DCAMM.pdf

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Attached to
Radiator Cover Project at various BPS Phase 4
Solicitation number
EV00017970
Issued by
Suffolk County, Massachusetts

About this file

This document comprises Prime Contractor and Sub-Bidder Update Statement forms issued by the Division of Capital Asset Management and Maintenance (DCAMM) in Massachusetts, applicable to the Radiator Cover Project at various Boston Public Schools (BPS) Phase 4 locations. These mandatory forms must be submitted with all prime bids and filed sub-bids pursuant to Massachusetts General Law Chapter 149, Sections 44A and 44F, and Chapter 149A. The forms require bidders to provide comprehensive updated information on all completed projects since their most recent certificate of eligibility issuance, currently held contracts regardless of commencement status, and supervisory personnel assignments. Bidders must document project titles, locations, work categories, contract prices, start dates, and completion dates, along with contact information for project owners, designers, and general contractors for reference verification purposes.

The update statements establish specific bidding limits based on single project limits and aggregate work limits, with calculations for annualized value of incomplete work on currently held contracts. Bidders must disclose any terminations, failures to perform, bankruptcies, bond invocations, surety payments, mechanic's liens, workplace deaths, and injuries resulting in extended absences. Additionally, bidders must report all judicial actions, administrative proceedings, criminal charges, and violations related to construction procurement laws, state ethics laws, labor regulations, discrimination, environmental laws, OSHA sanctions, and diversity program compliance since their application date. Any materially false statements result in bid rejection and debarment from public contracting. Awarding authorities retain discretion to request corrections for formal errors while maintaining the right to reject bids containing omitted material information affecting bidder responsibility and competency determinations.

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M

DIVISION OF

CAPITAL ASSET

MANAGEMENT RMANAGEMENT &

MAINTENANCE

PRIME UPDATE STATEMENTS ARE NOT PUBLIC RECORDS AND

ARE NOT OPEN TO PUBLIC INSPECTION (M.G.L. C.149, §44D)

TO ALL BIDDERS AND AWARDING AUTHORITIES

A COMPLETED AND SIGNED PRIME CONTRACTOR UPDATE STATEMENT MUST BE SUBMITTED WITH EVERY

PRIME BID FOR A CONTRACT PURSUANT TO M.G.L. c.149, §44A AND M.G.L. c. 149A. ANY PRIME BID

SUBMITTED WITHOUT AN APPROPRIATE UPDATE STATEMENT IS INVALID AND MUST BE REJECTED.

Caution: This form is to be used for submitting Prime Contract bids. It is not to be used for submitting Filed Sub-Bids or Trade Sub-Bids.

AWARDING AUTHORITIES

If the Awarding Authority determines that the bidder does not demonstrably possess the skill, ability and integrity necessary to perform the work on the project, it must reject the bid.

BIDDER'S AFFIDAVIT

I swear under the pains and penalties of perjury that I am duly authorized by the bidder named below to sign and submit this Prime Contractor Update Statement on behalf of the bidder named below, that

I have read this Prime Contractor Update Statement, and that all of the information provided by the bidder in this Prime Contractor Update Statement is true, accurate, and complete as of the bid date.

Bid Date Print Name of Prime Contractor

Project Number

(or name if no number)

Awarding Authority

Business Address

Telephone Number

SIGNATURE

Bidder's Authorized Representative

INSTRUCTIONS

Division of Capital Asset Management and Maintenance

Prime Contractor DUpdate Statement

Effective March 30, 2023

INSTRUCTIONS TO BIDDERS

This form must be completed and submitted by all

Prime contractors bidding on projects pursuant to

M.G.L. c. 149, §44A and M.G.L. c. 149A.

You must give complete and accurate answers to all questions and provide all of the information requested. MAKING A MATERIALLY FALSE

STATEMENT IN THIS UPDATE STATEMENT IS

GROUNDS FOR REJECTING YOUR BID AND FOR

DEBARRING YOU FROM ALL PUBLIC

CONTRACTING.

This Update Statement must include all requested information that was not previously reported on the Application used for your firm's most recently issued (not extended or amended)

Prime Contractor Certificate of Eligibility. The Update Statement must cover the entire period since the date of your Application, NOT since the date of your Certification.

