Pre-Qual_application_comments_FINAL_2026_09_15.pdf

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Attached to
Temporary Work Trestle Test Pile Installation
Solicitation number
HRWSBA-SV-2026-01
Issued by
Oregon

About this file

This is a mandatory prequalification application for a marine construction contract issued by the Hood River-White Salmon Bridge Authority (HRWSBA) for the Temporary Work Trestle Test Pile Installation project. The work encompasses marine pile installation and testing activities utilizing both vibratory/impact pile driving and Down-the-Hole (DTH) hammer installation methods from floating plants to support the Test Pile Program for the Hood River-White Salmon Bridge Replacement Project. The estimated contract value is $7,000,000. Applicants must submit completed prequalification applications by September 29, 2026, at 5:00 p.m. Pacific Time to contracts@hrwsba.gov. Written prequalification approval will be transmitted a minimum of seven days prior to the bid due date. The anticipated field start is January 2027. All communications regarding this procurement must be directed to the single point of contact, Andrew Gong, to avoid disqualification.

The prequalification evaluation operates on a mandatory pass/fail basis with no comparative scoring. Applicants must satisfy all ten mandatory qualification requirements, including: legal authorization to transact business in Oregon and Washington; active Oregon CCB registration and Washington contractor registration; two comparable projects completed within ten years with marine construction experience, steel pile installation, and applicant-performed scope of at least $2,000,000 each; demonstrated experience in both vibratory/impact pile driving and DTH pile installation in rock or comparable subsurface conditions; bonding capacity of 100% performance and 100% payment bonds for $7,000,000; documented ownership, lease, or commitment for critical equipment necessary for January 2027 field start; absence of suspension, debarment, or ineligibility in both states; and financial viability outside bankruptcy or receivership proceedings. Optional ODOT Prime Contractor Prequalification for Bridges and Structures with a single-contract limit of at least $7,000,000 may be submitted as supplementary evidence. Applications are subject to Oregon Public Records Law, and applicants may designate specific pages as confidential or trade secret with proper justification. The Authority reserves the right to request clarification of submitted information and verify details with owners, sureties, insurers, licensing agencies, and other identified sources.

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Hood River-White Salmon Bridge Replacement Project

