FINAL_RFQ_F16SOL10063.pdf

PDF 15 MB Posted Sep 29, 2016

Attached to: Construction of Storage Module at Udvar Hazy Museum Center
Solicitation number: F16SOL10063
Issued by: Smithsonian Institution Office of the Chief Financial Officer

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Copy_of_QA_2_F16SOL10063.pdf	PDF	Nov 10, 2016
am_1_F16SOL10063.pdf	PDF	Oct 26, 2016
Copy_of_Project_Description_Template.xls	XLS spreadsheet	Sep 29, 2016

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SOLICITATION, OFFER,

AND AWARD

2. TYPE OF SOLICITATION

6. PROJECT NO. 4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

PAGE OF PAGES

7. ISSUED BY CODE 8. ADDRESS OFFER TO

SOLICITATION

(Construction, Alteration, or Repair)

1. SOLICITATION NO. 3. DATE ISSUED

IMPORTANT -- The "offer" section on the reverse must be fully completed by offeror.

INFORMATION

a. NAME b. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

CALL:

FOR

SEALED BID (IFB)

NEGOTIATED (RFP)

SMITHSONIAN INSTITUTION

P.O. BOX 37012

MRC 1200

Washington DC 20013-7012

OCON

Eve Errickson

Smithsonian Institution 600 Maryland Avenue SW, Suite 5001 Washington, DC 20024

Eve Errickson 202-633-5214

1454504

09/29/2016

F16SOL10063

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date)

RFQ Concept Drawings. Attached please find project documents titled 'Dulles Collections Center Storage Module,' as follows:

a. C 110 SP

b. C 105 UP

c. G-101 SP

d. G-102 SP

e. G-103 SP

f. AD 101 FP

g. AD 102 EL

h. A-101 FP

i. A-102 FP

j. A-103 FP

k. A-104 FP

l. A-105 FP

m. A-106 FP

n. A-107 FP

o. A-108 FP

p. A-109 RO

q. A-110 RO

Continued ...

11. The Contractor shall begin performance

12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

award, notice to proceed. The performance period is mandatory negotiable. (See ________________________________________________.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and is not required.is, b. An offer guarantee

c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

d. Offers providing less than

12b. CALENDAR DAYSYES NO

(If "YES", indicate within how many calendar days after award in Item 12b.)

10 540 calendar days and complete it within ________________ ________________ calendar days after receiving

Project Description

11/18/2016

NSN 7540-01-155-3212

x x x x copies to perform the work required are due at the place specified in Item 8 by _____________ ___________________ (hour) local time calendar days for Government acceptance after the date offers are due will not be considered and will be rejected . _________________

STANDARD FORM 1442 (Rev. 4-85)

Prescribed by GSA

FAR(48 CFR) 53.236-1(d)

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within ____________________ calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in item 13d. Failure to insert any number means the offeror accepts the minimum in item 13d.)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than item 14.)

CODE FACILITY CODE

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGEMENT OF AMENDMENTS

OFFER (Must be fully completed by offeror)

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)

AMENDMENT NO.

DATE.

20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20b. SIGNATURE 20c. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM 25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

26. ADMINISTERED BY CODE 27. PAYMENT WILL BE MADE BY

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

(Contractor is required to sign this document and return (Contractor is not required to sign this document.)

Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print) 31a. NAME OF CONTRACTING OFFICER (Type or print)

30b. SIGNATURE 30c. DATE 31b. UNITED STATES OF AMERICA 31c. DATE

2PAGE OF

OCON

P.O. BOX 37012

MRC 1200

Washington DC 20013-7012

OCON

Thomas Dempsey

28. NEGOTIATED AGREEMENT 29. AWARD

Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, copies to issuing office.)

10 U.S.C. 2304(c) 41 U.S.C. 253(c)

STANDARD FORM 1442 (REV. 4-85) BACK

Continued...

ITEM NO.