CAPITAL ASSET MANAGEMENT AND

MAINTENANCE. Telephone (617) 727-9320 for an appointment.

Bidding Limits

Single Project Limit: The total amount of the bid, including all alternates, may not exceed the bidder's

Single Project Limit.

Aggregate Work Limit: The annual value of the work to be performed on the contract for which the bid is submitted, when added to the annual cost to complete the bidder's other currently held contracts, may not exceed the bidder's Aggregate Work Limit.

Use the following procedure to determine whether the low bidder is within its Aggregate Work Limit:

Step 1

You must use this official form of Update

Statement. Copies of this form may be obtained from the awarding authority and from the Division of Capital Asset Management and Maintenance

Web Site: www.mass.gov/DCAMM.

If additional space is needed, please copy the appropriate page of this Update Statement and attach it as an additional sheet. Step 2

See the section entitled "Bidding Limits" in the

Instructions to Awarding Authorities for Important information concerning your bidding limits.

INSTRUCTIONS TO AWARDING AUTHORITIES

Determination of Bidder Qualifications

It is the awarding authority's responsibility to determine who is the lowest eligible and responsible bidder. You must consider all of the information in the low bidder's Update Statement in making this determination. Remember: this information was not available to the Division of

Capital Asset Management and Maintenance at the time of certification.

The bidder's performance on the projects listed in

Parts 1 and 2 must be part of your review.

Contact the project references.

Step 3

AWARDING AUTHORITIES ARE STRONGLY

ENCOURAGED TO REVIEW THE LOW BIDDER'S

ENTIRE CERTIFICATION FILE AT THE DIVISION OF

Division of Capital Asset Management and Maintenance

Prime Contractor Update Statement

Review Update Statement Question #2 to make sure that all requested information is provided and that the bidder has accurately calculated and totaled the annualized value of all incomplete work on its currently held contracts (column 9).

Determine the annual dollar value of the work to be performed on your project.

This is done as follows:

(i) If the project is to be completed in less than 12 months, the annual dollar value of the work is equal to the full amount of the bid.

(ii) If the project will take more than 12 months to complete, calculate the number of years given to complete the project by dividing the total number of months in the project schedule by 12 (calculate to 3 decimal places), then divide the amount of the bid by the calculated number of years to find the annual dollar value of the work.

Add the annualized value of all of the bidder's incomplete contract work (the total of column 9 on page 5) to the annual dollar value of the work to be performed on your project. The total may not exceed the bidder's Aggregate

Work Limit.

Correction of Errors and Omissions in Update

Statements

Matters of Form: An awarding authority shall not reject a contractor's bid because there are mistakes or omissions of form in the Update Statement submitted with the bid, provided the contractor promptly corrects those mistakes or omissions upon request of the awarding authority. [810 CMR 8.05(1)].

Correction of Other Defects: An awarding authority may, in its discretion, give a contractor notice of defects, other than mistakes or omissions of form, in the contractor's Update Statement, and an opportunity to correct such defects, provided the correction of such defects is not prejudicial to fair competition. An awarding authority may reject a corrected Update Statement if it contains unfavorable information about the contractor that was omitted from the Update Statement filed with the contractor's bid. [810 CMR 8.05(2)].

Division of Capital Asset Management and Maintenance Page 3 of 11

Prime Contractor Update Statement Effective March 30, 2023

P A R T

C O M P L E T E D

P R O J E C T S

L I S T

A L L P U B L I C

A N D

P R I V A T E B U I L D I N G

P R O J E C T S Y O U R F I R M

H A S C O M P L E T E D

S I N C E

T H E D A T E O F

A P P L I C A T I O N

F O R

Y O U R

M O S T

R E C E N T L Y

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N O T E X T E N D E D

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A M E N D E D

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C E R T I F I C A T E

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LI

GI

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A t t a c h a d d i t i o n a l s h e e t s if n e c e s s a r y

