Exhibit E - Qualifications Statement.docx

This document has important legal consequences; consultation with an attorney is encouraged with respect to its use or modification. This document should be adapted to the particular circumstances of the contemplated Project and the controlling Laws and Regulations.

QUALIFICATIONS STATEMENT

Prepared By

Endorsed By

EJCDC® C‑451, Qualifications Statement.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

Copyright© 2018 National Society of Professional Engineers 1420 King Street, Alexandria, VA 22314-2794

(703) 684-2882 www.nspe.org American Council of Engineering Companies 1015 15th Street N.W., Washington, DC 20005

(202) 347-7474 www.acec.org American Society of Civil Engineers 1801 Alexander Bell Drive, Reston, VA 20191-4400

(800) 548-2723 www.asce.org The copyright for this EJCDC document is owned jointly by the three sponsoring organizations listed above. The National Society of Professional Engineers is the Copyright Administrator for the EJCDC documents; please direct all inquiries regarding EJCDC copyrights to NSPE.

NOTE: EJCDC publications may be purchased at www.ejcdc.org, or from any of the sponsoring organizations above.

Guidelines for Use of EJCDC® C‑451, Qualifications Statement Purpose and Intended Use of the Document The purpose of EJCDC® C‑451, Qualifications Statement (2018), is to assist the project owner in determining whether prospective contractors are qualified to perform the Work called for in the construction contract. Using the document, a prospective contractor (referred to in C‑451 as “Business”) provides requested information regarding its experience, qualifications, and commitments on other projects.

C‑451 may be used by owners to prequalify bidders, establish a shortlist of the most qualified prospective contractors, or to determine whether a low bidder meets the “responsible bidder” requirement of the competitive bidding process.

If a Business (prospective contractor) is a joint venture, C‑451 requires that each joint venturer submit a Qualifications Statement. (See Paragraph 1.02) Before sending the Qualifications Statement to prospective contractors, the project owner should review the standard provisions to determine whether any additional information should be sought in order to establish qualifications for the specific project. In some cases, the owner may choose to delete some of the standard requested information. In that regard, note that several provisions require the Business to furnish documentation—for example, the Business is required in Paragraph 3.01 to submit evidence of certification under any diverse business category in which Business has indicated it is certified; if submittal of such evidence is not required, revise the document accordingly.

EJCDC assumes that on most projects the owner will send C‑451 to prospective contractors in Word format. This will allow the Business to key the requested information directly into the document.

For additional information regarding C‑451, see EJCDC® C‑001, Commentary on the 2018 EJCDC Construction Documents (2018).

Organization of Information All parties involved in a construction project benefit significantly from a standardized approach in the location of subject matter throughout the documents. Experience confirms the danger of addressing the same subject matter in more than one location; doing so frequently leads to confusion and unanticipated legal consequences. Careful attention should be given to the guidance provided in EJCDC® N‑122/AIA® A521, Uniform Location of Subject Matter (2012 Edition) when preparing documents. EJCDC® N‑122/AIA® A521 is available at no charge from the EJCDC website, www.ejcdc.org, and from the websites of EJCDC’s sponsoring organizations.

If CSI MasterFormat™ is used for organizing the Project Manual, consult CSI MasterFormat™ for the appropriate document number (e.g., under 00 11 00, Advertisements and Invitations), and accordingly number the document and its pages.

Editing This Document It is intended that this document be edited for each Contract. Guidelines for editing include:

Remove the cover pages which consist of the title pages, and these Guidelines for Use.

License Agreement This document is subject to the terms and conditions of the License Agreement, 2018 EJCDC® Construction Series Documents. A copy of the License Agreement was furnished at the time of purchase of this document, and is available for review at www.ejcdc.org and the websites of EJCDC’s sponsoring organizations.

EJCDC® C‑451, Qualifications Statement.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

Guidelines Page 1 of 2 General Information Provide contact information for the Business:

Legal Name of Business:

Corporate Office

Name:

Phone number:

Title:

Email address:

Business address of corporate office:

Local Office

Name:

Phone number:

Title:

Email address:

Business address of local office:

Provide information on the Business’s organizational structure:

☐ Limited Liability Company ☐ Joint Venture comprised of the following companies:

1.