(A)

SUPPLIES/SERVICES

(B)

QUANTITY

(C)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

NAME OF OFFEROR OR CONTRACTOR

3 49

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

F16SOL10063

r. A-119 QP

s. A-120 QP

t. A-121 QP

u. A-201 EL

v. A-202 EL

w. A-203 EL

x. A-301 SC

y. Boards 1-4

a. Material Context & Proposed Pallet

b. Context + Materials + Patterning

c. As-Cast Over Acid Wash w/ Form Liner

d. Base Bid & Alternate

Period of Performance: 02/22/2017 to 08/16/2018

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

SMITHSONIAN INSTITUTION

CONSTRUCTION

Qualification Statement

Solicitation No. F16SOL10063 for

National Museum of Air & Space

Udvar Hazy Center

Collections Storage Module

14390 Air & Space Museum Parkway

Chantilly, Virginia 20151

SI Project No. 1454504

Issue Date: September 29, 2016

Questions due: November 9, 2016

Due Date: November 18, 2016

Issuing Office:

Smithsonian Institution

Office of Contracting, Suite 5001

600 Maryland Avenue SW

Washington DC

Additional information must only be obtained by contacting:

Eve Errickson, Erricksone@si.edu

F16SOL10063

9/29/2016 p. 4 of 49

Completing the Qualification Statement

This Request for Qualifications is Phase 1 of a two-step solicitation to select a general contractor for construction of a storage facility at the National Air & Space Museum’s Udvar Hazy Center located in Dulles, Virginia (“Dulles

Collection Storage Module” also referred to as the “Subject Project”). This Request for Qualification (“RFQ”) is being released to expedite the bid process and selection of a construction contractor. Phase 2 of this procurement will be an

RFP numbered F16SOL10064, tentatively planned for release in January 2017 with 100% construction documents.

The contract award is anticipated in February 2017.

The information you provide in the Qualification Statement (“Qualification Statement, ”“Statement, ” or

“Submission”) will be the basis for the evaluation of your company or entity (“Offeror” or “Contractor”). Please be advised the prequalification of contractors is a highly competitive process. The most highly qualified offerors responding to this RFQ will be invited to submit a proposal on the RFP. Contract award under the RFP will be made on the basis of best value to the Smithsonian.

The Evaluation Process. This RFQ contains prequalifying criteria to assist the Smithsonian in identifying contractors with past, specialized experience needed for the subject project. The Smithsonian Institution will select the most highly qualified Offerors responding to this RFQ to receive the RFP and compete for the Subject Project. Qualifications are demonstrable through your prior completed projects in Comparable Experience (Part III) and Capabilities (Part IV) sections of the Qualification Statement (as described more fully below). Meeting the Minimum Requirements described herein will not guarantee prequalification. Offerors demonstrating the most Comparable Experience and Financial

Capabilities shall be considered for pre-qualification status. Statements of Qualifications will be evaluated by an

Evaluation Team and confirmed by the Contracting Officer.

To assure your Statement is given full consideration, you must do the following:

Read this package carefully to make sure you understand what is required.

Complete the entire Statement.

Provide your information on the attached forms or in the same format.

Do not leave any portion of the form blank. Indicate N/A if not applicable.

In particular, read the minimum requirements as established in the evaluation criteria. If your firm or partnership do not meet the minimum requirements your entity may not be considered for prequalification.

Include past experience on Comparable Projects. Comparable Projects are those of the same or similar cost, purpose, building type, grade of construction, regulatory requirements, zoning restrictions, safety requirements and meeting other factors listed in this RFQ for which the Offeror has successfully provided construction services. Projects listed shall be considered comparable to the extent they meet the criteria in this RFQ.

Please be advised that Comparable Experience is more desirable than Non-Comparable Experience. Any additional Comparable Experience submitted that exceeds the minimum requirements for Comparable

Experience will be assessed as Non-Comparable Experience.

Include Current references (name, address, and telephone number) for your comparable projects as listed in your submission. If the Evaluation Team is unable to contact the references listed to verify experience and performance, that project may not be considered.

Include Information and example projects that best illustrate your Entity’s experience and capability to construct the Project. Photographs of comparable projects are desirable but not required.

9/29/2016 p. 5 of 49

As a matter of clarification, the Smithsonian Institution reserves the right but not the obligation to consider the

Qualification Statement during the second phase of this solicitation, if appropriate. The Smithsonian also reserves the right to use reference information from Phase 1 during Phase 2 of this solicitation.

