RFPQ_26011 _ BeachamLagoonCleanoutFinal.pdf
PDF 146 KB Posted
- Solicitation number
- PE-62960-NONST-2026-000000094
- Issued by
- Clayton County, Georgia
About this file
This is a Request for Bidder Pre-Qualification (RFPQ) document issued by the Unified Government of Athens-Clarke County, Georgia for general contractors seeking to bid on the J.G. Beacham Water Treatment Plant Sludge Lagoon Cleanout project. The project involves dredging, onsite dewatering, hauling, and disposal of water treatment plant sludge from a 3.2-acre lagoon that has not been dredged since 2018. The lagoon is expected to contain approximately 6,328 dry tons of sludge based on the previous 2018 cleaning. The solicitation includes a non-mandatory pre-proposal teleconference scheduled for 10:00 AM on Friday, December 12, 2025, via Microsoft Teams. The deadline for submitting written questions is 2:00 PM Wednesday, January 7, 2026. Applications must be received by 3:00 PM Thursday, January 15, 2026, and should be delivered to the Athens-Clarke County Finance Department, Purchasing Division at 375 Satula Avenue, Athens, Georgia 30601. Applicants must submit two hard copies and one USB Flash Drive containing a single PDF file of the complete signed application. ACCGov anticipates notifying applicants of their pre-qualification status approximately three to four weeks after the submittal deadline.
The estimated project cost ranges from $1,700,000 to $2,400,000. Applicants must demonstrate substantial relevant experience, including completion of a minimum of five sludge lagoon cleanout projects of at least 1,000 dry tons since January 1, 2015, with at least three performed on water treatment plant sludge. The proposed superintendent must have supervised at least two qualifying projects and possess a minimum of five years of dredging and sludge dewatering supervisory experience. At least 50 percent of labor-related work must be performed by the applicant's own workforce. General contractors must hold a valid Georgia General Contractor License or Georgia Utility Contractor License, maintain sufficient bonding capacity for a bid bond of 5 percent and performance and payment bonds of 100 percent of the contract amount, and demonstrate no defaults, bankruptcies, or litigation history within the applicable timeframes. The applicant must also comply with Georgia's E-Verify requirements under O.C.G.A. 13-10-91 and provide a Georgia Security and Immigration Compliance Affidavit as a mandatory submittal.
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REQUEST FOR BIDDER PRE-QUALIFICATION APPLICATIONS
GENERAL CONTRACTOR
FOR
J.G. Beacham Water Treatment Plant Sludge Lagoon Cleanout
ATHENS-CLARKE COUNTY (ACCGOV)
RFPQ #26011
I. General
A. The Unified Government of Athens-Clarke County (“ACCGov” or “Owner”) is a unified city/county government located in the northeast section of the state of Georgia and is approximately sixty (60) miles northeast of Atlanta, Georgia. The ACCGov was formed in 1991 by a referendum which required the combining of the City of Athens and Clarke County. ACCGov serves an area population of approximately 140,000 with annual growth projected at 1% per year. ACCGov provides a multitude of local and state funded services, which includes, but is not limited to, Public Safety, Utility, Courts, Corrections, Tax and Fire Services. ACCGov employs approximately 2,000 people.
B. The ACCGov desires to solicit Pre-Qualification Applications in accordance with the Georgia Local Government Public Works Construction Law (the “Georgia Public Works Law”) from responsible Construction General Contractors.
C. Responsible General Contractors are to provide all construction, materials, equipment and labor to complete the J.G. Beacham Water Treatment Plant Sludge Lagoon Cleanout project (Project) as generally described below:
• The work included in this project consists of furnishing all superintendence, skilled and unskilled labor, materials, equipment, services, and all work necessary for the dredging, onsite dewatering, hauling, and disposal of water treatment plant sludge from a 3.2-acre lagoon.
• All required sediment and erosion control
The estimated cost of this project is $1,700,000 to $2,400,000.