2.

3.

Provide a separate Qualification Statement for each Joint Venturer.

Date Business was formed:

State in which Business was formed:

Identify all businesses that own Business in whole or in part (25% or greater), or that are wholly or partly (25% or greater) owned by Business:

Name of business:

Affiliation:

Address:

Name of business:

Affiliation:

Address:

Name of business:

Affiliation:

Address:

Provide information regarding the Business’s officers, partners, and limits of authority.

Name:

Title:

Name:

Title:

Name:

Title:

Name:

Title:

Licensing Provide information regarding licensure for Business:

Name of License:

Licensing Agency:

License No:

Expiration Date:

Name of License:

Licensing Agency:

License No:

Expiration Date:

Diverse Business Certifications Provide information regarding Business’s Diverse Business Certification, if any. Provide evidence of current certification.

☐ Disadvantaged Business Enterprise

☐ Minority Business Enterprise

☐ Woman-Owned Business Enterprise

☐ Small Business Enterprise

☐ Disabled Business Enterprise

☐ Veteran-Owned Business Enterprise

☐ Service-Disabled Veteran-Owned Business

☐ HUBZone Business (Historically Underutilized) Business

☐ Other

☐ None

Safety Provide information regarding Business’s safety organization and safety performance.

Name of Business’s Safety Officer:

Safety Certifications

Provide Worker’s Compensation Insurance Experience Modification Rate (EMR), Total Recordable Frequency Rate (TRFR) for incidents, and Total Number of Recorded Manhours (MH) for the last 3 years and the EMR, TRFR, and MH history for the last 3 years of any proposed Subcontractor(s) that will provide Work valued at 10% or more of the Contract Price. Provide documentation of the EMR history for Business and Subcontractor(s).

Year

Financial Provide information regarding the Business’s financial stability. Provide the most recent audited financial statement, and if such audited financial statement is not current, also provide the most current financial statement.

Financial Institution:

Business address:

Date of Business’s most recent financial statement:

☐ Attached

Date of Business’s most recent audited financial statement:

☐ Attached

Financial indicators from the most recent financial statement

Contractor’s Current Ratio (Current Assets ÷ Current Liabilities)

Contractor’s Quick Ratio ((Cash and Cash Equivalents + Accounts Receivable + Short Term Investments) ÷ Current Liabilities)

Surety Information Provide information regarding the surety company that will issue required bonds on behalf of the Business, including but not limited to performance and payment bonds.

Surety Name:

Surety is a corporation organized and existing under the laws of the state of:

Is surety listed in “Companies Holding Certificates of Authority as Acceptable Sureties on Federal Bonds and as Acceptable Reinsuring Companies” published in Department Circular 570 (as amended) by the Bureau of the Fiscal Service, U.S. Department of the Treasury?

☐ Yes ☐ No

Mailing Address (principal place of business):

Physical Address

Phone (main):

Phone (claims):

Insurance Provide information regarding Business’s insurance company(s), including but not limited to its Commercial General Liability carrier. Provide information for each provider.

Name of insurance provider, and type of policy (CLE, auto, etc.):

Mailing Address

Physical Address

Phone (main):

Phone (claims):

Construction Experience Provide information that will identify the overall size and capacity of the Business.

Average number of current full-time employees:

Estimate of revenue for the current year:

Estimate of revenue for the previous year:

Provide information regarding the Business’s previous contracting experience.

Years of experience with projects like the proposed project:

As a general contractor:

As a joint venturer:

Has Business, or a predecessor in interest, or an affiliate identified in Paragraph 1.03:

Been disqualified as a bidder by any local, state, or federal agency within the last 5 years?

☐ Yes ☐ No

Been barred from contracting by any local, state, or federal agency within the last 5 years?

☐ Yes ☐ No

Been released from a bid in the past 5 years? ☐ Yes ☐ No

Defaulted on a project or failed to complete any contract awarded to it? ☐ Yes ☐ No

Refused to construct or refused to provide materials defined in the contract documents or in a change order? ☐ Yes ☐ No

Been a party to any currently pending litigation or arbitration? ☐ Yes ☐ No

Provide full details in a separate attachment if the response to any of these questions is Yes.