This Qualification Statement consists of four (4) Parts:

Part I - General Information

Part II - Entity’s Background

Part III – Firm Past Experience/Firm Past Performance

Part IV – Financial Capabilities

All questions regarding this solicitation should be directed to the individual(s) indicated on the cover page. Do not contact anyone else in the Smithsonian Institution regarding this effort.

9/29/2016 p. 6 of 49

PART I – PROJECT & SOLICITATION BACKGROUND

A. PROCEDURE

1. Phase 1, RFQ Process. Qualification Statements submitted by Offerors will be evaluated using the criteria stated in this solicitation to determine contractors to be placed on the pre-qualified list for this Project.

A. Submit one (1) original and seven (7) copies of the Statement. Copies must be separately bound, tape or comb style binding is preferred. The Statement should be indexed into sections and tabbed as indicated in each requirement of this package as follows:

* Tab No. 1 – Minimum Requirements

* Tab No. 1 - Entity’s Background

* Tab No. 2 - Judgments, Claims, Lawsuits,

* Tab No. 3 - Suspension or Debarment

* Tab No. 4 - Certification and Affirmation

* Tab No. 5 - Comparable Experience/Performance

* Tab No. 6 - Non-Comparable (Other) Experience/Performance

* Tab No. 7 - Organizational Statement

* Tab No. 8 – Safety, EMR (Experience Modification Ratio)

* Tab No. 9. - Backlog

* Tab No. 10 - Audited Financial Statements

* Tab No. 11 - Bonding Information

* Tab No. 12 - Banking Reference

B. Offerors not invited to respond to the RFP will be notified at the same time as the pre-qualified offerors, and provided an opportunity for debriefing prior to the issuance of the RFP. A debriefing is an opportunity for the contractors to understand how the Smithsonian Institution assessed the strengths and weaknesses of its submission. Requests for debriefing must definitively state names and titles of attendees, their availability and be in writing, to be received by the Smithsonian no later than three (3) calendar days after receiving notice of your status regarding the prequalification.

C. Statements will not be maintained or returned. Offerors will not be reimbursed for any expense(s) incurred in developing their Statement.

D. The Smithsonian Institution reserves the right to request project documents, such as subcontracting plans, prior to award.

2. Phase 2, RFP Process. Prequalified contractors will be invited to submit a Technical Proposal and Cost

Proposal in response to the forthcoming RFP.

A. The Proposals submitted in response to the RFP may include but may not be limited to the following requirements:

* A construction organization chart of the proposed project team, including key personnel, on-site staff and major subcontractors with resumes and duties/responsibilities.

* A narrative on the Offeror’s project management approach to responsibility, reporting relationships between units/personnel with resumes.

* A summary schedule for the Project using a critical path method (CPM) format showing design and construction, submittals, procurements, etc.

* A safety program showing your Experience Modification Ratio (EMR) for past three (3) years of the construction side entity and key elements of your site specific program.

* A purchasing plan: Identify all self-performed work and approach to procurement of subcontracts.

B. The Smithsonian Institution will use information obtained from the Technical Proposal and Cost Proposal provided by each contractor on the pre-qualified list in determining best value to the Smithsonian.

9/29/2016 p. 7 of 49

C. The Smithsonian reserves the right to utilize information obtained in the RFQ process as part of its evaluation of the proposals received in the proposals provided during the RFP process.

D. During the second phase, Contractors may be required to present an Oral Presentation of their Technical

Proposal and Cost Proposal. This requirement is in the sole discretion of the Smithsonian.

E. The Smithsonian Institution intends to issue a contract firm, fixed price for construction of this Project as described in this solicitation and the Concept Drawings.

F. Final execution of the Contract is subject to approval of funding by the Smithsonian Institution.

B. PROJECT DESCRIPTION

1. Background. The Smithsonian Institution’s National Air and Space Museum (NASM) requires additional space for storage, care and conservation of its collection of accessioned aircraft, spacecraft, equipment, and related historical artifacts. These items require storage in a strictly controlled environment to ensure their longevity and integrity. Fluctuations in temperature and humidity may materially harm artifacts and cause damage that is difficult to calculate. With limited space on the National Mall, NASM Master Plan designated the NASM Udvar-Hazy Center (NASM-UHC) as its primary location for expansion and growth of space for collections storage, care and conservation-related activities. NASM-UHC is located on Metropolitan

Washington Airport Authority (MWAA) located by Dulles Airport.

