Pre-Qualification_for_Job_Order_Contract_(JOC)_for_Pavement_Maintenance_Services.pdf

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Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services
Solicitation number
IFB-080-3104003-SV PQ
Issued by
Orange County, San Diego City, California

About this file

This is a Pre-Qualification Request for Qualification document issued by the County of Orange, California, for a Job Order Contract (JOC) for Pavement Maintenance Services. The County seeks to pre-qualify contractors eligible to bid on road work, structural work, utility adjustments, concrete and storm drain work performed according to project plans, special provisions, and the latest Greenbook standards (excluding Sections 209, 214, 307, and 314). Prospective bidders must possess a valid California Class A contractor's license and be registered with the Department of Industrial Relations per Labor Code 1725.5. The pre-qualification document submission deadline is Wednesday, August 19, 2026, at 2:00 p.m., submitted electronically through the County's online bidding system. Questions regarding the solicitation must be submitted by Monday, August 10, 2026, at 2:00 p.m. The tentative bid release date is August 27, 2026, with an anticipated contract term of one year. Only pre-qualified contractors will be eligible to submit bids when the project is publicly advertised. Contractors must submit a Contractor Information Form, completed Pre-Qualification Questionnaire with certification, a notarized statement from an approved surety insurer confirming bonding capacity of at least $5,000,000, descriptions of key personnel qualifications, and references from six public projects completed within the last ten years of similar size and scope.

The pre-qualification evaluation is divided into four sections: Essential Requirements for Qualification (Pass/Fail), Licenses and Bonding (minimum 15 points required), Organization and Performance (minimum 87 points required), and Construction Projects (reference-based). Contractors must demonstrate current general liability insurance of at least $3,000,000 per occurrence and aggregate, current workers' compensation insurance, and compliance with California prevailing wage laws and apprenticeship requirements. The evaluation scoring addresses organizational history, financial stability, safety compliance (CAL OSHA and OSHA citations), workers' compensation Experience Modification Rates, litigation and dispute history, bonding denials, and criminal convictions. Contractors denied pre-qualification may appeal within seven calendar days. The County reserves the right to verify information, negotiate contract terms, withdraw the solicitation, make multiple awards, and defer contract award for up to 90 days. No pre-contractual expenses are reimbursable. Protest procedures require submission within five business days of solicitation results to the Deputy Purchasing Agent, with appeals available to the County Procurement Officer.

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County of Orange, OC Public Works Pre-Qual # IFB-080-3104003-SV PQ Project: Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services

Page | 1

COUNTY OF ORANGE

PROCUREMENT SERVICES

Pre-Qualification # IFB-080-3104003-SV PQ

Request for Pre-Qualification of Contractors for

OC Public Works

Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance

Services

County of Orange, OC Public Works Pre-Qual # IFB-080-3104003-SV PQ Project: Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services

Page | 0

TABLE OF CONTENTS

SECTION 1. REQUEST FOR PRE-QUALIFICATIONS OF CONTRACTORS

SECTION 2. PROJECT DESCRIPTION

SECTION 3. PRE-QUALIFICATION INFORMATION

SECTION 4. PROTEST PROCEDURES

SECTION 5. VENDOR RESPONSES

SECTION 6. PRE-QUALIFICATION EVALUATION

Request For Qualification (RFQ) #IFB-080-3104003-SV PQ Title: Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services

County of Orange RFQ

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

SECTION 1. REQUEST FOR PRE-QUALIFICATIONS OF CONTRACTORS

1.1 GENERAL REQUIREMENTS

This Pre-Qualification process is to pre-qualify Contractors to be eligible to participate in the bidding process of Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, with a contract amount to be determined by the County Board of Supervisors at the time of contract award based on County needs and which is tentatively planned to be advertised for bids to the pre-qualified Contractors in August 2026.

This Pre-Qualification process will include submittal by the Contractor of completed Pre-Qualification

Documents in Vendor Responses by the prescribed deadline and the County of Orange evaluation of Pre-

Qualification Documents based on the list of scoring questions and scoring ranges. Only pre-qualified

Contractors will be eligible to submit a bid for this project.

The DPA will provide all official communication concerning this Pre-Qualification. With respect to this

Pre-Qualification, any County response other than from the DPA and in writing will be unauthorized and the County shall bear no responsibility for any and all reliance upon the unauthorized communication.

1.2 PRE-QUALIFICATION PROCEDURE

A. Pre-Qualification Documents for the Pre-Qualification for Job Order Contract (JOC) for Pavement

Maintenance Services are available to interested Contractors. For a copy of the Pre-Qualification

Documents, visit the County’s online bidding system, Pre-Qualification # IFB-080-3104003-SV

PQ.