List all projects currently under contract in Schedule A and provide indicated information.

List a minimum of three and a maximum of six projects completed in the last 5 years in Schedule B and provide indicated information to demonstrate the Business’s experience with projects similar in type and cost of construction.

In Schedule C, provide information on key individuals whom Business intends to assign to the Project. Provide resumes for those individuals included in Schedule C. Key individuals include the Project Manager, Project Superintendent, Quality Manager, and Safety Manager. Resumes may be provided for Business’s key leaders as well.

Required Attachments Provide the following information with the Statement of Qualifications:

If Business is a Joint Venture, separate Qualifications Statements for each Joint Venturer, as required in Paragraph 1.02.

Diverse Business Certifications if required by Paragraph 3.01.

Certification of Business’s safety performance if required by Paragraph 4.02.

Financial statements as required by Paragraph 5.01.

Attachments providing additional information as required by Paragraph 8.02.

Schedule A (Current Projects) as required by Paragraph 8.03.

Schedule B (Previous Experience with Similar Projects) as required by Paragraph 8.04.

Schedule C (Key Individuals) and resumes for the key individuals listed, as required by Paragraph 8.05.

Additional items as pertinent.

This Statement of Qualifications is offered by:

Business:

(typed or printed name of organization)

By:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed)

Date:

(date signed)

(If Business is a corporation, a partnership, or a joint venture, attach evidence of authority to sign.)

Attest:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed)

Address for giving notices:

Designated Representative:

Name:

(typed or printed)

Title:

(typed or printed)

Address:

Phone:

Email:

EJCDC C‑451, Qualifications Statement.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

Schedule A—Current Projects Name of Organization

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

EJCDC® C‑451, Qualifications Statement—Schedule A—Current Projects.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

Schedule B—Previous Experience with Similar Projects Name of Organization

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Schedule B—Previous Experience with Similar Projects Name of Organization

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

Project Owner

Project Name

General Description of Project

Project Cost

Date Project Completed

Name

Reference Contact Information (listing names indicates approval to contacting the names individuals as a reference)

Owner

Designer

Construction Manager

EJCDC® C‑451, Qualifications Statement—Schedule B—Previous Experience with Similar Projects.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

Schedule C—Key Individuals Project Manager

Name of individual

Years of experience as project manager

Years of experience with this organization

Number of similar projects as project manager

Number of similar projects in other positions

Current Project Assignments

Reference Contact Information (listing names indicates approval to contact named individuals as a reference)

Name

Name

Title/Position

Title/Position

Organization

Organization

Telephone

Telephone

Email

Email

Project

Project

Candidate’s role on project

Candidate’s role on project

Project Superintendent

Name of individual

Years of experience as project superintendent

Years of experience with this organization

Number of similar projects as project superintendent

Number of similar projects in other positions

Current Project Assignments

Reference Contact Information (listing names indicates approval to contact named individuals as a reference)

Name

Name

Title/Position

Title/Position

Organization

Organization

Telephone

Telephone

Email

Email

Project

Project

Candidate’s role on project

Candidate’s role on project

Safety Manager

Name of individual

Years of experience as project manager

Years of experience with this organization

Number of similar projects as project manager

Number of similar projects in other positions

Current Project Assignments

Reference Contact Information (listing names indicates approval to contact named individuals as a reference)

Name

Name

Title/Position

Title/Position

Organization

Organization

Telephone

Telephone

Email

Email

Project

Project

Candidate’s role on project

Candidate’s role on project

Quality Control Manager

Name of individual

Years of experience as project superintendent

Years of experience with this organization

Number of similar projects as project superintendent

Number of similar projects in other positions

Current Project Assignments

Reference Contact Information (listing names indicates approval to contact named individuals as a reference)

Name

Name

Title/Position

Title/Position

Organization

Organization

Telephone

Telephone

Email

Email

Project

Project

Candidate’s role on project

Candidate’s role on project

EJCDC® C‑451, Qualifications Statement—Schedule C—Key Individuals.

Copyright© 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved.

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