The Dulles Collection Storage Module will be the first such addition to be built at NASM-UHC. This

124,000 sf building will be the first of three planned additions that will house the museum’s extensive collections. The contemplated module will consist of a three story, steel frame structure with concrete floors and a pre-cast concrete panel skin and have new, museum quality systems for HVAC, Fire Protection and

Security with appropriate redundancy and emergency power.

The structure is currently being designed by Smithsonian Facilities Office of Planning Design and

Construction (SF-OPDC). The Authority Having Jurisdiction (AHJ) for Code Review, Permitting, and

Inspection is the Metropolitan Washington Airport Authority.

2. Scope of Work. Work under this project includes modification of the existing UHC Restoration Hangar and

Construction of the new Collection Storage Module (as depicted in the attached Concept Drawings). The

Work is summarized and supplemented as follows:

a. General Conditions: qualified professional services, equipment, materials, labor, management and personnel to obtain permits, construct and document construction of the Module as a USGBC-LEED Silver Project, to include enhanced commissioning;

b. Demolition: selective removal of existing building fabric and structure to adjoin the new Module to the

Existing Hangar;

c. Civil: soil/sediment erosion control, storm water management, foundation excavation, utility relocation and tie-ins;

d. Structural: concrete foundations, steel structure, metal decks and concrete floor slabs;

e. Architectural: pre-cast concrete panel skin, CMU walls, metal stud framing and GWB walls, elevator, modified bitumen roofing system, interior finishes, fixtures and furnishings including cold storage boxes and compact shelving systems;

f. Mechanical: new cooling plant (chillers, pumps, heat exchangers), new heating plant (modular boilers, pumps), steam generators for humidification, piping, air handling units, ductwork, and DDC Control

9/29/2016 p. 8 of 49 systems;

g. Electrical: 277/480V-3 phase electrical distribution system, panel boards, branch wiring, fixtures, switches and outlets;

h. Emergency power: generator, panel boards, branch wiring for specific lights and equipment;

i. Plumbing: water distribution system, sanitary system, three (3) toilet rooms with fixtures, and roof leaders;

j. Fire Detection (including a VESDA system), fire alarms, and zone-controlled suppression systems

(including copper piping and ESFR heads within Museum Collections Areas);

k. Security: power, data, cameras, and intrusion sensors using Software House C-Cure Programming; and

l. Telecommunications/IT: new network switches with UPS, wall-mounted VoIP phones, and multiple wireless access points.

3. Construction Schedule. Total period of performance allowed for construction is 540 calendar days from date of

Notice to Proceed.

4. Construction Budget. Estimated cost range is $35M.

5. RFQ Concept Drawings. Attached please find project documents titled “Dulles Collections Center Storage

Module,” as follows:

a. C 110 SP

b. C 105 UP

c. G-101 SP

d. G-102 SP

e. G-103 SP

f. AD 101 FP

g. AD 102 EL

h. A-101 FP

i. A-102 FP

j. A-103 FP

k. A-104 FP

l. A-105 FP

m. A-106 FP

n. A-107 FP

o. A-108 FP

p. A-109 RO

q. A-110 RO

r. A-119 QP

s. A-120 QP

t. A-121 QP

u. A-201 EL

v. A-202 EL

w. A-203 EL

x. A-301 SC

y. Boards 1-4

a. Material Context & Proposed Pallet

b. Context + Materials + Patterning

c. As-Cast Over Acid Wash w/ Form Liner

d. Base Bid & Alternate

9/29/2016 p. 9 of 49

C. MINIMUM REQUIREMENTS

1. Five (5) years experience in the capacity of construction contractor.

2. A minimum of three projects, completion or ongoing construction of three (3) comparable projects within the past five (5) years; one (1) of which must be a major renovation or major addition minimally $20M in value.

In assessing comparable experience as part of this RFQ, greater value will be placed on projects meeting all the following criteria. In the event that projects do not meet all the criteria, consideration will be given the extent to which offered projects meet such criteria:

a. Construction of a new facility of same or similar size and purpose to the subject project;

b. Coordination and sequencing required for tie-in to a central utility source;

c. LEED certification for the construction of a comparable facility;

d. Controlled access requirements for the immediate surrounds of the project;

e. Environmental controls required for museum conservation activities in keeping with AAM goals;

f. Coordination with numerous specialty subcontractors relevant to the subject project; and

g. Projects completed in an occupied facility or on an active, occupied campus.

