such requirements necessary for the project.

SECTION II – CONTRACTOR RESPONSIBILITY CERTIFICATIONS

For each statement in this section, a “YES” response certifies that the statement is true and the firm satisfies the requirement; i.e. If the firm has NOT been suspended or debarred, the response is “YES”. Should a bidder respond in the negative to any single question in this Section II, the bid shall be rendered non-responsive in accordance with the LNAA’s RCP and bid documents.

1) The firm and its employees possess all required licenses, registrations, certifications, and authorizations required by federal, state, county, and local law for the above referenced project.

YES NO

BID BOOK BID FORMS – BF.26

2) The firm satisfies all bonding and insurance requirements, including general liability, workers’ compensation, and unemployment insurance.

YES NO

3) The firm has NOT been suspended or debarred by any federal, state, or local governmental agency within the past three (3) years and is eligible to bid and be awarded any public works contract by any federal, state, or local government agency.

YES NO

4) The firm has NOT had a contract terminated for default and has not been adjudged to be in default in any legal proceeding within the past three (3) years.

YES NO

5) The firm has NOT had any business, contracting, trade license, registration, certification, or similar authorization revoked or suspended within the past three (3) years.

YES NO

6) Neither the firm nor its principals, owners, officers, or partners have been convicted of a crime relating to the contracting business within the past ten (10) years.

YES NO

7) The firm has NOT been found in violation of applicable contracting laws resulting in penalties of $1,000 or more within the past three (3) years.

YES NO

8) No surety has been notified of a potential claim, completed a contract on the firm’s behalf, or paid for completion due to default or termination by the project owner within the last ten (10) years.

YES NO

9) The firm has NOT been in bankruptcy at any time during the last five (5) years.

YES NO

10) The firm agrees to pay all craft employees the wage rates and fringe benefits required by law.

YES NO

11) All craft labor employees assigned to this project will have successfully completed a minimum OSHA 10-Hour Construction Safety Training Course.

YES NO

12) The firm will employ qualified craft employees in all classifications and trades necessary to perform the work.

BID BOOK BID FORMS – BF.27

13) The firm participates in a Class A Apprenticeship Program, or equivalent approved training program, for each applicable trade or classification. Apprenticeship documentation and any trade classifications must be submitted with this questionnaire at time of bid.

YES NO

SECTION III – REQUIRED EXPERIENCE

The responses submitted by the bidder to the questions contained in this Section III and IV shall be used by the Authority to evaluate the bidder’s responsibility, qualifications, experience, and capability to perform the work required under the Contract. Failure to provide satisfactory responses may result in a determination that the bidder is not responsible.

14) On a separate sheet, please list the major projects your organization has completed in the past five (5) years. Provide the name of the project, owner, engineer, contract amount, date of completion, and the percentage of cost to your organization for work you performed. Names and references must be current and verifiable.

15) On a separate sheet, please list the construction experience of the proposed project lead (working for the prime) and present commitments of the individuals who will be managing this project for your organization. Copies of resumes can be included.

Proposed project lead should have no more than 1 other project commitment of similar scope and nature; unless a schedule can be provided to ensure no conflicts will arise.

SECTION IV – REQUIRED PROJECT SPECIFIC EXPERIENCE

1) Has your firm or any subcontractor on your team successfully completed at least two (2) precast concrete parking structures or similar open-air facilities with full electrical scope (lighting, power distribution, controls) within the last ten (10) years? Provide project details, location, and contact name for the project.

YES NO

2) Have the project leads or employees with your firm or any subcontractor on your team successfully completed at least two (2) precast concrete parking structures or similar open-air facilities with full electrical scope (lighting, power distribution, controls) within the last ten (10) years? Provide the relevant list of individuals who will be assigned to this project.

YES NO

3) Has your firm or any subcontractor on your team installed garage lighting systems with photometric requirements and controls (e.g., occupancy/daylight sensors) within the last ten (10) years?

BID BOOK BID FORMS – BF.28

4) Has your firm or any subcontractor on your team completed projects within an active airport, or similar 24/7 operational facility in the last ten (10) years?

YES NO

5) Has your firm or any subcontractor on your team performed electrical work requiring phased outages or tie-ins to existing energized systems in the last ten (10) years?

6) Has the proposed Project Lead identified in Question#15 successfully managed a precast parking garage project, and a project within an active airport, or similar 24/7 operational facility in the last ten (10) years?

YES NO

7) Has your firm or any subcontractor on your team performed electrical work involving generators and switchgears in the last ten (10) years?

YES NO

8) Is your firm or any subcontractor on your team able to provide a Master Electrician dedicated to this project that has experience with NFPA 70 and NFPA 72 in the last ten

(10) years?

YES NO

9) Is your firm or any subcontractor on your team able to provide members who have experience with UPS and SSI?