MARINE CONTRACTOR PREQUALIFICATION APPLICATION

FOR

PROCURMENT OF TEMPORARY WORK TRESTLE TEST PILE INSTALLATION

CONTRACT NO. HRWSBA-SV-2026-01

HOOD RIVER-WHITE SALMON BRIDGE REPLACEMENT PROJECT | PREQUALIFICATION APPLICATION

TEMPORARY WORK TRESTLE TEST PILE INSTALLATION

SEPTEMBER 2026 i

TABLE OF CONTENTS

APPLICANT AND SUBMSSION

1. PURPOSE, BASIS, AND EVALUATION METHOD

1.1 PURPOSE

1.2 PASS/FAIL REVIEW

1.3 DEFINITIONS

1.4 APPLICATION REVIEW POLICIES

1.5 CONFIDENTIAL INFORMATION

2. APPLICATION CHECKLIST

3. MANDATORY MINIMUM QUALIFICATIONS

4. APPLICANT INFORMATION AND LEGAL QUALIFICATIONS

4.1 LEGAL AND INTEGRITY DISCLOSURES

5. ODOT PREQUALIFICATION, FINANCIAL CAPACITY, BONDING, AND

INSURANCE

5.1 ODOT PRIME CONTRACTOR PREQUALIFICATION (OPTIONAL)

5.2 BONDING CAPACITY

5.3 INSURANCE CAPABILITY

6. COMPARABLE PROJECT EXPERIENCE

6.1 COLLECTIVELY, THE TWO PROJECTS DEMONSTRATE:

6.2 COMPARABLE PROJECT 1 FORM FOR VIBRATORY/IMPACT PILE DRIVING

6.3 COMPARABLE PROJECT 2 FORM FOR DTH PILE INSTALLATION

7. KEY PERSONNEL & SCHEDULE AVAILABILTY

8. CRITICAL EQUIPMENT AND RESOURCE AVAILABILITY

8.1 CRITICAL EQUIPMENT AVAILABILITY

8.2 EQUIPMENT CERTIFICATION

SEPTEMBER 2026 ii

8.3 CURRENT BACKLOG AND SCHEDULE RESOURCES

9. SAFETY PERFORMANCE

10. ENVIRONMENTAL AND REGULATORY COMPLIANCE

11. PERFORMANCE HISTORY AND CLAIMS

12. APPLICANT CERTIFICATIONS

13. NOTICE, DENIAL, AND APPEAL

14. AUTHORITY EVALUATION WORKSHEET

14.1 CLARIFICATION LOG

14.2 OVERALL DETERMINATION

SEPTEMBER 2026 1

APPLICANT AND SUBMSSION

Item Information

Applicant

Submission Date

Submission Due September 29, 2026, at 5:00 p.m. Pacific Time

Procurement Temporary Work Trestle Test Pile Installation

Estimated Contract Value $7,000,000

IMPORTANT NOTICE

This is a mandatory prequalification process conducted under ORS 279C.430. Only applicants receiving the Authority’s written prequalification approval before the Bid Due date will be eligible to submit a Bid. The approval or denial will be transmitted minimum seven (7) days prior to the Bid Due date. Authority prequalification is separate from and in addition to ODOT Prime Contractor Prequalification, licensing, registration, Bid responsiveness, and the Authority’s final responsibility determination before contract award.

APPLICATION SOURCE AND COMMUNICATIONS

Download this application and all related notices, clarifications, and addenda from the Project Procurement Portal: https://hrwsba.gov/procurement-hub.

Submit the completed applications and questions only to the single point of contact for the procurement. The Authority’s single point of contact for this procurement is:

Contact Information

Name Andrew Gong

Email contracts@hrwsba.gov

Until Contract execution or cancellation, Bidders and their representatives shall direct all procurement-related communications only to the single point of contact. Unauthorized communications with Authority officials, employees, advisors, or consultants involved in the procurement may result in disqualification or rejection of a Bid.

https://hrwsba.gov/procurement-hub mailto:contracts@hrwsba.gov

SEPTEMBER 2026 2

1. PURPOSE, BASIS, AND EVALUATION METHOD

1.1 PURPOSE

This application is intended to obtain information necessary for the Authority to determine whether the Applicant possesses the qualifications, experience, resources, and capability required to successfully perform the Work.

The Authority will use the information provided by the Applicant, including all attachments, disclosures, certifications, and supporting documentation, solely to evaluate whether the Applicant:

• Is legally authorized and qualified to perform the Work;

• Possesses a satisfactory record of integrity;

• Possesses a satisfactory record of performance on comparable projects;

• Has the resources and capacity necessary to perform the Work;; and

• Satisfies the minimum qualification requirements established in this Prequalification

Questionnaire.

The information requested in this application is intended solely to assess the Applicant's qualifications and responsibility to perform the Work and will not be used to comparatively rank or score applicants.

1.2 PASS/FAIL REVIEW

The Authority will not rank applicants or assign comparative scores. Each application will be evaluated on a pass/fail basis against the published mandatory requirements in Section 3 and the applicable responsibility standards. Narrative information will be used only to verify whether a stated requirement is met and will not be evaluated for style, persuasiveness, or comparative merit.

1.3 DEFINITIONS

Term Definition

Applicant The legal entity or joint venture seeking prequalification.

Authority Hood River-White Salmon Bridge Authority.

Comparable Project A project satisfying every parameter in Section 3.4.

Critical Equipment Equipment listed in Section 8.1 that is necessary for the proposed Work.

Work The Temporary Work Trestle Test Pile Installation work described in the Instructions to Bidders and Scope of Work.

SEPTEMBER 2026 3

1.4 APPLICATION REVIEW POLICIES

• Applications must be complete, signed, and received by the submittal due date and time in the posted notice.

• Each response must cite the applicable attachment and page number.

• If an item does not apply, state “Not Applicable” and explain why.

• The Authority may verify information with owners, sureties, insurers, licensing agencies, regulators, and other identified sources.

• The Authority may request clarification of timely submitted information. Clarification may not materially improve, replace, or add a missing mandatory qualification after the deadline.

• The same clarification standard will be applied consistently to similarly situated applicants.

• Materially false, misleading, or omitted information may result in denial or revocation of prequalification.

• An approval applies only to the applicant legal entity identified in the application and may not be transferred.

1.5 CONFIDENTIAL INFORMATION

Applications and supporting documentation submitted in response to this Prequalification Questionnaire are subject to Oregon Public Records Law, including ORS 192.314.

If an Applicant believes specific information is exempt from public disclosure, the Applicant must clearly label each page containing such information as “CONFIDENTIAL” or "TRADE SECRET" and identify the basis for the claimed exemption. The Applicant may not designate the entire application, or a substantial portion of the application, as confidential or a trade secret.