D. Previous pre-qualification of contractors or Application for Qualification on other projects for the ACCGov will not be considered for this project. Applications must be made for this project separate from any other project.
E. Documentation provided must be specific and the data given must be clear and comprehensive. Documentation provided must pertain specifically to the entity that will bid for and construct the project, not an affiliated company, parent firm, or other entity.
F. No interpretation of the meaning of this Application will be made to any Applicant orally. Every request for such interpretation should be made in writing via the OpenGov Q&A tool or via email to Ed Tulenko, Senior Buyer, at accbids@accgov.com. To be given consideration the request must be received by the deadline for submission of questions. Any and all such interpretations and any supplemental instructions will be in the form of written Addenda to the Application. Failure of Applicants to receive or acknowledge any Addendum shall not relieve them of any obligation under the Application. All Addenda shall become part of the Application.
G. APPLICATION TIMETABLE:
The anticipated schedule for the application process is as follows:
Application Documents Available……………………… Wednesday, December 3, 2025 Non-Mandatory Pre-proposal Teleconference….. 10:00 AM Friday, December 12, 2025 Deadline for submission of questions…………. 2:00 PM Wednesday, January 7, 2026 Application Opening…………………………………... 3:00 PM, Thursday, January 15, 2026 mailto:accbids@accgov.com
RFPQ #26011 Page - 2
H. A Non-Mandatory Pre-Proposal Teleconference will be held to discuss the Project scope of work, Qualification
Criteria (Criteria), and RFPQ submittal requirements. This non-mandatory meeting will be held on Friday, December 12, 2025 at 10:00 AM. Applicants may attend via Microsoft Teams using the following information:
Non-Mandatory Pre-Proposal Teleconference J.G. Beacham WTP Sludge Lagoon Cleanout Friday, December 12, 2025 at 10:00 AM
Meeting Hyperlink: MS Teams Meeting Link - Click to Join Microsoft Teams Meeting ID: 297 208 961 266 3 Meeting Passcode: G8ay6nC9 Phone No: +1 469-214-8538,,842915254#
Questions may be directed to J. Craig Hensley, PE O 1 404 751 5535 M 1 706 889 4220
I. SUBMITTAL INSTRUCTIONS: ALL Application copies must be submitted in a sealed envelope or container with the OUTER MOST Container stating the Contractor’s/Vendor’s Unified Government of Athens-Clarke County Vendor Number (if known), address, telephone number, and title as follows: RFPQ #26011, APPLICATION FOR BIDDER PRE-QUALIFICATION ATHENS-CLARKE COUNTY, J.G. BEACHAM
WATER TREATMENT PLANT SLUDGE LAGOON CLEANOUT.
Submit the Application documents as follows:
Two (2) hard copies of the complete signed application One (1) USB Flash Drive PDF format copy of the complete signed application
Applications are to be delivered to:
Unified Government of Athens-Clarke County Finance Department, Purchasing Division 375 Satula Avenue Athens, Georgia 30601
Not later than 3:00 P.M. ET, Thursday, January 15, 2026
Applications received after 3:00 P.M. will not be considered.
Offerors are responsible for informing any commercial delivery service, if used, of all delivery requirements and for ensuring that the required address information appears on the outer wrapper or envelope used by such service.
No responsibility shall attach to the Unified Government of Athens-Clarke County for the premature opening of a proposal not properly addressed and identified, and/or delivered to the proper or improper address.