BID BOOK BID FORMS – BF.29

SECTION V – FINANCIAL CAPACITY

Please attach a financial statement, preferably audited, including your organization’s latest balance sheet and income statement showing the following items:

a. Current assets (e.g. cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory, and prepaid expenses).

b. Net fixed assets, and other assets

c. Current liabilities (e.g. accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued payroll taxes).

d. Other liabilities (e.g. capital, capital stock, authorized and outstanding shares par values, earned surplus, and retained earnings).

Who prepared the attached financial statements?

Name & Date:

Address:

10) State your firm’s gross revenues for each of the last three (3) years:

Year: $ Year: $ Year: $

SECTION VI – BUSINESS PERFORMANCE AND COMPLIANCE

For each question in this section, a “YES” response indicates a disclosure item that must be explained on the Amplification Statement Form included at the end of this questionnaire. A “NO” response indicates that no such disclosure item applies.

11) At any time in the last five (5) years has your firm been assessed and paid liquidated damages after completion of the project under a construction contract with either a public or private owner? If the answer is yes, please provide an explanation of the reasons why, magnitude of the damages, and if legal arbitration or court decisions were required to execute the damages.

YES NO

12) In the last five (5) years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm?

YES NO

13) Has your firm ever been required to pay either back wages or penalties for your own firm’s failure to comply with Federal Davis-Bacon or State prevailing wage requirements?

BID BOOK BID FORMS – BF.30

14) Has OSHA (federal and/or state) cited and assessed penalties against your firm for any violations of its safety or health regulations in the last five (5) years?

YES NO

15) During the last five (5) years, has your firm ever been denied bond coverage by a surety company, or has there ever been a period of time when your firm had no surety bond in place during a public construction project when one was required?

YES NO

SECTION VII – CONTRACT UNDERSTANDING & COMMITMENT

For each statement or question in this section, a “YES” response confirms the firm’s understanding, agreement, commitment, or certification, as applicable. A “NO” response indicates an exception, inability to commit, or item requiring explanation on the Amplification Statement Form included at the end of this questionnaire.

16) Do you understand your role in project coordination and responsibilities related to the work by others, as identified in the project documents?

YES NO

17) The firm and all subcontractors on your team possess the qualifications and resources necessary to perform the work.

YES NO

18) The firm agrees to maintain all resources and capabilities throughout the duration of the project. The resources must be provided as needed to keep the project on the agreed upon and approved schedule.

YES NO

19) Do you understand your role in applying for and obtaining the building permits related to your scope of work as defined in the contract documents?

20) Do you understand that LNAA, PennDOT, the FAA, or other applicable governmental agencies may independently verify the contractor’s and subcontractors’ responsibility status, including suspension and debarment status?

YES NO

21) Do you understand the proposed milestones and associated durations and liquidated damages provided in the contract documents? Please indicate if you have any issues with the proposed durations defined in the contract documents.

YES NO

22) Do you commit that you can meet the proposed schedule based on the time restrictions and access requirements included in the contract documents?

BID BOOK BID FORMS – BF.31

23) Do you understand the process provided in the contract for Basis of Award with regards to providing a schedule of values as indicated in the contract documents?

YES NO

24) Do you understand that each prime contractor will be required to cooperate and take direction from the Airport Authority and/or designated owner’s representative or construction manager?

YES NO

25) Do you understand your role in project coordination and responsibilities related to the other prime contractors as defined in Section 011200 Multiple Contract Summary?

YES NO

26) The bidder has reviewed and fully understands the Rules and Regulations for Lehigh- Northampton Airport Authority that will be enforceable to the contractor and their subcontractors.

BID BOOK BID FORMS – BF.32

I certify that I am authorized to execute this Contractor’s Qualification Statement & Certification on behalf of the firm. I further certify that I possess sufficient knowledge to address all matters contained herein and that all information submitted is true, complete, and accurate.

I understand that any false statement, material omission, or misleading representation may result in disqualification, rejection of bid, contract termination, suspension from future Authority work, or any other remedy available under applicable law.

I declare under penalty of perjury that the foregoing is true and correct.

SIGNATURES

Date Submitter’s Signature

Title

Name of Organization Represented

The above submitter being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading.

Date Notary Public Signature

Commission Expiration

BID BOOK BID FORMS – BF.33

PERSONAL DESCRIPTION AND RELEASE

Note: Sole proprietors; ALL general and limited partners; and if not a publicly held corporation or its subsidiaries, ALL officers and directors and ALL stockholders owning more than FIVE PERCENT (5%) of any class of a corporation’s stock- ALL such persons must EACH complete a copy of this page.

The following personal information must be completed. The business and personal reputation of principals will be considered in qualifying bidders.

Name: First, Middle, Last:

Place and Date of Birth:

Driver’s License # & State:

Business Address:

Business Phone Number:

BID BOOK BID FORMS – BF.34

AMPLIFICATION STATEMENT FORM

(Include as many as applicable)

Continued from Question #:

Page # ____ of ____ Signature of Authorized Company Official