If the Authority receives a public records request for information marked as a trade secret, the Authority may request additional information supporting the exemption claim. The Authority will independently determine whether an exemption applies and whether disclosure is required by law or the public interest.

Information that is publicly available or otherwise not exempt from disclosure will not be protected solely because it has been marked confidential by the Applicant.

The Authority is not liable for the disclosure of information when disclosure is authorized or required by applicable law, court order, or other legal process, including pursuant to ORS 192.335.

SEPTEMBER 2026 4

2. APPLICATION CHECKLIST

☐ Completed and signed questionnaire, including all required certifications.

☐ Evidence of Oregon and Washington business license.

☐ Oregon CCB registration and Washington contractor licenses.

☐ [OPTIONAL] ODOT prequalification evidence showing class, expiration, single-contract limit, and available bidding capacity, if available.

☐ Current surety letter confirming single-project and aggregate bonding capacity.

☐ Insurance broker or carrier letter confirming insurance capability dated no earlier than 30 calendar days before application submission.

☐ Two (2) Comparable Project Forms with owner references.

☐ Organizational chart and resumes for required key personnel.

☐ Critical Equipment Availability Schedule and supporting ownership, lease, or commitment evidence.

☐ Three years of EMR, TRIR, DART, employee hours, and supporting documentation.

☐ Five-year safety and environmental citation/incident disclosures.

☐ Ten-year performance, default, claims, and surety disclosures.

☐ Current backlog and resource-loading information.

☐ Certification and authorization to verify information.

SEPTEMBER 2026 5

3. MANDATORY MINIMUM QUALIFICATIONS

The applicant must satisfy every mandatory requirement below. “Evidence Location” must identify the attachment and page. A “No” response means the applicant does not meet the stated requirement unless the requirement expressly permits an equivalent.

No. Category Objective Requirement Response Evidence Location

3.1 Legal authority

Applicant is legally authorized, or will be legally authorized by Bid submission, to transact business and perform the Work in Oregon and Washington.

☐ Yes ☐ No

3.2 Contractor

Registration

Applicant holds, or will hold by Bid submission, required contractor registrations and licenses, including an active Oregon CCB registration and Washington Contractor registration.

☐ Yes ☐ No

3.3

ODOT

prequalification (if available)

Approved and unexpired ODOT Prime Contractor Prequalification for Bridges and Structures, single-contract limit of at least $7,000,000, and sufficient available bidding capacity at Bid Closing.

☐ Yes ☐ No

3.4 Comparable

projects

At least Two (2) Comparable Projects completed within the ten years preceding the application deadline. Each must include the following qualifying work: marine construction from floating plants, steel pile installation, and an applicant-performed scope of at least $2,000,000. Applicants must have served as prime, JV participant, or subcontractor directly responsible for the qualifying work.

☐ Yes ☐ No

3.5 Installation

methods

Two (2) Comparable Projects, documented experience must include vibratory/impact pile driving, and Down the Hole Hammer (DTH) pile installation in rock or comparable subsurface conditions. A single project need not include both methods.

☐ Yes ☐ No

3.6 Bonding

Current surety commitment demonstrating ability to furnish 100% performance and 100% payment bonds for a $7,000,000 contract.

☐ Yes ☐ No

3.7 Critical

Equipment

Documented ownership, enforceable lease, subcontract, or written supplier commitment for the Critical Equipment necessary for the anticipated January 2027 field start.

☐ Yes ☐ No

3.8 Integrity

Applicant is not currently suspended, debarred, or otherwise ineligible for public contracting in both Oregon and Washington.

☐ Yes ☐ No

3.9 Financial

condition

Applicant is not currently in bankruptcy, receivership, or insolvency proceedings that prevent or materially impair performance.

☐ Yes ☐ No

3.10 Completeness Application includes all mandatory forms, disclosures, and supporting evidence. ☐ Yes ☐ No

SEPTEMBER 2026 6

4. APPLICANT INFORMATION AND LEGAL QUALIFICATIONS

No. Item Applicant Response

4.1 Legal name of applicant (Company)

4.2 Doing business as (DBA) name

4.3 Primary contact: name, title, phone, email

4.4 Entity type and state of organization

4.5 Business address

4.6 Authorized representative

4.7 Parent company and affiliates

4.8 Year established

4.9 Federal Tax Identification Number

4.10 SAM / UEI Number

4.11 Oregon CCB number and expiration

4.12 Washington contractor registration

and expiration

4.13 Oregon Secretary of State registry

number

4.14 Washington Secretary of State / UBI

number

4.15 ODOT vendor or prequalification

number (if available)

4.1 LEGAL AND INTEGRITY DISCLOSURES

Question Response Attachment / Explanation

During the past five years, has the Applicant or a controlling affiliate been convicted of or admitted to fraud, bribery, bid-rigging, false claims, or a similar contracting offense?

