RAHSB CMAR RFQ DGS-30-466.pdf

DGS-30-466

(Rev. 07/22) Page 1 of 8

REQUEST FOR QUALIFICATIONS (RFQ)

Delivery Method: Construction Management at Risk

Issue Date: October 13, 2026

Project Name: Roanoke Academic Health Sciences Building

Project Code: 217-18786-000

Commodity/Service: Construction Services

Owner: Commonwealth of Virginia

Issuing Agency & Address: Radford University

Facilities Planning and Construction 501 Stockton Street Radford, VA 24142

Location of Work: Roanoke, VA

All inquiries for information shall be submitted in writing by FAX or e-mail, no later than October 29, 2026

To: Paul O’Keef

FAX #: 540-831-5469

e-mail: pokeef@radford.edu

NO QUESTIONS WILL BE ANSWERED BY PHONE OR IN-PERSON

All responses to the Faxed or E-mailed inquiries will be answered by November 2, 2026 and posted to the eVA website as an addendum.

PRE-PROPOSAL CONFERENCE: October 26, 2026 at 10AM. The pre-proposal conference will be held ONLINE and is voluntary. Register to attend at this link:

https://radford.zoom.us/meeting/register/VXihjjXiR_aF5IozgkIHcg

Sealed proposals for furnishing the services described herein will be received until 2PM local time on November 13, 2026. Proposals must reach the above address by deadline stated.

In compliance with this Request for Qualifications, including all provisions and attachments referenced herein, and subject to all the terms and conditions set forth herein, the undersigned offers and agrees to furnish the services described. It is understood that this proposal may be modified, by mutual agreement in subsequent negotiations.

(Rev. 07/22) Page 2 of 8

Name and Address of Submitting Firm:

Date:

By

(Signature in Ink) Typed Name:

Zip: Title:

FEIN/SSN # Telephone No.( )

Virginia Contractor License Number:

1. Project Description:

The Roanoke Academic Health Sciences Building will provide a new multi-story building. The facility includes approximately 300,000 gross square feet focusing on high-technology instructional space, wet & dry laboratory space, simulation space, anatomy lab space, and student collaboration / study space. Given that the facility is remote from Radford University’s main campus, certain main campus space will be replicated (fitness, meeting / conference, food service, and maintenance are anticipated). Office and academic support functions will also be provided.

Activity RFP Short-list Interview period January 19 & 20, 2027

GMP Summer 2028 Substantial Completion Q1 2031

2. Justification for CM at Risk or Design-Build procurement methods:

The rationale for using the delivery method is provided on the DGS Construction Management at Risk Procurement Review Submittal Form (DGS-30-456) and is attached hereto as an attachment.

3. Submission Requirements:

a. Qualification statements shall be timely submitted to the attention of the Owner/Agency Representative at the location listed above.

• Ten (10) hard copies are required. This includes one (1) original hard copy, which shall be clearly marked, and nine (9) additional hard copies.

• Provide two (2) electronic copies (via flash drive): one original file; one redacted file.

b. Submissions shall include the following documents in this order:

• The completed signature page of this request

• The completed CO-16 with referenced and required attachments (ie, bonding letter, project listings, organizational chart, key personnel resumes, the completed “CO-16 Crosswalk of Firm and Key Personnel Experience,” etc).

• The completed State Corporation Commission (SCC) form.

(Rev. 07/22) Page 3 of 8

c. The Owner recognizes the possible existence of confidentiality agreements between an Offeror and previous clients and fully respects such agreements. Any information requested that is considered to be confidential between the Offeror and a previous client shall be marked proprietary by the Offeror.

d. The Owner reserves the right to visit the office(s) of an Offeror to verify any claim(s) made by an Offeror regarding staff, facilities, capabilities, qualifications and any other reasonable concerns that may arise on the part of the Owner. In such an event, the Offeror must make every reasonable attempt to clarify any concerns expressed by the Owner.

e. The Owner will not be responsible for any costs incurred by an Offeror in response to this RFQ.

f. In the event the Offeror discovers an error in its submission, attention may be drawn to the error by providing a written amendment to the initial Qualifications submission. All amendments shall be received by the Owner on or before the date and time fixed for receipt of Qualifications. The Offeror shall define who is authorized to approve amendments/changes. If an error is discovered after the time and date of receipt of the RFQ response, the Offeror may withdraw from consideration, but the error correction will not be accepted by the Owner.

g. As noted above, Offerors may contact, in writing, the designated Owner point of contact for any required clarifications on this RFQ. Offerors are to refrain from contacting the Owner personnel for purposes of requesting tours or for any other purpose relating to the project.