ALL DOCUMENTS SUBMITTED ON USB FLASH DRIVES MUST BE IN A SINGLE PDF FILE
https://teams.microsoft.com/l/meetup-join/19%3ameeting_OTk2N2IxMzQtN2MzZC00ZDk5LTk5ZDMtODhlMzE0NDhlNDQ4%40thread.v2/0?context=%7b%22Tid%22%3a%2237247798-f42c-42fd-8a37-d49c7128d36b%22%2c%22Oid%22%3a%22e1fe691a-c1eb-4e9e-b3a2-89fa2117ae11%22%7d
RFPQ#26011 Page - 3
II. Determination of Qualified General Contractors by ACCGov
It is the intent of the ACCGov to identify and qualify as many General Contractors as possible. ACCGov has established optimal Project Construction Experience and Corporate Criteria against which ACCGov will compare the actual project construction experience and corporate information offered by each Applicant to evaluate and determine whether the Applicant possesses sufficient and appropriate qualifications to offer a Bid and to provide the desired construction services.
The stated Criteria under Section IV is considered PASS/FAIL Criteria. Applicants must demonstrate in writing that they satisfy the Project Construction Experience described in Section IV.A and the Corporate Criteria described in Section IV.B below. Applicants must also submit the Required Documentation described in Section V.
ACCGov reserves the right to reject any one or all Applications for Pre-Qualification submitted and to waive technicalities and informalities in making its evaluation of applications and determination of qualified applicants. The final determination of any Applicant's qualification status rests solely with the ACCGov.
Prior to solicitation of construction bids for the Project, it is the intent of ACCGov to publish and make known to all Applicants all General Contractors that are determined by ACCGov to be qualified to bid and to provide the required construction services.
III. Pre-Qualification Process
A. Applicants may not be deemed qualified by ACCGov if:
1. Applicants fail to submit a responsive Application, including failing to provide all required documentation;
Applicants shall confirm response to all noted criteria.
2. Applicants fail to reasonably meet the Project Construction Experience Criteria. Any determination that an Applicant meets or fails to meet the Criteria rests solely with the ACCGov.
3. Applicants fail to reasonably meet the Corporate Criteria. Any determination that an Applicant meets or fails to meet the Criteria rests solely with the ACCGov.
4. The General Contractor Applicant, or any of its affiliated companies, is a party to more than one Application.
5. Reasonable grounds exist that Applicant(s) are involved in collusion among other applicants; or
6. Applicants fail to execute the Disclosure Affidavit.
B. Final determination of Applicant's qualification status rests solely with the ACCGov.
IV. Qualification Criteria
A. Project Construction Experience Criteria – General Contractor
1. The Contractor must have satisfactorily completed a minimum of five (5) sludge lagoon cleanout projects of a minimum 1,000 dry tons since January 1, 2015, three (3) of which must have been performed on water treatment plant sludge.
a. Each of the projects must have consisted of dredging, onsite sludge dewatering, hauling of dewatered solids, and disposal of dewatered solids.
b. The Superintendent proposed for the new project must have been the Superintendent on at least two (2) projects meeting the criteria in Paragraph IV.A.1 above.
c. Additionally, the Superintendent proposed for the new project must have a minimum of 5 years (career) dredging and sludge dewatering supervisory field experience.
2. At least 50 percent of the labor-related items on the Project must have been completed by the Applicant's own
RFPQ #26011 Page - 4 work force.
3. Projects currently under construction will not qualify.
B. Corporate Criteria– General Contractor (GC)
1. The GC has operated under the current corporate name for the last five (5) years.
2. The GC currently has sufficient bonding capacity to provide a bid bond in the amount of 5 percent of the applicable bid amount.
3. The GC currently has sufficient bonding capacity to provide performance and payment bonds, both in the amount of 100 percent of the applicable contract amount.
4. The GC has not defaulted on a project or failed to complete a project within the last ten (10) years.
5. The GC has not filed for bankruptcy, nor been judged bankrupt at any time over the last ten (10) years.
6. The GC has a history of completing projects consistently on time and within the bid amount.
7. The GC has never abandoned a project (even temporarily) during a dispute.
8. The GC does not have a history of being involved in litigation or filing claims against owners, construction contract administration firms, or design firms.
9. The GC, nor any of its affiliated companies, is currently involved in a dispute, formal claim, or litigation with ACCGov, or with any authority or organization with which ACCGov has a vested interest.