☐ Yes ☐ No

During the past five years, has a required contractor license or registration been suspended, revoked, or allowed to lapse while work was being performed? ☐ Yes ☐ No

SEPTEMBER 2026 7

Question Response Attachment / Explanation

Is there any pending governmental proceeding that could make the Applicant ineligible to perform the Work? ☐ Yes ☐ No

For each “Yes,” provide the date, jurisdiction, case or matter number, disposition or current status, operational effect, and corrective action. A disclosed matter is not an automatic basis for denial.

The Authority will consider disclosed information only to determine whether the Applicant satisfies the specific pass/fail qualification criteria and responsibility standards identified in this questionnaire.

SEPTEMBER 2026 8

5. ODOT PREQUALIFICATION, FINANCIAL CAPACITY, BONDING, AND

INSURANCE

5.1 ODOT PRIME CONTRACTOR PREQUALIFICATION (OPTIONAL)

ODOT prequalification may be considered as evidence of contractor qualifications. The absence of ODOT Prime Contractor Prequalification shall not, by itself, constitute a basis for denial of prequalification. If the Applicant currently holds ODOT Prime Contractor Prequalification, provide the information in the section below.

Item Required Parameter Applicant Response Evidence

Class of Work Bridges and Structures

Expiration date Unexpired at Bid Closing

5.2 BONDING CAPACITY

Item Applicant Response Required Evidence

Single-project bonding capacity ($7,000,000 minimum) Stated in Surety letter

Aggregate bonding capacity State amount in Surety letter

Available aggregate capacity State amount in Surety letter as of application date

Surety name and NAIC number Current surety letter

Surety contact Name, phone, email

5.3 INSURANCE CAPABILITY

Coverage Current Limit Available / Obtainable Limit Carrier Evidence

Commercial General Liability Per the IFB Stated in letter from licensed insurer/broker

Workers’ Compensation / Employer’s Liability Statutory

Automobile Liability Per the IFB Stated in letter from licensed insurer/broker

Marine Liability / Protection and Indemnity Per the IFB

Stated in letter from licensed insurer/broker

SEPTEMBER 2026 9

Coverage Current Limit Available / Obtainable Limit Carrier Evidence

Pollution Liability Per the IFB Stated in letter from licensed insurer/broker

Other coverage required Per the IFB Stated in letter from licensed insurer/broker

SEPTEMBER 2026 10

6. COMPARABLE PROJECT EXPERIENCE

Submit two (2) separate Comparable Project Forms. A project qualifies only if it meets every parameter below. The Authority will confirm the information through the identified owner reference. Additional projects may be submitted for verification but will not offset failure to provide two qualifying projects.

Parameter Mandatory Standard Project 1 Project 2

Completion date Completed within 10 years of the application deadline ☐ ☐

Marine setting Work performed from floating plant ☐ ☐

Pile work Steel pile installation ☐ ☐

Applicant-performed value At least $2,000,000 ☐ ☐

Applicant role Prime, JV participant, or subcontractor directly responsible for qualifying scope ☐ ☐

Owner reference Current contact information provided ☐ ☐

6.1 COLLECTIVELY, THE TWO PROJECTS DEMONSTRATE:

Experience Project 1 Project 2

Vibratory/ Impact pile driving ☐ ☐

DTH pile installation in rock or comparable subsurface conditions ☐ ☐

Marine operations in navigable waters ☐ ☐

Environmental monitoring and permit-compliance coordination ☐ ☐

SEPTEMBER 2026 11

6.2 COMPARABLE PROJECT 1 FORM FOR VIBRATORY/IMPACT PILE

DRIVING

Project Information Applicant Response

Project name

Owner and location

Owner reference: name, title, phone, email

Original contract value / final contract value

Applicant-performed qualifying scope value

Start date / substantial completion date

Applicant role and percentage of work

Marine work performed from floating plant ☐ Yes ☐ No Evidence: ______________________________

Steel pile type, diameter, wall thickness, quantity, and installed length

Vibratory pile driving performed by Applicant ☐ Yes ☐ No Evidence: ______________________________

Impact pile driving performed by Applicant ☐ Yes ☐ No Evidence: ______________________________