Contractor questions for clarification or interpretation regarding the Pre-Qualification Documents for this project shall be directed to: Suchitra Vattyam, Deputy Purchasing Agent (“DPA”), via

County’s online bidding system only no later than, Monday, August 10, 2026 at 2:00 pm to allow sufficient time for responses prior to submission deadline. If clarification from Contractor questions of this Pre-Qualification is considered necessary by the County of Orange, a written addendum shall be issued. Any interpretation of, or correction to this Pre-Qualification, will be made only by an addendum issued by the DPA. It is the Contractor’s responsibility to ensure Contractor has reviewed any and all addenda to this Pre-Qualification. The County will not be responsible for any other explanations, corrections to, or interpretations of the documents, including any oral information.

The County does not guarantee that you will receive addenda to this solicitation. Contractors should review County’s online bidding system internet site for notice of addenda. It is the responsibility of Contractors to request all additional information/modifications to this solicitation.

It is mandatory that all Contractors who intend to submit a bid for the project specified above shall fully complete the pre-qualification questionnaire and provide all materials requested herein.

NOTE: For Contractors who intend to submit a bid for the project as part of a joint venture, it is mandatory that fully completed Pre-Qualification Questionnaires are submitted and all materials requested herein are provided for each of the constituent entities that comprise the joint venture.

https://procurement.opengov.com/portal/ocgov http://www.bidsync.com,/ https://procurement.opengov.com/portal/ocgov

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

The County shall not be liable for any expenses incurred by potential Contractors in the preparation or submission of their response. The County shall not, in any event, be liable for any pre-contractual expenses incurred by Contractor prior to the date of award and execution of the Contract. Pre-contractual expenses are defined as expenses incurred by the Contractor in: a) preparing documents in response to this Pre-Qualification; b) submitting an Pre-Qualification to the County; c) negotiating with the County on any matter related to the Contractor’s Pre-Qualification; and d) any other expenses incurred by the Contractor prior to the date of award and execution of the Contract.

B. Submittal Instructions

A. Contractors desiring to respond to this Pre-Qualification shall electronically submit, via

County’s online bidding system only, answers to each question in the Pre-Qualification

Questionnaire section.

B. Email, fax, and paper submittals will not be accepted, no exceptions. Contractors must submit their pre-qualifications and any other pertinent information electronically via County’s online bidding system only.

C. Please ensure that the company seal is legible (when copying the document, either use the darkest setting, or pencil over so it shows up).

D. Please also attach the certification portion of the Pre-Qualification Document and sign in pen.

The County requires an actual signature in pen to be valid.

E. Failure to follow the required format may result in a delay for reviewing and scoring the documents or disqualification.

F. Pre-Qualification Documents are due before 2:00 pm on Wednesday, August 19, 2026 and shall be submitted electronically.

G. References shall be conducted by the DPA for at least three (3) Contractor references provided for selected completed construction projects that are of similar size and scope to the project that is specified.

LATE SUBMITTALS WILL NOT BE ACCEPTED FOR ANY REASON.

C. The County will use the Pre-Qualification Documents as the basis to recommend to the County

Board of Supervisors whether Contractors meet the Pre-Qualification criteria. The County may check other relevant sources of information outside of the Pre-Qualification Documents.

D. The Pre-Qualification Process will be based on scoring the Vendor Responses received. The scoring method is described in Vendor Responses.

E. Contractors will be notified of the County’s Pre-Qualification determination. The County may rescind a Contractor’s Pre-Qualification based on subsequently learned information. A Contractor that is pre-qualified may acquire bidding documents for this project after it is publicly advertised for bids and may formally submit a bid by the specified bid opening date as published in the project https://procurement.opengov.com/portal/ocgov

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

Notice Inviting Bids. A Contractor that is not pre-qualified is not eligible to submit a bid. While it is the intent of the Pre-Qualification Documents to assist the County in determining bidder responsibility prior to bid and to aid it in selecting the lowest responsible and responsive bidder, a bidder being pre-qualified will not preclude a post-bid evaluation of whether a bidder has the quality, fitness, capacity, and experience to satisfactorily perform the proposed work and has demonstrated the requisite trustworthiness.

F. Should a Contractor fail to be recommended for the pre-qualified bidders list, an appeal can be made by submitting written Notice of Appeal to the Director of OC Public Works within seven (7) calendar days of the date the Contractor was notified of The County of Orange Pre-Qualification

Determination. Failure to file a timely Notice of Appeal shall result in the Contractor’s waiver of any and all rights to challenge the Pre-Qualification Determination, whether by administrative process, judicial process or any other legal process or proceeding. If the Contractor gives the required Notice of Appeal and requests a hearing, the hearing shall be conducted within five (5) calendar days after The County of Orange receives the Notice of Appeal. The Contractor may request, in writing, County of Orange to advise it on the basis for the Pre-Qualification determination and any supporting evidence that was received from others or adduced as a result of an investigation by The County of Orange.

A Hearing Panel shall be established and consist of three (3) panelists from various County of

Orange infrastructure departments, with a maximum of one (1) panelist from the procuring department. The hearing shall be an informal process conducted by a non-partial panel that has the authority to hear such appeals. The Contractor will be given the opportunity to present information and reasons in opposition to the determination.