If y o u r f i r m h a s b e e n t e r m i n a t e d f r o m a p r o j e c t pr io r t o c o m p l e t i o n o f t h e w r k o r h a s fa il ed o r re fu se d t o c o m p l e t e it s w o r k u n d e r a n y c o n t r a c t f ul l de ta il s a n d a n e x p l a n a t i o n m u s t b e p r o v i d e d

S e e

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D i v i s i o n o f C ap it al

A s s e t M a n a g e m e n t a n d

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R O V I D E

T H E F O L L O W I N G

R E F E R E N C E

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F O R E A C H C O M P L E T E D P R O J E C T L I S T E D

O N T H E P R E V I O U S P A G E

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Y E S

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A r e a n y o f t h e c o n t a c t p e r s o n s n a m e d a b o v e a ff il ia te d wi th y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c on tr ol y o u r c o m p a n y ei th er t h r o u g h a b u s i n e s s o r f am il y re la ti on sh ip

If y o u h a v e a n s w e r e d Y E S t o e i t h e r q u e s t i o n e xp la in

Y E S

N O

D i v i s i o n o f C ap it al

A s s e t M a n a g e m e n t a n d

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(y es /n o)

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6)

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If l e s s t h a n o n e y e a r is le ft in e p r o j e c t s c h e d u l e w r i t e

1.

If o r a n m o n t s e le ft in e pr oj ec t s c h e d u l e d i v i d e t h e n u m b f m o n t h s le ft i n t h e p ro je ct s c h e d u l e b y

(c al cu la te t o t h r e e d e c i m a l p la ce s)

D i v i s i o n o f

C ap it al s s e t M a n a g e m e n t a n d

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.1

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O V I D E

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R E F E R E N C E I N F O R M A T I O N

F O R E A C H

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L I S T E D

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N A M E

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P E R S O N

T E L E P H O N E

Is y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c on tr ol s y o u r c o m p a n y a ff il ia te d w i t h a n y o w n e r de si gn g e n e r a l c o n t r a c t o r n a m e d a b o v e ei th er t h r o u g h a b u s i n e s s o r f am il y re la ti on sh ip

Y E S

N O

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YE

S

N O

If y o u h a v e a n s w e r e d Y E S t o e i t h e r q ue st io n, e xp la in

D i v i s i o n o f

C ap it al

A s s e t M a n a g e m e n t a n d

M a i n t e n a n c e

P r i m e

C o n t r a c t o r

U p d a t e S t a t e m e n t

P a g e o f

E f f e c t i v e M a r c h

For Parts 3 and 4, if you answer YES to any question, please provide on a separate page a complete explanation. You must report all requested information not previously reported on your most recent DCAМM

Application for Prime Certificate of Eligibility. Information must supplement all judicial and administrative proceedings involving bidder's firm, which were instituted or concluded (adversely or otherwise) since your firm's Application for your most recently issued (not extended or amended) Certificate of Eligibility. Include all details [project name(s) and location(s), names of all parties involved, relevant dates, etc.].

PART 3-GENERAL PERFORMANCE

Part 3 of the Update Statement corresponds to Section 5 of the Prime Application. The numbering below refers back to the numbered questions in the application for your reference.

Prime Application Section 5- General Performance

5.A. Has your Company been terminated prior to completion of a Contract?

5.B. Has your Company failed or refused to perform or complete any of its Scope of Work under any Contract prior to substantial completion?

5.C.

5.D.

5.E.

Has your Company and/or any principal, officer, or individual with a Financial Interest in your Company filed for bankruptcy?

Has a surety for your Company taken over or been asked to complete your Scope of

Work under any Contract?

Has a payment or performance bond been invoked against your Company on any

Contract?

5.F. Has any surety for your Company made payment under a payment bond to a vendor or supplier or other party on any Contract?

5,G. Has any subcontractor filed a demand for direct payment on any of your Contracts?

5.H. Has a lawsuit been filed by any of your subcontractors or suppliers to enforce a mechanic's lien in connection with any of your Contracts?

5.1. Has there been a death of any Company employee or other person in connection with (or as the result of) performing your Company's Scope of Work on any of your Contracts?

5.J. Has any Company employee or other person suffered an injury while performing any tasks within the Scope of Work on any of your Contracts resulting in his/her inability to return to work for a period in excess of one year?