Navigable-water and marine-traffic controls

Environmental permits, in-water work windows, monitoring, and mitigation

Original and actual completion dates; explain variance greater than 30 days

Claims, disputes, safety incidents, environmental events, or liquidated damages

Key personnel proposed for this procurement who worked on this project

SEPTEMBER 2026 12

6.3 COMPARABLE PROJECT 2 FORM FOR DTH PILE INSTALLATION

Project Information Applicant Response

Project name

Owner and location

Owner reference: name, title, phone, email

Original contract value / final contract value

Applicant-performed qualifying scope value

Start date / substantial completion date

Applicant role and percentage of work

Marine work performed from floating plant ☐ Yes ☐ No Evidence: ______________________________

Steel pile type, diameter, wall thickness, quantity, and installed length

DTH pile installation in rock or comparable conditions ☐ Yes ☐ No Evidence: ______________________________

Floating plant, cranes, hammers, DTH systems, compressors, and support equipment

Navigable-water and marine-traffic controls

Environmental permits, in-water work windows, monitoring, and mitigation

Original and actual completion dates; explain variance greater than 30 days

Claims, disputes, safety incidents, environmental events, or liquidated damages

Key personnel proposed for this procurement who worked on this project

SEPTEMBER 2026 13

7. KEY PERSONNEL & SCHEDULE AVAILABILTY

Identify the personnel intended to support the Work. Personnel information is reviewed only to confirm availability and relevant experience. No comparative scoring will be used.

Position Name / Employer Years in Role Relevant Marine Projects Availability for Jan.

2027 Resume

Project Manager ☐

Superintendent ☐

Marine Operations Manager ☐

Pile Installation Superintendent / Foreman ☐

Safety Manager / Representative ☐

Environmental Compliance Lead ☐

For each person, attach a resume identifying employer, licenses/certifications, role on comparable projects, and relevant vibratory, impact, DTH, floating-plant, and environmental coordination experience. If one person fills multiple roles, identify the combined roles and explain how all duties will be covered without schedule conflict.

SEPTEMBER 2026 14

8. CRITICAL EQUIPMENT AND RESOURCE AVAILABILITY

8.1 CRITICAL EQUIPMENT AVAILABILITY

For each listed item, identify the specific unit or committed source. “Available” means owned by the Applicant or supported by an enforceable lease, subcontract, or written supplier commitment covering the anticipated January 2027 field start and required performance period.

Critical Equipment Qty. Make / Model / Capacity Owned / Lease / Commitment Availability Dates Evidence

Crane barge

Material / work barge

Tugboat / push boat

Service / crew boat

Marine crane

Vibratory hammer

Impact hammer

DTH drill system

Air compressor system

Pile template / leads / guides

Spuds, anchors, and mooring system

Bubble curtain / underwater noise mitigation system

Survey / positioning system

Collecting, containing, transporting, and lawfully disposing of DTH drilling spoils

8.2 EQUIPMENT CERTIFICATION

☐ The equipment identified above meets or can be configured to meet the anticipated Work requirements.

SEPTEMBER 2026 15

☐ Ownership documentation, lease, subcontract, or written supplier commitment is attached for each Critical Equipment item.

☐ Known conflicts affecting availability are disclosed below.

☐ Replacement resources or contingency arrangements for mission-critical equipment are identified below.

Known conflicts and contingency resources:

8.3 CURRENT BACKLOG AND SCHEDULE RESOURCES

Current Project Owner Remaining Value Completion Date Shared Key Personnel / Equipment

Certify availability for anticipated January 2027 field start: ☐ Yes ☐ No

If “No” or conditional, explain:

SEPTEMBER 2026 16

9. SAFETY PERFORMANCE

Provide company-wide data for the Applicant legal entity for each of the three (3) most recently completed calendar years. Attach insurer or OSHA documentation sufficient to verify the reported data. If a metric is unavailable, explain why and provide the closest verifiable equivalent.

Metric Year 1: ____ Year 2: ____ Year 3: ____ Evidence

Experience Modification Rate (EMR)

Total Recordable Incident Rate (TRIR)

DART rate

Lost-time incidents

Fatalities

Total employee hours worked

Disclosure Question Response Details / Evidence

During the past five years, did the Applicant receive a final OSHA or state-plan serious, willful, repeat, or failure-to-abate citation? ☐ Yes ☐ No

During the past five years, did the Applicant experience a work-related fatality? ☐ Yes ☐ No

During the past five years, did the Applicant have a reportable marine incident involving sinking, capsizing, collision, fire, dropped load, or personnel overboard?