4. Evaluation of Qualifications:

Offerors’ qualifications (as submitted on the attached CO-16) will be evaluated against the criteria specified herein.

a. For CM at Risk:

i. The Owner selection committee will thoroughly review the offerors’ Qualifications submissions using the evaluation criteria defined in this RFQ. The committee will determine which Offerors’ submissions demonstrated the greatest conformance with the requirements set forth in this RFQ;

the committee will identify a “short list” of no fewer than three (3) and no more than five (5) Offerors to proceed to “Step 2” of the selection process, the receipt of the RFP.

ii. The owner will provide written notice to all firms which are not “short-listed” to allow for a 10 day appeal period.

iii. After the ten (10) day period has passed, the short-listed firms will be notified of their selection to move to the RFP stage and will be provided the RFP

Attachments:

1. CO-16 (to be completed by Offerors in response to the RFQ and the qualification criteria provided herein)

2. SCC form

3. CM Justification approval

(Rev. 07/22) Page 4 of 8

QUALIFICATION CRITERIA

I. BONDING:

A. STANDARD BONDING:

Contractor can secure bonding for this project in an amount equal to or greater than the estimated construction cost from a surety company (1) listed in the United States Department of Treasury, Federal Register, Circular 570: Companies Holding Certificates of Authority as Acceptable Sureties on Federal Bonds and as Acceptable Reinsuring Companies; and (2) licensed to transact surety business in the Commonwealth of Virginia.

B. SELF-BONDING PROGRAM:

The project exceeds the dollar limit for self-bonding. See Code of Virginia § 2.2-4337.

C. CAPACITY:

The capacity the organization has to meet the project schedule and demands given its current workload.

II. EXPERIENCE AND PERFORMANCE ON PROJECTS OF SIMILAR SIZE AND SCOPE:

This includes consideration of references and client feedback from past and ongoing projects and a demonstrated ability to maintain project schedule and budget.

Firm Experience:

The contractor or contractor's office that will handle this project has undertaken at least three (3) construction projects of similar or comparable scope within the last ten years. The projects shall be sufficiently comparable so that the agency may conclude that the contractor is familiar with and capable of handling the Academic Health Sciences Building. At a minimum, demonstrate experience with:

• Large multi-story facilities on an active campus in an urban setting

• Meticulous planning, construction controls, and proactive collaboration

• High visibility and intense public interest

• Critical infrastructure adjacency outside of the Owner’s control such as major 9-1-1 response corridor

• Facilities with diverse and disparate programs with minimal repetitive elements

• Health education facilities

• LEED

Project Team/Staffing:

1. The successful organization shall provide and maintain an experienced, professional project team that is tailored to the size, complexity and scope of work of the Project. It is recognized that the composition of the team will vary in response to the particular phases and needs of the Project. However, the Proposer is obligated to provide sufficient staffing with the qualifications required to expertly manage all construction activities relating to the Project at all times.

2. By submitting a response, the Proposer agrees that no individual assigned to the Project shall be removed from the Project without the prior consent of the Owner.

3. If the Proposer wishes to reassign an individual from the team assigned to the Project to another Project, the Proposer must make a formal, written request to the Owner and must verify that the Owner has received the request not later than ten (10) working days prior to the intended date of reassignment.

4. The Owner will make the final, binding decision on a release from the Project of a member of the team not later than five (5) working days from the intended date of reassignment.

(Rev. 07/22) Page 5 of 8

5. The above process may be waived in cases of personal emergency or extreme personal hardship or duress.

The burden of proving such conditions to the Owner remains with the Proposer. In cases in which the Owner requests the removal of a member of the team for the remainder of the duration of the Project, the Proposer’s Project Manager or Principal-in-Charge will act upon such cases promptly and will, within 72 hours, propose a replacement to the Owner.

Key Personnel Experience:

The Project Manager most likely to be assigned to this project has served as Project Manager on at least three

(3) projects in the last ten years of similar or comparable scope, one of those within the past five years.