Within three (3) business days after the conclusion of the hearing, the Hearing Panel will render its decision in writing to the Contractor. The decision of the Hearing Panel shall be the County’s final administrative decision and any judicial review thereof shall be instituted no later than the time period referred to Section 1094.6 Code of Civil Procedure.

G. The Pre-Qualification Documents, Questionnaire answers, and financial statements submitted by the Contractors are not public records and are not open to public inspection. All information provided will be kept confidential to the extent permitted by law. However, the contents may be disclosed to third parties for purpose of verification, or investigation of substantial allegations, or in the appeal hearing. State law requires that the names of contractors applying for Pre-

Qualification determination shall be public records subject to disclosure, and “Contractor

Information Form” will be used for that purpose.

H. Pre-Qualification Documents must be signed under penalty of perjury in the manner designated at the end of the form (Certification), by an individual(s) who has the legal authority to bind the

Contractor on whose behalf that person is signing. If any information provided by a Contractor becomes inaccurate, the Contractor must immediately notify County of Orange and provide updated accurate information in writing, under penalty of perjury.

I. Contractor shall exercise reasonable care and diligence to avoid submitting a Pre-Qualification that could result in a conflict of interest if Contractor were to be selected. This obligation shall apply

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ to the Contractor; the Contractor’s employees, agents, and relatives; sub-tier Contractors; and third parties associated with accomplishing work and services in Contractor’s Pre-Qualification. In the event Contractor has done work for the County on this project in the past or has reason to believe that a conflict of interest may exist for Contractor in regard to this project, Contractor should consult with its legal counsel prior to responding to this Pre-Qualification. Any Contractor who is found to have an actual conflict of interest may have its Pre-Qualification rejected on that ground.

1.3 CHECKLIST OF REQUIRED SUBMITTALS

This checklist is provided for the convenience of the Contractor and is not to be included in the Contractor’s

Pre-Qualification Documents. Items listed here are required for submittal.

A. Contractor Information Form

B. Pre-Qualification Questionnaire:

1. All questions answered with any supplemental pages attached (Section and Question numbers, and signature and date included on each additional page)

2. Signed and dated Certification

C. Notarized statement from an admitted surety insurer (approved by the California Department of

Insurance) and authorized to issue bonds per the specific project requirements in Vendor

Responses. **Please sign in pen and ensure the company seal is legible.**

D. Description of construction experience/expertise of key personnel who will be working on the specified project herein (construction foreman, project superintendent, construction project manager, and/or on-site inspector) and what qualifies them to work on this project in Vendor

Responses.

E. Information for six (6) public projects completed within the last ten (10) years under Contractors’ current California State License, that are of similar size and nature to the one for which

Contractor is herein requesting Pre-Qualification in Vendor Responses. These references should be from different entities and must be verifiable and responsive.

NOTE: Electronic Bids cannot be viewed by County until after the solicitation deadline. If you encounter any problems with your registration, system, bid/proposal submission, or other system issues, please contact

OpenGov’s support staff via the live chat option or via email at procurement-support@opengov.com.

1.4 PREQUALIFICATION PROTEST HEARING PROCEDURE

A. Where the prospective bidder has made a timely and complete submittal of prequalification documents that result in a determination that the contractor is not qualified, the prospective bidder can contest the department’s decision via administrative hearing.

B. To petition for a hearing, the prospective bidder must deliver written notice of its desire to contest the department’s decision to County of Orange within seven (7) calendar days of the date of

County’s notice of determination. Failure to file a timely notice shall result in the prospective bidder’s waiver of any and all rights to challenge the prequalification determination, whether by administrative process, judicial process, or any other legal process or proceeding.

mailto:procurement-support@opengov.com

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

C. The prospective bidder may request the County to advise it in writing of the basis for the prequalification determination and any supporting evidence that was received from others or adduced as a result of an investigation by the County.

D. A Hearing Panel shall be established and consist of three panelists from various County of Orange infrastructure departments, with a maximum of one (1) panelist from the procuring department.

E. The Hearing Panel shall render its decision based on all potentially relevant evidence submitted by either the County or the prospective bidder, including but not limited to, the administrative record and testimonial evidence. The prospective bidder may submit on the record, or provide other evidence, including testimony given under oath, to rebut the department’s determination of non-qualification. Such a hearing is conducted in an informal manner, and all relevant evidence is admissible. The department rendering the initial determination may rebut any evidence proffered by the prospective bidder in writing or through its own testimony. Finally, the Hearing Panel may ask questions of either the prospective bidder or department before making its decision.

F. If the prospective bidder requests to provide testimony, the hearing shall be conducted within five

(5) business days after the County’s receipt on notice of appeal and no later than 20 business days prior to the last date of receipt of bids on the project. Within three (3) business days after the conclusion of the hearing, the Hearing Panel will render its decision in writing.

G. The decision of the Hearing Panel shall be the County’s final administrative decision and any judicial review thereof shall be instituted no later than the time period specified in Section 1094.6 of the Code of Civil Procedure.