3. As part of this solicitation, the Smithsonian may, but is not required to give greater consideration to the following criteria when evaluating comparable projects: same or similar building type to the subject project, same or similar operational requirements to the subject project, and whether the Owner is or was a federal agency or a state government.

4. The Smithsonian reserves the right to determine the extent to which Offeror’s comparable projects meet the

Minimum Requirements set forth in this RFQ and as clarified in this Section C. Nothing in this section shall be construed to require the Smithsonian to substitute non-comparable experience for comparable experience in its evaluation of submissions in response to this RFQ. Examples include:

a. The Smithsonian may determine whether and to what degree an offered project is comparable to the subject project in terms of perceived difficulty, required expertise and complexity;

b. The Smithsonian may determine whether and to what degree an offered project included mechanical systems sufficient for successful conservation of museum artifacts;

c. The Smithsonian may consult PPIRs records on the offered projects, whether comparable or non-comparable, to confirm scope of work, such as the amount of work with a relevant trade; and

d. The Smithsonian may determine whether and to what degree an offered project included trades, conditions, requirements and/or expertise was the same or similar to the subject project.

5. The Smithsonian reserves the right to use comparable experience information submitted under this RFQ in consideration of proposals as part of Phase 2 of this solicitation.

6. Projects constructed for the direct use or occupancy of the entity(s) submitting the Statement will not be considered as a comparable project.

7. Prospective contractors must be registered in the System for Acquisition Management (SAM) database prior to award of a contract. Information on registration and annual confirmation requirements may be obtained at www.sam.gov.

8. Respondents shall provide detail of their ability to meet the minimum requirements outlined above in Tab 1 which shall provide reference to each requirement and indicate, by page number, supporting evidence in their responses.

9/29/2016 p. 10 of 49

D. EVALUATION PROCEDURES

Upon meeting the above-referenced minimum requirements, the remainder of a fully completed Construction

Qualification Statement Package will be considered. The company’s Experience/Performance and Capabilities will be evaluated solely to determine if the entity is to be prequalified. Experience/Performance will be granted more weight than Capabilities. Within Experience/Performance, Comparable Experience shall be granted more weight than Non-Comparable Experience. Within Capabilities, Organization shall be granted more weight than

Safety. Financial responsibility will be determined on a pass/fail basis to assess responsibility to perform the subject project as described in the Concept Drawings and in this solicitation.

The Evaluation Team (ET) will evaluate entities submitting qualification statements to ensure that the company’s experience and resources are adequate to provide a high level of excellence in the execution of the project. Each member will individually evaluate each Qualification Statement. Only those entities demonstrating that they not only satisfy the stated minimum requirements, but also, show a performance history with the experience and capacity to successfully accomplish the proposed project will be prequalified. If submitting for qualification as a joint-venture, experience as a “team” is more favorable than experience by individual members.

E. METHOD AND DATE OF SUBMITTAL

The completed Qualification Statement should contain no more than fifty pages sized 8.5 x 11 and should be delivered as follows:

Address for US Mail Delivery. Eve Errickson

Office of Contracting

Smithsonian Institution

P.O. Box 37012 MRC 1200

Washington, D.C. 20013

(202) 633-5214 (tel)

Erricksone@si.edu

Physical Address for Deliveries. Eve Errickson

Office of Contracting

Smithsonian Institution

Suite 5001

600 Maryland Ave SW

Washington, DC

Statements must be received at the above address no later than 3:00PM Eastern Standard Time, November 18

2016.