Division of Capital Asset Management and Maintenance

Prime Contractor Update Statement

YES NO

PART 4-LEGAL OR ADMINISTRATIVE PROCEEDINGS; COMPLIANCE WITH LAWS

Part 4 of the Update Statement corresponds to section 6 of the Prime Application. The numbering below refers back to the numbered questions in the application for your reference.

Prime Application Section 6-Legal or Administrative Proceedings; Compliance with Laws

The term "administrative proceeding" as used in this Prime Contractor Update Statement includes (i) any action taken or proceeding brought by a governmental agency, department or officer to enforce any law, regulation, code, legal, or contractual requirement, except for those brought in state or federal courts, or (ii) any action taken by a governmental agency, department or officer imposing penalties, fines or other sanctions for failure to comply with any such legal or contractual requirement.

The term "anyone with a financial interest in your firm" as used in this Section "I", shall mean any person and/or entity with a 5% or greater ownership interest in the applicant's firm.

6.A. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to the procurement or performance of any of your

Contracts?

6.B. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal construction

6.C.

6.D.

procurement laws?

Have any criminal charges involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to the procurement or performance of any of your Contracts (e.g., fraud, graft, embezzlement, forgery, bribery, falsification or destruction of records or receipt of stolen property)?

Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of state ethics laws (in

Massachusetts: M.G.L. Chapter 268A)?

Division of Capital Asset Management and Maintenance Prime Contractor Update Statement

Effective March 30, 2023

Section 6 - Legal or Administrative Proceedings; Compliance with Laws (continued)

6.E, Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal law regulating hours of labor, unemployment compensation, minimum wages, prevailing wages, overtime pay, equal pay, child labor or worker's compensation?

6.F. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal law prohibiting discrimination in hiring and/or employment?

6.G. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled for violation of any state or federal law regulating labor relations, including collective bargaining agreements, employee welfare benefit plans, employee pension benefit plans, other ERISA and non-ERISA plans?

6.H. Have any proceedings by a local, state, or federal agency been brought, concluded, or settled relating to decertification, debarment or suspension of your Company and/or any principal or officer or individual with a Financial Interest in your Company from construction contracting?

6.1. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of state or federal environmental laws?

6.J. Has your Company been fined or sanctioned by OSHA and/or any other state or federal agency for violations of any laws or regulations related to occupational health or safety?

6.K. Has your Company ever (i) failed to meet applicable workforce and/or diversity program goals, benchmarks or other requirements, and/or (Ii) been sanctioned, fined and/or penalized for non-compliance with workforce policies and/or diversity programs (e.g., for

MBES, WBES, SDVOBES and DBEs) and/or failure to maintain and/or submit required reports, such as certified payrolls.

6.L. Other than previously reported in the above questions, have any Judicial Actions or

Administrative Proceedings or investigations involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled by any local, state or federal agency relating to the procurement or performance of any construction contract?

Division of Capital Asset Management and Maintenance

Prime Contractor Update Statement

PART 5- SUPERVISORY PERSONNEL

List all supervisory personnel, such as project managers and superintendents, who will be assigned to the project if your firm is awarded the contract. Attach the resume of each person listed below.

NAME TITLE OR FUNCTION

PART 6- CHANGES IN BUSINESS ORGANIZATION OR FINANCIAL CONDITION

Have there been any changes in your company's business organization (including changes in ownership, mergers, or asset/stock sales), financial condition or bonding capacity since the date your current Certificate of Eligibility was issued? Yes ☐ No

If YES, attach a separate page providing complete details.

PART 7- LIST OF COMPLETED CONSTRUCTION PROJECTS SUBMITTED TO THE DIVISION OF CAPITAL ASSET

MANAGEMENT AND MAINTENANCE.

Attach here a copy of the list of completed construction projects which was submitted with your firm's DCAMM Application for your most recently issued (not extended or amended) DCAMM

Certificate of Eligibility. The Attachment must înclude a complete copy of the entire Projects

Table -"Completed Projects" and the final page -"Certification" (Signature Page) containing the signature and date that the Completed Projects list was submitted to the Division of Capital Asset Management and Maintenance.