1.5 THE COUNTY RESERVES THE RIGHT TO:

1. Request revisions and hold discussions with any Respondent as necessary to serve the best interests of the County.

2. Seek publicly available information about the Respondents.

3. Waive, at its discretion, any procedural, non-material defects, irregularity, or informality, which

County deems correctable or otherwise not warranting rejection of the bid that do not result in any unfair competitive advantage. Any waiver will not excuse a proponent from full compliance.

4. Verify and validate any information prior to Contract Award and during the entire term of the

Contract.

5. Negotiate the final Contract with any Respondent(s), including pricing/fee schedule, as necessary to serve the best interests of the County;

6. Withdraw or cancel in part or in its entirety this solicitation at any time without prior notice and furthermore makes no representations that any Contract will be awarded to any Respondent responding to this solicitation;

7. Award its total requirements to one Respondent or to apportion those requirements among two or more Respondents as the County may deem to be in its best interests;

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

8. Reject any Proposal if it is conditional, incomplete or deviates significantly from the services requested in this solicitation; and/or

9. Make multiple awards to Respondent(s) for services requested in this solicitation, at its sole discretion, to serve the best interests of the County.

10. Defer award of this Contract for a period of 90 days after the Bid opening. During this period of time, Bidders shall guarantee the prices quoted in their Bids. County and the lowest responsive, responsible Bidder may mutually agree in writing to a longer deferral period.

Therefore, Proposals submitted shall contain the Respondent’s most favorable terms and conditions, since the selection and award may be made without discussion with any Respondent.

SECTION 2. PROJECT DESCRIPTION

Contractors shall perform and provide all adequate and competent labor, management, supervision, tools, and equipment to perform road work, structural work, utility adjustments, concrete and storm drain work per the project’s plans, special provisions and the latest version of the Greenbook, except for Sections

209, 214, 307 and 314.

2.1 LICENSES

Class A license issued by the Contractors State Licensing Board

2.2 BID PERIOD AND CONTRACT TIME

Tentative Release of Bid: August 27, 2026

Contract term: 1 year

2.3 CALIFORNIA STATE CONTRACTOR'S LICENSING REQUIREMENT

Copies of California State Contractor’s licenses are not required to be submitted with the Pre-Qualification

Documents. All prospective bidders must possess the required licenses at the time of Pre-Qualification

Documents submission.

2.4 DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) REQUIREMENT

Contractors must be registered with the DIR at the time of submittals, in accordance with Labor Code

1725.5

2.5 BIDDER'S SECURITY

Bidder’s Security for the specific project is not required to be submitted at this time. However, at the time bids are submitted by the Pre-Qualified Bidders, each bid must follow the requirements as stated in the

General Instruction and Provisions in the bid documents.

2.6 BONDS, INSURANCE AND EXECUTED CONTRACT

Bonds and Insurance for this specific project are not required to be submitted at this time. However, at the time bids are submitted by the Pre-Qualified Bidders, each bid must follow the requirements as stated in the General Instructions and Provisions in the bid documents.

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

SECTION 3. PRE-QUALIFICATION INFORMATION

3.1 SUMMARY OF SECTIONS AND SCORING METHOD

Sections

Section: Essential Requirements for Qualification

Section: Licenses and Bonding

Section: Organization, History, Organizational

Performance, Compliance with Civil Laws, etc.

Section: Construction Projects

NOTE: Not all questions in the questionnaire are “scorable”; some questions simply ask for information about the contractor organization’s structure, officers and history. This document includes all questions and the scoring method.

Scores Needed for Pre-Qualification

To pre-qualify, a contractor would be required to have a passing score within each of the four sections referred to above.

Section: Essential Requirements for Qualification

Questions are scored as “Pass/Fail.”

Section: Licenses and Bonding

A passing score of 15 is required

Section: Organization, History, Organizational Performance, Compliance with Civil Laws, etc.

A passing score of 87 is required

Section: Construction Projects

This section includes reference questions.

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

County of Orange shall conduct reference questions to the Owner or Project Manager of the completed construction projects provided by Contractor.

SECTION 4. PROTEST PROCEDURES

Any actual or prospective bidder or respondent who alleges an error or impropriety in the solicitation or award of a contract may submit a grievance or protest to Suchitra Vattyam at suchitra.vattyam@pw.oc.gov, as set forth herein.

PROTEST PROCEDURES

All protests shall be typed under the protestor’s letterhead and submitted in accordance with the provisions stated herein. All protests shall include at a minimum the following information:

A. The name, address, and telephone number of the protestor;

B. The signature of the protestor or the protestor’s representative;

C. The solicitation or contract number;

D. A detailed statement of the legal and/or factual grounds for the protest; and, E. The form of relief requested.

Protest of Solicitation Specifications:

A. All protests related to solicitation specifications must be submitted to the Deputy Procurement

Agent (DPA), Suchitra Vattyam at suchitra.vattyam@pw.oc.gov, no later than five (5) business days prior to the Closing Date of the solicitation. Protests received after the five (5) business-day deadline will not be considered by the County.