Equivalent or comparable experience may be considered, at the agency's sole discretion; however, it shall be sufficiently similar so that the agency may conclude that the proposed Project Manager is familiar with and capable of handling the Academic Health Sciences Building. At a minimum, demonstrate experience with:

• Large multi-story facilities on an active campus in an urban setting

• Meticulous planning, construction controls, and proactive collaboration

• High visibility and intense public interest

• Critical infrastructure adjacency outside of the Owner’s control such as major 9-1-1 response corridor

• Facilities with diverse and disparate programs with minimal repetitive elements

The Superintendent most likely to be assigned to this project has served as Superintendent on at least three (3) projects in the last ten years of similar or comparable scope, one of those within the past five years.

Equivalent or comparable experience may be considered, at the agency's sole discretion; however, it shall be sufficiently similar so that the agency may conclude that the proposed Project Manager is familiar with and capable of handling the Academic Health Sciences Building. At a minimum, demonstrate experience with:

• Large multi-story facilities on an active campus in an urban setting

• Meticulous planning, construction controls, and proactive collaboration

• High visibility and intense public interest

• Critical infrastructure adjacency outside of the Owner’s control such as major 9-1-1 response corridor

• Facilities with diverse and disparate programs with minimal repetitive elements

III. JUDGMENTS:

Any judgment(s), whether one or several, entered against the contractor for breach of contract for construction within the past ten (10) years may be grounds for denying prequalification, at the agency's sole discretion, after due consideration of the date(s), amount(s), facts and circumstances.

IV. SUBSTANTIAL NON-COMPLIANCE:

Any of the following may be grounds for denying prequalification, at the agency's sole discretion, after review and consideration of the dates, facts and circumstances.

The contractor:

(Rev. 07/22) Page 6 of 8

• in the last three (3) years has received a final order for failure to abate or for a willful violation by the US OSHA or by the Virginia Department of Labor and Industry or any other government agency; or

• has paid liquidated damages for failure to complete a project by the contracted date on more than two

(2) projects in the last five (5) years; or

• has paid actual damages resulting from failure to complete a project by the contacted date on more than two (2) projects in the last five (5) years; or

• has been terminated for cause on a contract in the last five (5) years; or

• was more than thirty (30) days late, without good cause, in achieving the contracted substantial completion date where there was no liquidated damage provision on more than two (2) projects in the last three (3) years; or

• has received more than two (2) cure notices on a single project in the past two (2) years and/or more than one (1) cure notice on five (5) separate projects in the past five (5) years; or

• has had repeated instances on a project of installation and workmanship deviations which exceed the tolerances in the standards referenced in the contract documents. Documentation of such instances shall be the written reports and records of the owner's representatives on the project; or

• has finally completed a project more than 90 days after achieving substantial completion on two (2) or more projects in the last three (3) years, for reasons within the contractor's control. Documented delay of delivery of material necessary to perform remaining work or seasonal conditions that bear on performing the work or operating specific equipment or building systems shall be considered in mitigation; or

• has had Performance or Payment Bond claims paid on its behalf in the last three (3) years.

NOTE: If the agency intends to deny prequalification based on any of the above, it shall obtain written documentation evidencing same, pursuant to Section 2.2-4317 of the Code of Virginia, prior to such denial.

V. CONVICTIONS:

Any of the following may be grounds for denying prequalification, at the agency's sole discretion, after review and consideration of the dates, facts and circumstances.

The contractor or any officer, director, project manager, procurement manager, chief financial officer, partner or owner of the construction company in the past ten (10) years:

a) has been convicted on charges relating to conflicts of interest;

b) has been convicted on charges relating to any criminal activity relating to contracting, construction, bidding, bid rigging or bribery;

c) has been convicted on charges relating to employment of illegal aliens on construction projects.

d) has been convicted: (i) under Va. Code Section 2.2-4367 et seq. (Ethics in Public Contracting); (ii) under

Va. Code Section 18.2-498.1 et seq. (Va. Governmental Frauds Act); (iii) under Va. Code Section 59.1-

68.6 et seq. (Conspiracy to Rig Bids); (iv) of a criminal violation of Va. Code Section 40.1-49.4

(Rev. 07/22) Page 7 of 8

(enforcement of occupational safety and health standards); or (v) of violating any substantially similar federal law or law of another state.

e) has been fined or adjudicated of having failed to abate a citation for building code violations by a court or a local building code appeals board.