For proper handling, your submission must be clearly marked for identification by including the following completed information on the outside of your package:

Contractor’s Name: (fill In)

Project Number: 1454504

Project Name: NASM-UHC Dulles Collection Storage Module

Location: Chantilly, Virginia

Due Date: (fill In)

9/29/2016 p. 11 of 49

MINIMUM REQUIREMENTS STATEMENT “AT-A-GLANCE” &

Supporting Documents Table of Contents

1) FIRM NAME: {____________________________________________________________}

LOCATION OF HEADQUARTERS: {__________________________________________}

PRIMARY CONTACT PERSON, TITLE:{______________________________________}

EMAIL & PHONE: {________________________________________________________}

NAME OF AUTHORIZED SIGNATORY, TITLE:{_______________________________}

2) JUDGEMENTS, CLAIMS, LAWSUITS, if any; if yes, list by year & claimant, description p. {INCLUDE

PAGE #}

A. {CLAIMANT NAME, YEAR FILED. CITY, STATE.}

3) DEBARMENT, state yes or no; description p. {INCLUDE PAGE #}

4) CERTIFICATION, p. {INCLUDE PAGE #}

5) COMPARABLE PROJECTS list TITLE, CITY, STATE, FINAL DOLLAR AMOUNT, description p. {INCLUDE PAGE #}

A. {CLIENT NAME, PROJECT TYPE. CITY, STATE. ≥$300,000,000.00.}

B. {CLIENT 2, PROJECT TYPE. CITY, STATE. ≥$300,000,000.000.}

C. {CLIENT 3, PROJECT TYPE. CITY, STATE. ≥$300,000,000.00.}

6) NON-COMPARABLE PROJECTS list TITLE, CITY, STATE, FINAL DOLLAR AMOUNT, description p. {INCLUDE PAGE #}

A. {CLIENT NAME, PROJECT TYPE. CITY, STATE (VALUE).}

B. {CLIENT 2, PROJECT TYPE. CITY, STATE (VALUE).}

C. {CLIENT 3, PROJECT TYPE. CITY, STATE (VALUE).}

7) ORGANIZATIONAL STATEMENT, p. {INCLUDE PAGE #}

8) EMR, { __________}, p. {INCLUDE PAGE #}

9) BACKLOG: list { # CONTRACTS OUTSTANDING & BALANCE FOR 2016}, p. {INCLUDE

PAGE #}

10) AUDITED FINANCIAL STATEMENTS, {Accountant Name}, p. {INCLUDE PAGE #}

11) BONDING: {Surety Name}, letter p. {INCLUDE PAGE #}, and

A. PER PROJECT LIMIT:{___________________________________________}

B. AGG.LIMIT:{______________________________________________________________}

C. AMT OUTSTANDING:{______________________________________________________}

12) BANKING REFERENCE, {Bank Name}, letter p. {INCLUDE PAGE #}

9/29/2016 p. 12 of 49

PART II – CONTRACTOR’S BACKGROUND (Submit Under Tab 1.)

A. Contractor’s Name: _____________________________________________________________

Street Address: _____________________________________________________________

City/State/Zip: _____________________________________________________________

Main telephone # _____ - ______ - ___________, Fax # _____ - ______ - _____________

B. Identification of two (2) contact people within the entity:

Name Title Phone Number Email Address

C. Firm making this submittal:

Parent Company _______ Subsidiary _______ Division ________ Branch Office ________

Other _______________________________________________________________________

D. Type of Company:

Corporation _____ Partnership _____ Sole Proprietorship _____ Joint Venture ___

Other ______________________________________________________________________

E. Year Company was established: _____________

F. Name, address, and telephone number of parent company (enter N/A if not applicable). _______

G. All former company names (enter N/A if not applicable). ________________________________

9/29/2016 p. 13 of 49

PART II – CONTRACTOR’S BACKGROUND (Continued)

H. Joint Venture: If this Qualification Statement is being presented by a Joint Venture, please indicate the participation of each entity. If not a Joint Venture, indicate Not Applicable

(N/A).

NAME OF JOINT

VENTURE

PARTNER

TYPE OF

PARTICIPATION

PERCENTAGE OF

FINANCIAL

PARTICIPATION

PERCENTAGE

OPERATIONAL

PARTICIPATION

I. Judgments, Claims, and Lawsuits

Are there any judgments, claims, and/or lawsuits pending or outstanding against or involving your company? No

___, Yes ___. If “Yes,” submit details of all judgments or claims against either parent office or division/branch that will be responsible for the accomplishment of this project on a separate sheet under

Tab 2.