B. In the event the protest of specifications is denied, and the protestor wishes to continue in the solicitation process, the protestor must still submit a bid/response prior to the close of the solicitation in accordance with the solicitation submittal procedures provided in this solicitation.

Protest of Award of Contract:

A. Protests related to the award of a contract must be submitted to the Deputy Procurement

Agent, Suchitra Vattyam at suchitra.vattyam@pw.oc.gov, no later than five (5) business days after the Notice of Solicitation Results is provided by the DPA.

B. Protests relating to a proposed contract award received after the five (5) business day deadline will not be considered by the County.

C. If the five (5) business day period expires without the receipt of a protest, the department may move forward with the contract award or if necessary, file the item for approval by the Board of

Supervisors.

Protest Process

A. In the event of a timely protest, the County shall not proceed with the solicitation or award of the contract until the DPA issues a decision on the protest.

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

B. Upon receipt of a timely protest, the DPA will, within ten (10) business days of receipt of the protest, issue a decision in writing which shall state the reasons for the actions taken.

C. The County may, after providing written justification, make the determination that an immediate award of the contract is necessary to protect the substantial interests of the County. The award of a contract shall in no way compromise the protester’s right to the protest procedures outlined herein.

D. If the protestor disagrees with the decision of the DPA, the protestor may submit a written appeal to the County Procurement Officer requesting an appeal to the Procurement Appeals Board, in accordance with the process stated below.

APPEALS PROCESS

A. If the protestor wishes to appeal the protest decision of the Deputy Procurement Agent, the protestor must submit, within three (3) business days from receipt of the Deputy Procurement

Agent’s decision, a written appeal to the Office of the County Procurement Officer.

Written appeals must be sent by mail to the address below with a courtesy copy by email;

County of Orange/County Executive Office

County Procurement Office

400 W. Civic Center Drive, 5th Floor

Santa Ana, CA 92701

Attn: County Procurement Officer

CPOAppeals@ceo.oc.gov

B. Within fifteen (15) business days, the County Procurement Officer will review all materials in connection with the appeal, assess the merits of the protest and provide a written determination that shall contain his or her decision on whether the appeal shall be forwarded to the Procurement

Appeals Board.

C. The decision of the County Procurement Officer on whether to allow the appeal to go forward will be final and there shall be no right to any administrative appeals of this decision.

SECTION 5. VENDOR RESPONSES

NOTE: This information is NOT confidential and may be made available to the public

5.1 CONTRACTOR INFORMATION FORM*

Please download the below documents, complete, and upload.

• Contractor_Information_Form...

*Response required mailto:CPOAppeals@ocgov.com https://government-project.s3.us-west-2.amazonaws.com/81727/5209ecba-e7d0-4ce5-a602-6bbb95f65ec1_Contractor_Information_Form.pdf

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.2 ESSENTIAL REQUIREMENTS FOR QUALIFICATIONS

NOTE:

• Contractor will be immediately disqualified if the answer to any of Questions 2.1, 2.2, 2.3, or

2.4 1, is “no.”

o 1 An additional notarized statement from the surety may be requested by Department Name at the time of submission of a bid, if this pre-qualification package is submitted more than 60 days prior to submission of the bid.

• Contractor will be immediately disqualified if the answer to any of Questions 2.5, 2.6, 2.7, 2.8, or 2.9 is “yes.”2 If the answer to question 2.7 is “yes,” and if debarment would be the sole reason for denial of Pre-Qualification, any Pre-Qualification issued will exclude the debarment period.

o 2 A Contractor disqualified solely because of a “Yes” answer given to question 2.5, 2.6, or 2.8 may appeal the disqualification and provide an explanation of the relevant circumstances during the appeal procedure.

• NOTICE OF APPEAL RIGHT: In the event that Contractor is disqualified due to any answers provided in this section, Contractor may appeal this disqualification in writing within seven (7) calendar days, pursuant to the County's Contract Policy Manual, Section

3.5-118, available from County of Orange.

Pass/Fail Questions: 2.1 - 2.9

5.2.1 Contractor possesses a valid and current California Contractor’s license for the project for which it intends to submit a bid. *

☐ Yes

☐ No

*Response required

5.2.2 General Liability Insurance Policy*

Contractor has a general liability insurance policy with a policy limit of at least $3,000,000 per occurrence and $3,000,000 aggregate.

☐ Yes

☐ No

*Response required

5.2.3 Contractor has current workers’ compensation insurance policy as required by the

Labor Code or is legally self-insured pursuant to Labor Code section 3700 et. seq. *

☐ Yes

☐ No

☐ Contractor is exempt from this Requirement, because it has no employees

*Response required

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.2.4 Notarized Statement from an admitted surety insurer*

Have you attached a notarized statement from an admitted surety insurer (approved by the California

Department of Insurance) and authorized to issue bonds in the State of California, which states: (a) that your current bonding capacity is at least 5,000,000, (b) the bonding company name, address, and telephone number? Notarized statement must be dated within six (6) months of the Pre-qualification packet submittal.