VI. DEBARMENT & ENJOINMENT:

The following may be grounds for denying prequalification, at the agency's sole discretion, after review and consideration of the dates, facts and circumstances:

The contractor or any officer, director, project manager, procurement manager, chief financial officer, partner or owner of the construction company in the past ten (10) years: has been debarred or enjoined by any agency or political subdivision of the Commonwealth of Virginia, by any agency of the United States or by any agency of another state.

VII. AGENCY QUALIFICATION CRITERIA:

The Owner may also consider other aspects of the qualifications statements as it deems appropriate in evaluating the responses.

VIII. SMALL BUSINESS PARTICIPATION:

CM at Risk only:

1. Target Goal: Under Executive Order 35, July 3, 2019 Cabinet Secretaries and all executive branch agencies have been directed to continue and advance the following on a race and gender neutral basis: Exceed a target goal of 50% of all capital outlay spending with small businesses certified by DSBSD.

2. At the RFQ stage, offerors will be evaluated based upon small business participation and compliance on previous projects; see the CO-16 for required information.

3. At the subsequent RFP stage, “short-listed” offerors will be required to submit additional small business information as stipulated in the RFP. This will include a proposed small business participation percentage.

The small business participation percentage is based upon the total of the “cost of the construction work” + the “general conditions fee” components of the Guaranteed Maximum Price (GMP) + the preconstruction services fee. This minimum small business participation level does not include and is not based upon bonding costs, nor the following components of the GMP: the “insurance and taxes fee,” the “CM fee,” nor the “CM contingency.” To be included, the firm must be certified by the Virginia Department of Small Business and Supplier Diversity (DSBSD) as a "small business."

4. Large businesses are encouraged to mentor, partner with, and seek opportunities with small businesses. These opportunities include the subcontracting of both traditional trades (i.e.: mechanical, electrical, plumbing) and management/consulting services (i.e.: project management, site supervision, estimating, scheduling, value engineering, etc.)

5. In an effort to involve small businesses, the CM and the Subcontractors are to undertake the following actions during pre-construction and construction with regard to the procurement of materials and services on the Project:

(Rev. 07/22) Page 8 of 8

• The work to be performed by subcontractors to the CM will be procured by publicly advertised competitive sealed bidding to the maximum extent practicable. At a minimum, this includes the requirement for the CM to post invitation for bid notices to eVA and in appropriate newspapers; CMs will provide a recommendation regarding which newspapers to advertise in.

• During the preconstruction services phase when the detailed small business plan is finalized, also utilize qualified small business solicitation lists prepared by the CM and any other resources engaged for such purposes by DSBSD to identify small business entities with the potential to provide products and services to the Project.

• The CM is required to complete an outreach program; program shall include establishing, scheduling and actively promoting the Project small business participation at meetings, fairs and other events designed to raise awareness of the Project’s desires for securing small business participation. At such meetings, fairs, etc., the CM shall provide adequate representation to provide explanations and instructions to those in attendance regarding the processes to follow for small business participation on the Project.

• When economically and managerially feasible, divide the overall work of the Project into small tasks or quantities to permit increased participation of small businesses.

• Where the requirements of the work permit, establish work schedules to encourage the participation of small businesses.

• The CM shall take reasonable steps to subcontract with small business, small women-owned and small minority owned business should any additional subcontracting opportunities arise during the course of the Project.

6. During project execution, the CM must demonstrate compliance with the small business participation levels proposed by the CM and accepted by the offeror at the RFP stage. Demonstration of compliance may include the following information; however, the offeror may specify other methods of demonstrating compliance for review and acceptance by the Owner:

• Providing documentation that verifies that organizations are qualified to represent themselves as DSBSD-registered small business organizations.

• At a minimum, a provide a monthly summary of small business subcontracts awarded in the prior month and cumulatively to date on the Project, showing small business, small women-owned and small minority-owned business amounts separately (by firm name). Report shall include the percentage (expressed in terms of dollar value) of subcontracts awarded to small business organizations as a percentage of the total requirement as defined above showing small business, small women-owned and small minority-owned business amounts separately.