Division of Capital Asset Management and Maintenance

Prime Contractor Update Statement

М

DIVISION OF

CAPITAL ASSET

MANAGEMENT &

MAINTENANCEMAINTENANCE

SUB-BIDDERS' UPDATE STATEMENTS ARE NOT PUBLIC RECORDS AND

ARE NOT OPEN TO PUBLIC INSPECTION (M.G.L. C.149, §44D)

Sub-Bidder Update Statement

TO ALL SUB-BIDDERS, TRADE CONTRACTORS AND AWARDING AUTHORITIES

A COMPLETED AND SIGNED SUB-BIDDER UPDATE STATEMENT MUST BE SUBMITTED WITH EVERY FILED SUB-

BID PURSUANT TO M.G.L. c.149, §44F AND EVERY TRADE SUB-BID PURSUANT TO M.G.L. c. 149A. ANY FILED

SUB-BID OR TRADE SUB-BID SUBMITTED WITHOUT AN APPROPRIATE SUB-BIDDER UPDATE STATEMENT IS

INVALID AND MUST BE REJECTED.

Caution: This form is to be used for submitting Filed Sub-Bids and Trade Sub-Bids Only

AWARDING AUTHORITIES

If the Awarding Authority determines that the Sub-Bidder is not competent to perform the work as specified on the project, it should reject the bid.

SUB-BIDDER'S AFFIDAVIT

I swear under the pains and penalties of perjury that I am duly authorized by the bidder named below to sign and submit this Sub-Bidder Update Statement on behalf of the bidder named below, that have read this Sub-Bidder Update Statement, and that all of the information provided by the bidder in this Sub-Bidder Update Statement is true, accurate, and complete as of the bid date.

Bid Date Print Name of Sub-Bidder or Trade Contractor

Project Number

(or name if no number)

Business Address

Awarding Authority Telephone Number

SIGNATURE

Bidder's Authorized Representative

Division of Capital Asset Management and Maintenance

Sub-Bidder Update Statement

Updated March 2023

INSTRUCTIONS

INSTRUCTIONS TO SUB-BIDDERS

This form must be completed and submitted by all

Filed Sub-Bidders bidding on projects pursuant to

M.G.L. c. 149, §44F and Trade Contractors bidding on projects pursuant to M.G.L. cс. 149А.

You must give complete and accurate answers to all questions and provide all of the information requested. MAKING A MATERIALLY FALSE

STATEMENT IN THIS SUB-BIDDER UPDATE

STATEMENT IS GROUNDS FOR REJECTING YOUR

BID AND FOR DEBARRING YOU FROM ALL PUBLIC

CONTRACTING.

This Sub-Bidder Update Statement must include all requested information that was not previously reported on the Application used for your company's most recently issued (not extended or amended) Sub-Bidder Certificate of Eligibility.

The Sub-Bidder Update Statement must cover the entire period since the date of that

Application, NOT since the date of your

Certification.

You must use this official form of Sub-Bidder

Update Statement. Copies of this form may be obtalned from the awarding authority or from the

DCAMM Web Site:

www.mass.gov/DCAMM/certification.

If additional space is needed, please copy the appropriate page of this Sub-Bidder Update Statement and attach it as an additional sheet.

INSTRUCTIONS TO AWARDING AUTHORITIES

Determination of Sub-Bidder Qualifications

It is the awarding authority's responsibility to determine each responsible bidder. You must consider all of the information in the bidder's Sub-

Bidder Update Statement in making this determination. Remember: this information was not available to the Division of Capital Asset

Management and Maintenance at the time of certification.

The Sub-Bidder's performance on the projects listed in Parts 1 and 2 must be part of your review.

Contact the project references.

Awarding Authorities are strongly encouraged to review the Sub-Bidder's entire certification file at the Division of Capital Asset Management and

Maintenance, telephone (857) 204-1305 or via email at certification.DCAMM@mass.gov for an appointment.