Please note this requirement is based on the maximum contract amount the County’s Board of

Supervisors can award. The bond amounts required will be equal to the contract amount actually awarded.

Note: Notarized statement must be from the surety company, not an agent or broker.

☐ Yes

☐ No

*Response required

5.2.5 Has your Contractor’s license been revoked at any time in the last five years?*

☐ Yes

☐ No

*Response required

5.2.6 Has a surety firm completed a contract on your behalf, or paid for completion because your firm defaulted or was terminated by the project owner within the last five (5) years?*

☐ Yes

☐ No

*Response required

5.2.7 At the time of submitting this Pre-Qualification form, is your firm ineligible to bid on or be awarded a public works contract, or perform as a contractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code section

1777.7?*

☐ Yes

☐ No

*Response required

5.2.8 At any time during the last five years, has your firm, or any of its owners or officers, been convicted of a crime involving the awarding of a contract of a government construction project, or the bidding or performance of a government contract? *

☐ Yes

☐ No

*Response required

5.2.9 At any time during the past five (5) years, has your firm, or any of its owners or officers been a named party to an active case in a court of law with the County of

Orange, any County of Orange Department or special district, any County of

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

Orange elected official or any current or former member(s) of the Board of

Supervisors?*

☐ Yes

☐ No

*Response required

5.3 LICENSES

Non-Scorable Questions: 3.1 - 3.4, 4.1, 4.3

Points Questions: 3.5, 4.2, 4.4, 4.5

5.3.1 List all California construction license numbers, classifications and expiration dates of the California Contractor licenses held by your organization:* Please download the below documents, complete, and upload.

Non-Scorable Question

• License_Number(s)_and_Class...

*Response required

5.3.2 If any of your organization’s license(s) are held in the name of a corporation or partnership, list below the names of the qualifying individual(s) listed on the

California State Licensing Board (CSLB) records who meet(s) the experience and examination requirements for each license.

Non-Scorable Question

5.3.3 Has your organization changed names or license number in the past five years?* Non-Scorable Question

☐ Yes

☐ No

*Response required

When equals "Yes"

5.3.4 Explain, including the reason for the change.*

*Response required

5.3.5 Has any owner, partner, or (for corporations) officer of your organization operated a construction organization under any other name in the last five years?* Non-Scorable Question

☐ Yes

☐ No

*Response required

When equals "Yes"

5.3.6 Explain, including the reason for the change.*

https://government-project.s3.us-west-2.amazonaws.com/81727/ff03cc49-388d-4a7f-a127-7c253245bba8_License_Number%28s%29_and_Classification.pdf

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.3.7 Has any CSLB license held by your organization or its Responsible Managing

Employee (RME) or Responsible Managing Officer (RMO) been suspended within the last five years?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.3.8 Explain, including the reason for the change.*

*Response required

5.4 BONDING

Non-Scorable Questions: 4.1, 4.3

Points Questions: 4.2, 4.4, 4.5

5.4.1 Bonding capacity: Provide documentation from your surety, on their official letterhead, identifying the following:*

• Name of bonding company/surety.

• Name of surety agent, address and telephone number.

*Response required

5.4.2 Was your organization required to pay a premium of more than one percent for a performance and payment bond on any project(s) on which your organization worked at any time during the last three years?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.4.3 State the percentage that your organization was required to pay and explain the reason.* *Response required

5.4.4 List all other sureties (name and full address) that have written bonds for your organization during the last five years, including the dates during which each wrote the bonds.* *Response required

5.4.5 During the last five years, has your organization ever been denied bond credit by a surety company? *

☐ Yes

☐ No

When equals "Yes"

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.4.6 Provide details indicating the date when your organization was denied credit and the name of the company or companies which denied credit.* *Response required

5.4.7 Has there ever been a period of time when your organization had no surety bond in place during a public construction project when one was required?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.4.8 State the period during which you had no surety bond in place and explain the reason.* *Response required

5.5 CURRENT ORGANIZATION AND STRUCTURE OF THE BUSINESS

Non-Scorable Questions: 5.1 - 5.5

5.5.1 For organizations that are Corporations

Please download the below documents, complete, and upload.

• For_organizations_that_are_...

5.5.2 For organizations that are Partnerships

Please download the below documents, complete, and upload.

• For_organizations_that_are_...

5.5.3 For organizations that are Sole Proprietorships

Please download the below documents, complete, and upload.

• For_organizations_that_are_...

5.5.4 For organizations that intend to make a bid as part of a joint venture Please download the below documents, complete, and upload.

• For_organizations_that_inte...

5.5.5 For organizations that are Limited Liability Companies

Please download the below documents, complete, and upload.

• For_organizations_that_are_...