DGS-30-168 CO-16

(Rev. 08/20)

COMMONWEALTH OF VIRGINIA

STANDARD FORM

FOR

CONTRACTOR'S STATEMENT

OF QUALIFICATIONS

TO BE COMPLETED BY BIDDERS OR OFFERORS IN RESPONSE TO THE RFQ AND THE

QUALIFICATION CRITERIA PROVIDED THEREIN

TABLE of CONTENTS

I. General Information

II. Bonding

III. Judgments

IV. Convictions and Debarment

V. Compliance

VI. Experience

VII. Small Business Participation on Previous Projects (applicable to CM at Risk and Design-Build)

VIII. Signatures

Attachments

CONTRACTOR'S STATEMENT OF QUALIFICATIONS

I. General Information

1. Submitted to: Paul O’Keef Radford University Facilities Planning & Construction

Address: 501 Stockton Street Radford, VA 24142

2. Name of Project: Roanoke Academic Health Sciences Building

Project Code Number: 217-18786-000

3. Type of work you wish to qualify for: Construction Manager at Risk

4. Contractor's Name:

Mailing Address:

Street Address: (If not the same as mailing address)

Web site:

Telephone Number: ( )

Contact Person:

Contact Person’s Phone Number: ( )

State Contractor's License Number:

Designated Employee Registered with the Virginia Board for Contractors:

Provide the name and title, direct telephone number (including extension), cellular telephone number and direct e-mail address of the highest ranking individual within the organization that will have oversight responsibility for the organization's involvement with the Project (if not the designated contact person above):

If different from the location provided above, provide the organization's local or regional office information (including physical address, mailing address, telephone number, and main e-mail address or web site address) to be used in delivering the requested services to be provided on the Project:

Provide the number of years that the organization has been providing services similar to those requested by this RFQ, including a delineation of this information for both the headquarters location and the local or regional office (as appropriate) that will be used in delivering the requested services on the Project.

5. Check type of organization:

Corporation ___ Partnership ___

Individual ___ Joint Venture ___

Other (describe) _________________________________

If the Proposal is being made by a legal joint venture, the response must include the information required within this section of the Form CO-16 for both organizations that constitute the joint venture and a copy of the joint venture agreement must be attached.

6. If a corporation -

State of Incorporation:

Date of Incorporation:

Federal I.D. #:

Officers Name / Contact Info Years in

Position

Chief Executive Officer:

Chief Financial Officer:

President:

Vice President:

Secretary:

Treasurer:

Office Manager of local office that will have primary responsibility for delivering this project:

Are you a Subchapter S Corporation? Yes ___ No ___

7. If a partnership -

Date organized:

Type of partnership:

List of General Partners:

Name Phone # Years as G.P.

8. If individually owned -

Years in Business:

9. Have you ever operated under another name? Yes ___ No ___

If yes -

Other name:

Number of years in business under this name:

State license number under this name:

10. Department of Small Business and Supplier Diversity (DSBSD) Certifications:

Check all that apply:

Micro Business DSBSD Certification No.:_

Small Business DSBSD Certification No.:_

Small Women-Owned Business DSBSD Certification No.:_

Small Minority-Owned Business DSBSD Certification No.:_

Small Service Disabled Veteran-Owned Business DSBSD Certification No.:_

II. Bonding

Provide a letter from your surety company listing your organization’s current single Project and total

Projects bonding capacity, including such information for the local or regional office that will be used in delivering the services to be provided on the Project (if the local or regional office is separately bonded);

attach this letter to the Form CO-16. The project exceeds the dollar limit for self-bonding. See Code of Virginia § 2.2-4337.

1. Bonding Company's name:

Address:

Representative (Attorney-in-fact):

2. Is the Bonding Company listed on the United States Department of the Treasury list of acceptable surety corporations?

Yes ___ No ___

3. Is the Bonding Company licensed to transact surety business in the Commonwealth of

Virginia?

4. Describe the capacity the organization has to meet the project schedule and demands. Include an analysis of current workload.

III. Judgments

In the last ten (10) years, has your organization, or any officer, director, partner or owner, had judgments entered against it or them for the breach of contracts for construction?

If yes, on a separate attachment, state the person or entity against whom the judgment was entered, give the location and date of the judgment, describe the project involved, and explain the circumstances relating to the judgment, including the names, addresses and phone numbers of persons who might be contacted for additional information.