☐ Yes ☐ No

Does the Applicant maintain a written marine construction safety program? ☐ Yes ☐ No

Does the Applicant maintain stop-work authority, near-miss reporting, and marine emergency-response procedures? ☐ Yes ☐ No

A disclosed citation or incident is not an automatic failure. Provide date, agency, final classification or disposition, corrective action, and current status. The Authority will assess only whether the record demonstrates the ability to perform responsibly and safely.

SEPTEMBER 2026 17

10. ENVIRONMENTAL AND REGULATORY COMPLIANCE

Disclosure / Experience Response Date, Project, Agency, Status, Evidence

Final environmental notice of violation, penalty, or stop-work order during the past five years ☐ Yes ☐ No

Experience working within in-water work windows or protected-species protocols ☐ Yes ☐ No

Experience coordinating fisheries, hydroacoustic, turbidity, cultural, or bridge monitoring ☐ Yes ☐ No

Experience implementing spill prevention and response for floating plant ☐ Yes ☐ No

Experience under U.S. Coast Guard navigation requirements ☐ Yes ☐ No

A disclosed violation is not an automatic failure. Provide the final disposition, operational effect, corrective action, and current compliance status.

SEPTEMBER 2026 18

11. PERFORMANCE HISTORY AND CLAIMS

Question Response Required Details / Evidence

During the past ten years, has the Applicant been terminated for default? ☐ Yes ☐ No

During the past ten years, has the Applicant failed to complete a project? ☐ Yes ☐ No

During the past ten years, has a surety completed work or paid a performance-bond claim for the Applicant? ☐ Yes ☐ No

During the past ten years, has the Applicant been assessed liquidated damages exceeding $100,000 on a comparable marine project? ☐ Yes ☐ No

Is the Applicant involved in unresolved litigation, arbitration, or claims that could materially impair financial or operational capacity for this Work? ☐ Yes ☐ No

During the past five years, has a public owner issued a final written determination that the Applicant was nonresponsible or not qualified? ☐ Yes ☐ No

For each “Yes,” provide project, owner, date, amount, final disposition or current status, and corrective action. Disclosure alone is not an automatic failure.

SEPTEMBER 2026 19

12. APPLICANT CERTIFICATIONS

• The information in this application and attachments is true, accurate, and complete to the best of the undersigned’s knowledge.

• The undersigned is authorized to bind the Applicant.

• The Applicant will promptly notify the Authority of any material change before Contract award.

• The Applicant understands that prequalification does not guarantee receipt of an ITB, acceptance of a Bid, or Contract award.

• The Applicant understands that Authority prequalification is separate from ODOT prequalification and all other Bidder eligibility, responsiveness, and responsibility requirements.

• The Applicant understands that materially false, misleading, or omitted information may result in denial or revocation of prequalification.

Certification Item Applicant Response

Applicant legal name

Authorized representative

Title

Signature

Date

SEPTEMBER 2026 20

13. NOTICE, DENIAL, AND APPEAL

The Authority will issue written notice of its determination. Approval will qualify the Applicant for participation in the bidding process for Procurement for the Contract HRWSBA-SV-2026-01. A denial will identify each reason for denial and inform the Applicant of applicable hearing and appeal rights under ORS 279C.445 and ORS 279C.450.

SEPTEMBER 2026 21

14. AUTHORITY EVALUATION WORKSHEET

FOR AUTHORITY USE ONLY. This worksheet records an objective pass/fail determination.

Evaluators must cite the application page, attachment, verification record, or other documented basis for every finding. No comparative scoring, adjectival rating, or unstated criterion may be used.

No. Mandatory Criterion Section Pass Fail Clarification Documented Basis

1 Complete and timely signed application 12 ☐ ☐ ☐

2 Legal authority and required registrations 4 ☐ ☐ ☐

3 Not suspended, debarred, or ineligible 4 ☐ ☐ ☐

4 Satisfactory performance and integrity record 4 ☐ ☐ ☐

5 100% performance/payment bonding capability (Assume $7 million)

5 ☐ ☐ ☐

6 100% insurance requirement 5 ☐ ☐ ☐

7 Two qualifying Comparable Projects 6 ☐ ☐ ☐

8 Vibratory/ Impact pile-driving experience 6 ☐ ☐ ☐

9 DTH experience in rock/comparable conditions 6 ☐ ☐ ☐

10 Qualified Key personnel and their January 2027 availability

7 ☐ ☐ ☐

11 Critical Equipment availability 8 ☐ ☐ ☐

12 Schedule/backlog supports timely performance 8 ☐ ☐ ☐

13 Safety record/program supports responsible performance

9 ☐ ☐ ☐

14 Environmental record/experience supports responsible performance

10 ☐ ☐ ☐

14.1 CLARIFICATION LOG

Date Issue / Criterion Request Sent Response Received Disposition

SEPTEMBER 2026 22

14.2 OVERALL DETERMINATION

Determination Selection

PREQUALIFIED ☐ All mandatory requirements met.