5.6 HISTORY OF THE BUSINESS AND ORGANIZATIONAL PERFORMANCE

Non-Scorable Questions: 6.1 - 6.4

Points Questions: 6.5 - 6.7

5.6.1 Has there been any change in ownership of the organization at any time during the last five years?

NOTE: A corporation whose shares are publicly traded is not required to answer this question https://government-project.s3.us-west-2.amazonaws.com/81727/782bf63d-d3dc-4ab3-8c2e-5a8070cef3e5_For_organizations_that_are_Corporations.pdf https://government-project.s3.us-west-2.amazonaws.com/81727/af658778-fcac-444f-b5c8-f88c9a5135e0_For_organizations_that_are_Partnerships.pdf https://government-project.s3.us-west-2.amazonaws.com/81727/c5665ab3-1e6a-4924-973f-cc80062e2517_For_organizations_that_are_Sole_Proprietorships.pdf https://government-project.s3.us-west-2.amazonaws.com/81727/35b0e4e4-0439-4592-a694-84cf207dfc26_For_organizations_that_intend_to_make_a_bid_as_part_of_a_joint_venture.pdf https://government-project.s3.us-west-2.amazonaws.com/81727/f13822b6-8c97-4c47-91f5-97db553cee8a_For_organizations_that_are_Limited_Liability_Companies.pdf

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

☐ Yes

☐ No

When equals "Yes"

5.6.2 Explain

5.6.3 Is the organization a subsidiary, parent, holding company, or affiliate of another construction organization?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.6.4 Explain*

NOTE: Include information about the other organization(s) if one organization owns 50 percent or more of another, or if an owner, partner, or officer of your organization holds a similar position in another organization.

*Response required

5.6.5 Are any corporate officers, partners or owners connected to any other construction organizations?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.6.6 Explain*

NOTE: Include information about the other organizations if an owner, partner, or officer of your organization holds a similar position in another organization.

*Response required

5.6.7 State your organization’s gross revenues for each of the last three years:* Current year: ________________

Previous year:________________

Year prior to previous year:________________

*Response required

5.6.8 How many years has your organization been in business in California as a

Contractor under your present business name and license number?*

☐ 3 years

☐ 4 years

☐ 5 years

☐ 6 years or more

☐ less than 3 years

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

*Response required

5.6.9 Is your organization currently the debtor in a bankruptcy case?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.6.10 Please attach a copy of the bankruptcy petition, showing the case number and the date on which the petition was filed. * *Response required

5.6.11 Was your organization in bankruptcy at any time during the last five years?* (This question refers only to a bankruptcy action that was not described in answer to the previous question)

☐ Yes

☐ No

*Response required

When equals "Yes"

5.6.12 Please attach a copy of the bankruptcy petition, showing the case number and the date on which the petition was filed and a copy of the Bankruptcy Court’s discharge order, or of any other document that ended the case, if no discharge order was issued.* *Response required

5.7 DISPUTES

Points Questions: 7.1 - 7.7

5.7.1 At any time in the last five years has your organization been assessed and paid liquidated damages after completion of a project under a construction contract with either a public or private owner?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.2 Explain and Identify all such projects by the owner, the owner’s address, the date of completion of the project, the amount of liquidated damages assessed, and all other information necessary to fully explain the assessment of liquidated damages.* *Response required

5.7.3 In the last five years has your organization, or any organization with which any of your company’s owners, officers or partners was associated, been debarred, disqualified, removed or otherwise prevented from bidding on, or completing, any government agency or public works project for any reason?*

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

NOTE: “Associated with” refers to another construction organization in which an owner, partner or officer of your organization held a similar position, and which is listed in response to SECTION 5 on the questionnaire.

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.4 Explain and State whether the organization involved was the organization applying for pre-qualification here, or another organization. Identify the name of the company, the name of the person within your organization who was associated with that company, the year of the event, the owner of the project, the project, and the basis for the action.* *Response required

5.7.5 In the last five years has your organization been denied an award of a public works contract based on a finding by a public agency that your company was not a responsible bidder?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.6 Explain and Identify the year of the event, the owner, the project and the basis for the finding by the public agency.* *Response required

5.7.7 In the past five years has any claim against your organization concerning your organization’s work on a construction project been filed in court or arbitration?* NOTE: This question refers only to disputes between your organization and the owner of a project.

You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.8 Identify the claim(s) by providing the project name, date of the claim, name of the claimant, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution).*

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.7.9 In the past five years has your organization made any claim against a general contractor or project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration?* NOTE: This question refers only to disputes between your organization and the owner of a project.

You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.10 Identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).* *Response required

5.7.11 At any time during the past five years, has any surety company made any payments on your organization’s behalf as a result of a default, to satisfy any claims made against a performance or payment bond issued on your organization’s behalf, in connection with a construction project, either public or private?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.12 Explain the amount of each such claim, the name and telephone number of the claimant, the date of the claim, the grounds for the claim, the present status of the claim, the date of resolution of such claim if resolved, the method by which such was resolved if resolved, the nature of the resolution and the amount, if any, at which the claim was resolved.* *Response required

5.7.13 In the last five years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your organization?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.7.14 Explain and include the name of the insurance carrier, the form of insurance and the year of the refusal.*