Correction of Errors and Omissions in Sub-Bidder

Update Statements

Matters of Form: An awarding authority shall not reject a Sub-Bidder's bid because there are mistakes or omissions of form in the Sub-Bidder Update

Statement submitted with the bid pursuant to M.G.L.

c.149, §44D, provided the Sub-Bidder promptly corrects those mistakes or omissions upon request of the awarding authority. [810 CMR 8.13(1)]

Correction of Other Defects: An awarding authority may, in its discretion, give a Sub-Bidder notice of minor defects and omissions as to form in the Sub-

Bidder's Update Statement and provide an opportunity to correct its Sub-Bidder Update

Statement. However, the Sub-Bidder shall not be allowed to make corrections to a Sub-Bidder Update

Statement if material information about the Sub-

Bidder was omitted from the Sub-Bidder Update

Statement filed with the Sub-Bidder's bid. The

Awarding Authority shall advise DCAMM of any material omissions in a Sub-Bidder's Update

Statement. [810 CMR 8.13(2)]

Divislon of Capital Asset Management and Maintenance

Sub-Bidder Update Statement

R T

C O M P L E T E D P R O J E C T S

L i s t A ll

P u b l i c

A n d

P r i v a t e

Pr oj ec ts

O f o r m o r e y o u r c o m p a n y h a s c o m p l e t e d s i n c e t h e d a t e o f a pp li ca ti on f o r y o u r m o s t re ce nt ly i s s u e d n o t e x t e n d e d o r a m e n d e d S u b B i d d e r

C er ti fi ca te

O f E li gi bi li ty

P R O J E C T T I T L E

L O C A T I O N

W O R K

C A T E G O R Y

C O N T R A C T

P R I C E

S T A R T

D A T E

D A T E

C O M P L E T E D

A t t a c h a d d i t i o n a l s h e e t s i f n e c e s s a r y

If y o u r c o m p a n y h a s b e e n t e r m i n a t e d f r p r o j e c t p r i o r t o c o m p l e t i o n o f t w r k o r h a s f a i l e d o r r e f u s e d t o c o m p l e t e it s w o r k u n d e r a n y c o n t r a c t fu ll d et ai ls n d a n e x p l a n a t i o n m u s t b e pr ov id ed S e e

P a r t o f t h i s S u b B i d d e r

U p d a t e

S t a t e m e n t

D i v i s i o n o f C ap it al

A s s e t M a n a g e m e n t a n d

M a i n t e n a n c е

S u b B i d d e r

U p d a t e S t a t e m e n t

P a g e of

U p d a t e d M a r c h

O V I D E

T H E

F O L L O W I N G R E F E R E N C E

I N F O R M A T I O N

F O R

E A C H

C O M P L E T E D P R O J E C T L I S T E D

O N T H E P R E V I O U S

P A G E

P R O J E C T

T I T L E

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

C O M P A N Y N A M E

C O N T A C T

P E R S O N

T E L E P H O N E

E M A I L

A D D R E S S

Is y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c o n t r o l s y o u r c o m p a n y a ff il ia te d w i t h a n y o w n e r d es ig ne r o r g e n e r a l c o n t r a c t o r n a m e d a b o v e ei ro ug h a b u s i n e s s o r fa mi ly l a t i o n s h i p

Y E S

N O

A r e a n y o f t h e c o n t a c t p e r s o n s n a m e d a b o v e a ff il ia te d w i t h y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c o n t r o l y o u r c o m p a n y e i t h e r t h r o u g b u s i n e s s o r f a m i l y r el at io ns hi p?

If y o u h a v e a n s w e r e d Y E S t o e i t h e r q u e s t i o n e xp la in

Y E S

N O

Di vi si on f C ap it al

A s s e t M a n a g e m e n t a n d

M a i n t e n a n c e

S u b B i d d e r U p d a t e

S t a t e m e n t

P a g e o f

U p d a t e d

M a r c h

R T

P R O J E C T S

I N

P R O G R E S S

C O N T R A C T S

L i s t a ll p u b l i c a n d p ri va te p ro je ct s o f o r m o r e y o u r c o m p a n y h a s u n d e r c o n t r a c t o n t h i s d a t e re ga rd le ss o f w h e n o r w h e t h e r t h e w o r k c o m m e n c e d . 1