IV. Convictions and Debarment

If you answer yes to any of the following, on a separate attachment, state the person or entity against whom the conviction or debarment was entered, give the location and date of the conviction or debarment, describe the project involved, and explain the circumstances relating to the conviction or debarment, including the names, addresses and phone numbers of persons who might be contacted for additional information.

1. In the last ten (10) years, has your organization or any officer, director, partner, owner, project manager, procurement manager or chief financial officer of your organization:

a. ever been fined or adjudicated of having failed to abate a citation for building code violations by a court or local building code appeals board?

b. ever been found guilty on charges relating to conflicts of interest?

c. ever been convicted on criminal charges relating to contracting, construction, bidding, bid rigging or bribery?

d. ever been convicted: (i) under Va. Code Section 2.2-4367 et seq. (Ethics in Public Contracting); (ii) under Va. Code Section 18.2-498.1 et seq. (Va. Governmental Frauds Act); (iii) under Va. Code Section 59.1-68.8 et seq. (Conspiracy to Rig Bids); (iv) of a criminal violation of Va. Code Section 40.1-49.4 (enforcement of occupational safety and health standards); or (v) of violating any substantially similar federal law or law of another state?

Yes ___ No ___

e. ever been convicted on charges relating to employment of illegal aliens on construction projects?

2. a. Is your organization or any officer, director, partner or owner currently debarred or enjoined from doing federal, state or local government work for any reason?

b. Has your organization or any officer, director, partner or owner ever been debarred or enjoined from doing federal, state or local government work for any reason?

V. Compliance

If you answer yes to any of the following, on a separate attachment give the date of the termination order, or payment, describe the project involved, and explain the circumstances relating to same, including the names, addresses and phone numbers of persons who might be contacted for additional information.

1. Has your organization:

a. ever been terminated on a contract for cause?

b. within the last five (5) years, made payment of actual and/or liquidated damages for failure to complete a project by the contracted date?

2. Has your organization, in the last three (3) years, received a final order for willful and/or repeated violation(s) for failure to abate issued by the United States Occupational Safety and

Health Administration or by the Virginia Department of Labor and Industry or any other government agency?

3. Have any Performance or Payment Bond claims ever been paid by any surety on behalf of your organization?

Yes ___ No ___

4. Has your organization been more than thirty (30) days late, without good cause, in achieving the contracted substantial completion date where there was no liquidated damages provision on more than two (2) projects in the last three (3) years?

Yes ___ No ___

5. Has your organization finally completed a project more than ninety (90) days after achieving substantial completion on two (2) or more projects in the last three (3) years, for reasons within the contractor’s control? Documented delay of delivery of material necessary to perform remaining work or seasonal conditions that bear on performing the work or operating specific equipment or building systems shall be considered in litigation.

Yes ___ No ___

6. Has your organization received more than two (2) cure notices on a single project in the past two (2) years and/or more than one (1) cure notice on five (5) separate projects in the past five

(5) years?

Yes ___ No ___

7. Has your organization had repeated instances on a project of installation and workmanship deviations which exceed the tolerances of the standards referenced in the contract documents? Documentation of such instances shall be the written reports and records of the Owner’s representatives on the project.

VI. Experience

If your organization has multiple offices, provide the following information for the office that would handle projects under this prequalification. If that office has limited history, list its experience first.

1. Attach a list of all projects, giving project name, location, size, dollar value, and completion date for each that your organization has completed in the last ten (10) years.

2. Attach a list of your organization's projects in progress, if any, at the time of this statement. At a minimum, provide project names and addresses, contract amounts, percentages complete and contact names and numbers for the architects and owners.

3. If this statement is for a particular project, identify three (3) projects from those identified in 1 and

2 above which are most relevant or similar to the project(s) for which you are seeking prequalification; these projects are designated as your “Firm’s Representative Projects” and will also be included on Attachment 3, “CO-16 Crosswalk of Firm and Key Personnel Experience”.

Firm Representative Project 1.

Project Name:

Project Address:

Owner's Name:

Phone Number:

Contact:

Architect's Name:

Address:

Phone Number:

Contact:

Provide additional project data as required in the “CO-16 Crosswalk of Firm and Key Personnel Experience”. (See attachment 3.) Provide explanations for any cost or schedule growth greater than 10%.