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

5.8 COMPLIANCE WITH CIVIL AND CRIMINAL LAWS

Points Questions: 8.1 - 8.3

5.8.1 Has your organization or any of its owners, officers or partners ever been found liable in a civil suit or found guilty in a criminal action for making any false claim or material misrepresentation to any public agency or entity?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.8.2 Explain who was involved, the name of the public agency, the date of the investigation and the grounds for the finding.* *Response required

5.8.3 Has your organization or any of its owners, officers or partners ever been convicted of a crime involving any federal, state, or local law related to construction?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.8.4 Explain who was involved, the name of the public agency, the date of the conviction, and the grounds for the conviction.* *Response required

5.8.5 Has your organization or any of its owners, officers or partners ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.8.6 Identify the person or persons convicted, the court (the county if a state court, the district or location of the federal court), the year and the criminal conduct.* *Response required

5.9 COMPLIANCE WITH OCCUPATIONAL SAFETY AND HEALTH LAWS,

WORKERS’ COMPENSATION AND OTHER LABOR LEGISLATION

Points Questions: 9.1 - 9.7

5.9.1 Has CAL OSHA cited and assessed penalties against your organization for any

“serious,” “willful” or “repeat” violations of its safety or health regulations in the past five years? *

☐ Yes

☐ No

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

*Response required

When equals "Yes"

5.9.2 Attach a document describing each citation, the dates of the citations, the nature of the violation, the project on which the citation(s) was or were issued and the amount of penalty paid, if any. If the citation was appealed to the Occupational Safety and Health Appeals Board and a decision has been issued, state the case number and the date of the decision.

NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals

Board has not yet ruled on your appeal, you need not include information about it.

5.9.3 Has the federal Occupational Safety and Health Administration cited and assessed penalties against your organization in the past five years? *

☐ Yes

☐ No

*Response required

When equals "Yes"

5.9.4 Describe each citation

NOTE: If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

5.9.5 Has the EPA or any Air Quality Management District or any Regional Water

Quality Control Board cited and assessed penalties against either your organization or the owner of a project on which your organization was the Contractor, in the past five years?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.9.6 Describe each citation

NOTE: If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

5.9.7 How often do you require documented safety meetings to be held for construction employees and field supervisors during the course of a project?* *Response required

5.9.8 List your organization’s Experience Modification Rate (EMR) (California workers’ compensation insurance) for each of the past three premium years and this premium year:* NOTE: An Experience Modification Rate is issued to your organization annually by your workers’ compensation insurance carrier.

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ

Current year rate:

Previous year rate:

Year prior to previous year rate:

*Response required

5.9.9 If your EMR for any of these three years is or was 1.00 or higher, you may, if you wish, attach a letter of explanation on a separate signed page, or pages.

5.9.10 Within the last five years has there ever been a period when your organization had employees but was without workers’ compensation insurance or state-approved self-insurance?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.9.11 Please explain the reason for the absence of workers’ compensation insurance on a separate signed page, or pages.* *Response required

When equals "No"

5.9.12 Please provide a statement by your current workers’ compensation insurance carrier that verifies periods of workers’ compensation insurance coverage for the last five years. * If your organization has been in the construction business for less than five years, provide a statement by your workers’ compensation insurance carrier verifying continuous workers’ compensation insurance coverage for the period that your organization has been in the construction business.

*Response required

5.10 PREVAILING WAGE AND APPRENTICESHIP COMPLIANCE RECORD

Points Questions: 10.1 - 10.5

5.10.1 Has there been more than one occasion during the last five years in which your organization was required to pay, either, back wages or penalties for your own organization’s failure to comply with the state’s prevailing wage laws? * NOTE: This question refers only to your own organization’s violation of prevailing wage laws, not to violations of the prevailing wage laws by a sub-contractor.

☐ Yes

☐ No

*Response required

When equals "Yes"

5.10.2 Attach a separate signed page, or pages, describing the nature of each violation, identifying the name of the project, the date of its completion, the public

OC Public Works - Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services, IFB-080-3104003-SV PQ agency for which it was constructed; the number of employees who were initially underpaid and the amount of back wages and penalties that you were required to pay.* *Response required

5.10.3 During the last five years, has there been more than one occasion in which your own organization has been penalized or required to pay back wages for failure to comply with the federal Davis-Bacon prevailing wage requirements? *

☐ Yes

☐ No

*Response required

When equals "Yes"

5.10.4 Attach a separate signed page, or pages, describing the nature of each violation, identifying the name of the project, the date of its completion, the public agency for which it was constructed, the number of employees who were initially underpaid, the amount of back wages you were required to pay, and the amount of any penalty paid.* *Response required

5.10.5 Provide the name, address and telephone number of the apprenticeship program

(approved by the California Apprenticeship Council) from whom you intend to request the dispatch of apprentices to your company for use on any public works project for which you are awarded a contract by the County. * *Response required

5.10.6 Does your organization operates its own State-approved apprenticeship program?*

☐ Yes

☐ No

*Response required

When equals "Yes"

5.10.7 Your organization operates its own State-approved apprenticeship program.*

(a) Identify the craft or crafts in which your organization provided apprenticeship training in the past year.

(b) State the year…

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