P R O J E C T

T I T L E

L O C A T I O N

W O R K

C A T E G O R Y

S T A R T

A N D

E N D

D A T E S

(M M/

YY

YY

O N

S C H E D U L E

(y es

/n o)

C O N T R A C T

P R I C E

N O T

C O M P L E T E

Di vi si on o f

C ap it al

A s s e t

M a n a g e m e n t a n d

M a i n t e n a n c e

S u b B i d d e r U p d a t e S t a t e m e n t

P a g e o f

U p d a t e d M a r c h

V A L U E

O F

W O R K

N O T

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(c ol

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O V I D E

T H E

F O L L O W I N G R E F E R E N C E

I N F O R M A T I O N

F O R

E A C H

I N C O M P L E T E

P R O J E C T

L I S T E D O N

T H E P R E V I O U S P A G E

P R O J E C T

T I T L E

C O M P A N Y N A M Е

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

O W N E R

D E S I G N E R

G C

C O N T A C T

P E R S O N

T E L E P H O N E

E M A I L

A D D R E S S

Is y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c on tr ol s y o u r c o m p a n y a ff il ia te d w i t h a n y o w n e r d e s i g n e r o r g en al c n t r a c t o r n a m e d a b o v e e i t h e r th ro ug h a b u s i n e s s o r f a m i l y r e l a t i o n s h i p

Y E S

N O

A r e a n y o f t h e c o n t a c t p e r s o n s n a m e d a b o v e a ff il ia te d wi th y o u r c o m p a n y o r a n y i nd iv id ua l w h o o w n s m a n a g e s o r c on tr ol y o u r c o m p a n y e it he r t h r o u g h a b u s i n e s s o r f am il y r e l a t i o n s h i p

Y

ES

N O

If y o u h a v e a n s w e r e d

Y E S t o e i t h e r q u e s t i o n e xp la in

Di vi si on o f

C ap it al

A s s e t M a n a g e m e n t a n d

M a i n t e n a n c e

S u b B i d d e r U p d a t e S t a t e m e n t

P a g e o f

U p d a t e d

M a r c h

PART 3- GENERAL PERFORMANCE

For Parts 3 and 4, if you answer YES to any question, please provide on a separate page a complete explanation. Information you provide herein must supplement the application for your most recently issued (not extended or amended) Sub-Bidder Certificate of Eligibility. You must report all requested information not previously reported on that application.

Include all details [project name(s) and location(s), names of all parties involved, relevant dates, etc.].

YES NO

5A. Has your Company been terminated prior to completion of a Contract?

5B. Has your Company failed or refused to perform or complete any of its Scope of Work under any Contract prior to substantial completion?

5C. Has your Company and/or any principal, officer, or individual with a Financial Interest in your Company filed for bankruptcy?

5D. Has a surety for your Company taken over or been asked to complete your Scope of Work

5E.

under any Contract?

Has a payment or performance bond been invoked against your Company on any

Contract?

5F. Has any surety for your Company made payment under a payment bond to a vendor or supplier or other party on any Contract?

5G. Has any subcontractor filed a demand for direct payment on any of your Contracts?

5H. Has a lawsuit been filed by any of your subcontractors or suppliers to enforce a mechanic's lien in connection with any of your Contracts?

51. Has there been a death of any Company employee or other person in connection with (or as the result of) performing your Company's Scope of Work on any of your Contracts?

5J. Has any Company employee or other person suffered an injury while performing any tasks within the Scope of Work on any of your Contracts resulting in his/her inability to return to work for a period in excess of one year?

Division of Capital Asset Management and Maintenance

Sub-Bidder Update Statement

PART 4- Legal or Administrative Proceedings; Compliance with Laws

Please answer the following questions. Information must supplement all judicial and administrative proceedings involving bidder's company, which were instituted or concluded (adversely or otherwise) since your company's Application for your most recently issued (not extended or amended) Sub-

Bidder Certificate of Eligibility. You must report all requested information not previously reported on that DCAMM Application.