Describe key lessons learned:

Provide evidence that any preconstruction services provided resulted in cost savings and effective schedule management:

Firm Representative Project 2.

Phone Number:

Contact:

Architect's Name:

Address:

Phone Number:

Contact:

Provide additional project data as required in the “CO-16 Crosswalk of Firm and Key Personnel Experience”. (See attachment 3.) Provide explanations for any cost or schedule growth greater than

Firm Representative Project 3.

Phone Number:

Contact:

Architect's Name:

Address:

Phone Number:

Contact:

Provide additional project data as required in the “CO-16 Crosswalk of Firm and Key Personnel Experience”. (See Attachment 3.) Provide explanations for any cost or schedule growth greater than

4. Staffing: Describe how your firm would staff this project. The Proposal must include a description of the duties and responsibilities of all key Project team members and an organizational chart indicating the title or function of each individual and the reporting structure and functional relationships between the team members.

5. Personnel experience: For all designated key personnel (i.e.: project manager, superintendent, preconstruction manager, etc.), describe the background and experience that would qualify him or her to serve successfully on this project. For all key personnel to be assigned to this project, provide as an attachment a resume which includes:

a. Title (Principal, Project Manager, Superintendent, etc.).

b. Number of years of experience in the construction industry.

c. Summary of education, including the name(s) of the institution(s) from which the individual graduated and the year(s) of graduation.

d. Listing of professional registrations, including registration numbers and dates that the respective registrations were first obtained, per state, along with any certifications relevant to the individual’s proposed function on this project.

e. List of any professional / trade organization affiliations and associations in which the individual actively participates.

f. Identification of at least three (3) similar or comparable projects on which each proposed key personnel have served in that capacity or positions of similar or comparable responsibility within the last ten (10) years, including at least one of those within the last five years. For these three (3) projects, if the project is NOT a “Firm Representative Project” for which this information was previously provided above, then provide the names, addresses, and phone numbers of the Owner’s and Architect’s contact person for each that can be contacted to obtain an assessment of the individual’s competencies and capabilities for the project.

Owner’s Name:

Address:

Phone Number:

Contact:

Architect’s Name:

Address:

Phone Number:

Contact:

For all designated key personnel, also provide project-specific information by completing

Attachment 3, “CO-16 Crosswalk of Firm and Key Personnel Experience”. This data includes the percentage of each key individual’s time which will be committed to the project (i.e.: 100%, 80%, etc.)

6. Provide additional attachments, as required, in response to any additional agency-specified prequalification criteria provided in the RFQ.

VII. Small Business Participation on Previous Projects

For the most recent three (3) projects you have completed, provide:

Project Name:

Project Address:

Owner’s Name:

Address:

Phone Number:

Contact:

Small Business Participation percentage proposed:

Small Business Participation percentage achieved:

VIII. Signatures

The undersigned certifies under oath that the information contained in this Statement of Qualifications and attachments hereto is complete, true and correct as of the date of this Statement.

(Name of entity signing this Statement of Qualifications)

By: Name of Signer (print)

(Signature in ink)

Title:

Date:

Notary

State of:

County/City of:

Subscribed and sworn to before me this day of _ _____, 20 _ .

Notary Public Signature

My commission expires:

Notary Seal:

Attachments (to be provided):

1. As applicable:

For Standard Bonding: Surety Statement of Bonding Eligibility For Self-Bonding Program: The project exceeds the dollar limit for self-bonding. See Code of Virginia

§ 2.2-4337.

2. Additional information, if any, provided under CO-16 Sections III, IV, V

3. Information required under CO-16 Section VI (i.e.: project listings, organizational chart, key personnel resumes, completed “CO-16 Crosswalk of Firm and Key Personnel Experience” (DGS-30-172), etc.)

4. Completed SCC form

5. Other required agency attachments as applicable (i.e.: eVA registration form, etc.)

State Corporation Commission Form

Virginia State Corporation Commission (SCC) registration information. The bidder:

is a corporation or other business entity with the following SCC identification number: ____________

-OR-

is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust -OR-is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside

Virginia before they become contracts, and not counting any incidental presence of the bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder’s out-of-state location) -OR-is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-

757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

**NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the

Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver):

Docusign Envelope ID: 73975ABD-30FF-85CD-8397-1D427221F908

_____________IS APPROVED