J. List officers, Partners and/or Owners

NAME POSITION OR

TITLE

IN THE FIRM

NAME OF YEARS

WITH THE FIRM

YEARS OF

EXPERIENCE

9/29/2016 p. 14 of 49

PART II – CONTRACTOR’S BACKGROUND (Continued)

K. Is your company under suspension or debarment by any Federal, state or local agency or been terminated on any past projects (Smithsonian or others)?

No ___, Yes ___. If “Yes,” submit details on a separate sheet and submit under Tab 3.

L. Affirmation: I _______________________________, hereby certify that I am the authorized representative of the company submitting this Qualification Statement, and that the following statements are true to the best of my knowledge, information, and belief:

I affirm that neither the entity, nor any officer, controlling shareholder, partner, or principal, nor any other person substantially involved in the contracting activities of the company has in the past five (5) years:

(1) Been convicted under state or federal statutes of a criminal offense incident to obtaining or attempting to obtain or performing a public or private contract.

(2) Been convicted under state or federal statutes of fraud, embezzlement, theft, forgery, falsification or destruction of records, or receiving stolen property

(3) Been found civil liable under state or federal antitrust or other statutes for acts or omissions in connection with submission of bids or proposals for or performance of a public or private contract.

(4) Been criminally convicted of any violation of a state or federal antitrust statute.

(5) Been convicted under the provisions of Title 18 of the United States Code for violation of the Racketeer

Influence and Corrupt Organization Act, 18 USC, Section 1961 et seq. or the Mail Fraud Act, 18 USC, Section

1341 et seq., for acts arising out of the submission of Bids or Proposals for a public or private contract.

(6) Been criminally convicted of conspiracy to commit any act or omission that would constitute grounds for conviction or liability under any statute described in paragraphs (10), (2), (4), or (5) above; or

(7) Admitted in writing or under oath, during the course of an official investigation, or other proceeding, acts or omissions that would constitute grounds for conviction of liability under any statute described above.

(8) I certify that I have read and understand the instructions for completing the Qualification Statement and if I am unable to make the above Affirmation, I will provide an explanation as to why not on a separate sheet and submit under Tab 4.

Name (Printed) Date

Signature

Title

Entity Name

9/29/2016 p. 15 of 49

PART III – EXPERIENCE/PERFORMANCE

COMPARABLE EXPERIENCE – Using the form below, list a minimum of three (3) comparable projects (as defined in Part I, General Information, Section C) completed or in progress during the past five (5) years. Submit under

Tab 5 using the attached excel template. For each project, descriptions should be included in Project Sheets under Part

42 and be placed behind this form in your qualification statement. Do not include more than five (5) projects. In assessing comparable experience as part of this RFQ, consideration will be given to projects to the extent they meet the criteria set forth in Part I, Section C of this RFQ.

Firm’s office or branch that managed this project: _________________________________________

Project Name: ___________________________City ___________________ State _____ Zip ______

Project Size (SF): _______________ Contract Completion Date _______ Building Type: Museum ___, Library/Archive ___, Other Cultural ___, Government (y/n), if Other Describe _____________

Contract Type: GMP ___, D/B ___, Fixed Price ___, Other ___, If Other, Describe________________

Orig. Contract Amount: $______________ Final Contract Amount: $____________ % Change: ____*

Orig. Contract Duration ______________ Actual Contract Duration ___________ % Change: ____*

* If either Contract Completion time or Value increased by more than 5% attach an explanation.

Has this project received any awards (Construction, Quality, Safety or other): Yes ______ No ______

If yes, list: _____________________________________________________________________

Client Reference for Construction: (it is your responsibility to assure that the telephone number is correct. If your reference can not be contacted, this project may not count as a comparable.)

Owner’s Representative or Project Manager: _________________________________________________

Telephone: ____________________________ Email Address: _____________________________

Project Description (Building, Subject Matter, Challenges):

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PART III – EXPERIENCE/PERFORMANCE – (continued)

Non-Comparable Experience - – Using the form below, list a minimum of three (3) non-comparable projects (as defined in Part I, General Information, Section C) completed or in progress during the past five (5) years. Submit under

Tab 5 using the attached excel template. For each project, descriptions should be included in Project Sheets under Part

42 and be placed behind this form in your qualification statement. Do not include more than five (5) projects. In assessing comparable experience as part of this RFQ, consideration will be placed to projects to the extent they meet the criteria set forth in Part I, Section C of this RFQ.