The term "administrative proceeding" as used in this Sub-Bidder Update Statement includes (i) any action taken or proceeding brought by a governmental agency, department or officer to enforce any law, regulation, code, legal, or contractual requirement, except for those brought in state or federal courts, or (ii) any action taken by a governmental agency, department or officer imposing penalties, fines or other sanctions for failure to comply with any such legal or contractual requirement.

The term "anyone with a financial interest in your company" as used in this Section "I", shall mean any person and/or entity with a 5% or greater ownership interest in the applicant's company.

If you answer YES to any question, on a separate page provide a complete explanation of each proceeding or action and any judgment, decision, fine or other sanction or result. Include all details (name of court or administrative agency, title of case or proceeding, case number, date action was commenced, date judgment or decision was entered, fines or penalties imposed, etc.).

6.A. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to the procurement or performance of any of your

Contracts?

6.B. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal construction procurement laws?

6.C. Have any criminal charges involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to the procurement or performance of any of your Contracts (e.g., fraud, graft, embezzlement, forgery, bribery, falsification or destruction of records or receipt of stolen property)?

6.D. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of state ethics laws (in Massachusetts: M.G.L.

Chapter 268A)?

YES NO

Division of Capital Asset Management and Maintenance

Sub-Bidder Update Statement

PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued)

6.E. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal law regulating hours of labor, unemployment compensation, minimum wages, prevailing wages, overtime pay, equal pay, child labor or worker's compensation?

6.F. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of any state or federal law prohibiting discrimination in hiring and/or employment?

6.G. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled for violation of any state or federal law regulating labor relations, including collective bargaining agreements, employee welfare benefit plans, employee

6.H.

pension benefit plans, other ERISA and non-ERISA plans?

Have any proceedings by a local, state, or federal agency been brought, concluded, or settled relating to decertification, debarment or suspension of your Company and/or any principal or officer or individual with a Financial Interest in your Company from construction contracting?

6.l. Have any Judicial Actions or Administrative Proceedings involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled relating to a violation of state or federal environmental laws?

6.J. Has your Company been fined or sanctioned by OSHA and/or any other state or federal agency for violations of any laws or regulations related to occupational health or safety?

6.K. Has your Company ever (i) failed to meet applicable workforce and/or diversity program goals, benchmarks or other requirements, and/or (ii) been sanctioned, fined and/or penalized for non-compliance with workforce policies and/or diversity programs (e.g., for

MBES, WBEs, SDVOBEs and DBEs) and/or failure to maintain and/or submit required reports, such as certified payrolls.

6.L. Other than previously reported in the above questions, have any Judicial Actions or

Administrative Proceedings or investigations involving your Company and/or a principal or officer or individual with a Financial Interest in your Company been brought, concluded, or settled by any local, state or federal agency relating to the procurement or performance of any construction contract?

YES NO

ப ப

Division of Capital Asset Management and Maintenance

Sub-Bidder Update Statement

PART 5- SUPERVISORY PERSONNEL

List all supervisory personnel who will be assigned to the project if your company is awarded the contract.

Attach the resume of each person listed below.

NAME TITLE OR FUNCTION

PART 6- CHANGES IN BUSINESS ORGANIZATION OR FINANCIAL CONDITION

Have there been any changes in your company's business organization (including changes in ownership, mergers, or asset/stock sales), financial condition or bonding capacity since the date your current Certificate of Eligibility was issued?☐ Yes☐ No

If YES, attach a separate page providing complete details.

PART 7-- LIST OF COMPLETED CONSTRUCTION PROJECTS SUBMITTED TO THE DIVISION OF CAPITAL ASSET

MANAGEMENT AND MAINTENANCE ALONG WITH CERTIFICATION SIGNATURE PAGE.

Attach here a copy of the list of completed construction projects which was submitted with your company's application for your most recently issued (not extended or amended) Sub-Bidder Certificate of

Eligibility. The Attachment must include a complete copy of the entire Completed Projects spreadsheet and the final page Certification (Signature) Page of the online application, containing the signature and date the completed projects list was submitted to the Division of Capital Asset Management and

Maintenance.

Division of Capital Asset Management and Maintenance Sub-Bidder Update Statement

File details come from the government source that posted it. Updated .