NOT PREQUALIFIED ☐ One or more mandatory requirements not met or an applicable responsibility basis for denial identified.

ADDITIONAL CLARIFICATION

REQUIRED ☐ Determination deferred pending permissible verification or clarification.

Evaluator Signature Date

APPLICANT AND SUBMSSION
1. PURPOSE, BASIS, AND EVALUATION METHOD
1.1 Purpose
1.2 Pass/Fail Review
1.3 Definitions
1.4 Application Review POLICIES
1.5 Confidential Information
2. APPLICATION CHECKLIST
3. MANDATORY MINIMUM QUALIFICATIONS
4. APPLICANT INFORMATION AND LEGAL QUALIFICATIONS
4.1 Legal and Integrity Disclosures
5. ODOT PREQUALIFICATION, FINANCIAL CAPACITY, BONDING, AND INSURANCE
5.1 ODOT Prime Contractor Prequalification (OPTIONAL)
5.2 Bonding CAPACITY
5.3 Insurance Capability
6. COMPARABLE PROJECT EXPERIENCE
6.1 Collectively, the TWO projects demonstrate:
6.2 COMPARABLE PROJECT 1 FORM for Vibratory/Impact pile driving
6.3 COMPARABLE PROJECT 2 FORM for DTH pile installation
7. KEY PERSONNEL & SCHEDULE AVAILABILTY
8. CRITICAL EQUIPMENT AND RESOURCE AVAILABILITY
8.1 Critical Equipment Availability
8.2 Equipment Certification
8.3 Current Backlog and Schedule Resources
9. SAFETY PERFORMANCE
10. ENVIRONMENTAL AND REGULATORY COMPLIANCE
11. PERFORMANCE HISTORY AND CLAIMS
12. APPLICANT CERTIFICATIONS
13. NOTICE, DENIAL, AND APPEAL
14. AUTHORITY EVALUATION WORKSHEET
14.1 Clarification Log
14.2 Overall Determination
Applicant:
Submission Date:
Completed and signed questionnaire including all required certifications: Off
Evidence of Oregon and Washington business license: Off
Oregon CCB registration and Washington contractor licenses: Off
OPTIONAL ODOT prequalification evidence showing class expiration singlecontract limit: Off
Current surety letter confirming singleproject and aggregate bonding capacity: Off
Insurance broker or carrier letter confirming insurance capability dated no earlier than 30: Off
Two 2 Comparable Project Forms with owner references: Off
Organizational chart and resumes for required key personnel: Off
Critical Equipment Availability Schedule and supporting ownership lease or commitment: Off
Three years of EMR TRIR DART employee hours and supporting documentation: Off
Fiveyear safety and environmental citationincident disclosures: Off
Tenyear performance default claims and surety disclosures: Off
Current backlog and resourceloading information: Off
Certification and authorization to verify information: Off
undefined: Off
Yes No:
undefined_2: Off
Yes No_2:
undefined_3: Off
Yes No_3:
undefined_4: Off
Yes No_4:
undefined_5: Off
Yes No_5:
undefined_6: Off
Yes No_6:
undefined_7: Off
Yes No_7:
undefined_8: Off
Yes No_8:
undefined_9: Off
Yes No_9:
undefined_10: Off
Yes No_10:
Legal name of applicant Company:
Doing business as DBA name:
Primary contact name title phone email:
Entity type and state of organization:
Business address:
Authorized representative:
Parent company and affiliates:
Year established:
Federal Tax Identification Number:
SAM UEI Number:
Oregon CCB number and expiration:
Washington contractor registration and expiration:
Oregon Secretary of State registry number:
Washington Secretary of State UBI number:
ODOT vendor or prequalification number if available:
undefined_11: Off
Yes No_11:
undefined_12: Off
Yes No_12:
undefined_13: Off
Yes No_13:
questionnaire 1:
questionnaire 2:
questionnaire 3:
Unexpired at Bid Closing:
Singleproject bonding capacity 7000000 minimum:
Aggregate bonding capacity:
Available aggregate capacity:
Surety name and NAIC number:
Surety contact:
Per the IFB:
Statutory:
Stated in letter from licensed insurerbrokerStatutory:
Per the IFB_2:
Per the IFB_3:
Per the IFB_4:
Per the IFB_5:
Project name:
Owner and location:
Owner reference name title phone email:
Original contract value final contract value:
Applicantperformed qualifying scope value:
Start date substantial completion date:
Applicant role and percentage of work:
Yes_14: Off
undefined_14: Off
No Evidence:
Yes No EvidenceSteel pile type diameter wall thickness quantity and installed length:
Yes_15: Off
undefined_15: Off
No Evidence_2:
Yes_16: Off
undefined_16: Off
No Evidence_3:
Yes No EvidenceNavigablewater and marinetraffic controls:
Yes No EvidenceEnvironmental permits inwater work windows monitoring and mitigation:
Yes No EvidenceOriginal and actual completion dates explain variance greater than 30 days:
Yes No EvidenceClaims disputes safety incidents environmental events or liquidated damages:
Yes No EvidenceKey personnel proposed for this procurement who worked on this project:
Project name_2:
Owner and location_2:
Owner reference name title phone email_2:
Original contract value final contract value_2:
Applicantperformed qualifying scope value_2:
Start date substantial completion date_2:
Applicant role and percentage of work_2:
Yes_17: Off
No Evidence_4: Off
undefined_17:
Yes No EvidenceSteel pile type diameter wall thickness quantity and installed length_2:
Yes_18: Off
No Evidence_5: Off
undefined_18:
Yes No EvidenceFloating plant cranes hammers DTH systems compressors and support equipment:
Yes No EvidenceNavigablewater and marinetraffic controls_2:
Yes No EvidenceEnvironmental permits inwater work windows monitoring and mitigation_2:
Yes No EvidenceOriginal and actual completion dates explain variance greater than 30 days_2:
Yes No EvidenceClaims disputes safety incidents environmental events or liquidated damages_2:
Yes No EvidenceKey personnel proposed for this procurement who worked on this project_2:
Project Manager:
Superintendent:
Marine Operations Manager:
Pile Installation Superintendent Foreman:
Safety Manager Representative:
Environmental Compliance Lead:
will be covered without schedule conflict 1:
will be covered without schedule conflict 2:
will be covered without schedule conflict 3:
Crane barge:
Material work barge:
Tugboat push boat:
Service crew boat:
Marine crane:
Vibratory hammer:
Impact hammer:
DTH drill system:
Air compressor system:
Pile template leads guides:
Spuds anchors and mooring system:
Bubble curtain underwater noise mitigation system:
Survey positioning system:
Collecting containing transporting and lawfully disposing of DTH drilling spoils:
The equipment identified above meets or can be configured to meet the anticipated Work: Off
Ownership documentation lease subcontract or written supplier commitment is attached for: Off
Known conflicts affecting availability are disclosed below: Off
Replacement resources or contingency arrangements for missioncritical equipment are: Off
Known conflicts and contingency resources 1:
Known conflicts and contingency resources 2:
Certify availability for anticipated January 2027 field start: Off
If No or conditional explain 1:
If No or conditional explain 2:
If No or conditional explain 3:
Experience Modification Rate EMR:
Total Recordable Incident Rate TRIR:
DART rate:
Losttime incidents:
Fatalities:
Total employee hours worked:
undefined_19: Off
Yes No_14:
undefined_20: Off
Yes No_15:
undefined_21: Off
Yes No_16:
undefined_22: Off
Yes No_17:
undefined_23: Off
Yes No_18:
record demonstrates the ability to perform responsibly and safely 1:
record demonstrates the ability to perform responsibly and safely 2:
record demonstrates the ability to perform responsibly and safely 3:
undefined_24: Off
Yes No_19:
undefined_25: Off
Yes No_20:
undefined_26: Off
Yes No_21:
undefined_27: Off
Yes No_22:
undefined_28: Off
Yes No_23:
undefined_29: Off
Yes No_24:
undefined_30: Off
Yes No_25:
undefined_31: Off
Yes No_26:
undefined_32: Off
Yes No_27:
undefined_33: Off
Yes No_28:
undefined_34: Off
Yes No_29:
Applicant legal name:
Authorized representative_2:
Title:
Signature:
Date:
undefined_35: Off
One or more mandatory requirements not met or an applicable responsibility basis for: Off
Determination deferred pending permissible verification or clarification: Off
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