10. The General Contractor Applicant is a Licensed General Contractor in the State of Georgia or a Licensed Georgia Utility Contractor.
11. The GC has a written Safety Programs for their work.
12. The General Contractor Applicant has the ability to provide a proper and logical schedule to demonstrate the effort required to complete the project in a timely manner.
V. Required Documentation - Application for Pre-Qualification
A. Application Cover & Disclosure Affidavit – to be completed by all applicants
1. Applicant must complete and submit the Contractor Pre-qualification Application Cover and Disclosure Affidavit.
B. Required Documentation Checklist – to be completed by all applicants
C. Project Construction Experience – General Contractor
Complete and submit General Contractor Project Construction Experience Information Form for each project referenced as documentation of meeting the Criteria; provide all the information specified in item 1-8 listed below for each Project. (The form may be expanded to accommodate information). Project Information Forms must satisfy the Project Construction Experience Criteria listed in Section IV.A.
1. Name of project as bid, name of owner, owner contact and contact information (current address, phone number and email), name of design firm (lead designer name, phone number and email), name of construction contract administration firm (lead project manager, phone number and email).
2. A summary project description including work performed, major components of the project, equipment utilized, etc.
3. Percent and description of labor-related items performed by the Applicant's own work force.
RFPQ#26011 Page - 5
4. If the project was performed as a joint venture, provide the name of the joint venture partner and the percentage of the Applicant’s joint venture responsibility; describe the responsible scope of work conducted by the Applicant and its relationship to qualification of the Applicant.
5. If the Project Construction Experience offered in the Application is that of a Parent Company, sister corporation or subsidiary corporation associated with the General Contractor Applicant describe the associated experience for each entity and its relationship to qualification of the Applicant.
6. Names and contact information for major subcontractors. If work was self-performed, please indicate such.
7. The bid date, bid amount and final cost to owner.
8. The contract performance time as bid, actual time to complete project and completion date.
9. Description and associated value of major Change Orders including impacts/adjustments to contract time.
10. Provide experience, resumes, of proposed on-site Project Manager and Construction Superintendent who would be involved in this project. Experience can be from previous employment but must be pertinent to technical characteristics listed under the Project Construction Experience Criteria. Also provide a staffing plan, if appropriate, identifying other key personnel anticipated to be assigned to the Project. Provide a brief description and title for each position identified in the staffing plan.
D. Corporate Criteria – General Contractor
Complete and submit a narrative response to the following directions/instructions.
1. Provide name, address and telephone number of Applicant's corporate headquarters, regional offices, subsidiaries and affiliates, if any. Provide name, title, and biographical summary of pertinent corporate officers.
Provide a statement that Applicant has operated under the current corporate name for the last five years.
2. Provide a statement of bonding capacity, name of Surety Company, with agent contact persons, and telephone numbers. Define current maximum approved bonding program, allowable single project limit and current bonded work backlog.
3. Provide a statement that Applicant has not defaulted on a project nor failed to complete a project within the past ten years. If this is not the case, explain.
4. Provide a statement that Applicant has not filed for bankruptcy or been judged bankrupt at any time over the past nine years. If this is not the case, explain.
5. Provide a statement that Applicant has not been involved in liquidated damages in the past five years. If this is not the case, explain.
6. Provide a statement that the Applicant has never abandoned a project, even temporarily, during a dispute. If this is not the case, please explain.
7. Provide a statement whether Applicant has or has not been involved in litigation as a plaintiff against an owner, design firm or construction contract administration firm, or served an owner with a claim for additional compensation prepared by an attorney or a claims consultant, excluding routine change order requests, in the past five years. If Applicant has had such involvement, explain. List any lawsuits or administrative actions to which the Applicant is currently a party or has been a party (as either a plaintiff or defendant) during the past ten years. For each suit, list all parties and indicate whether any party was a bonding company, insurance company, an owner, or other. Identify the project giving rise to the suit or administrative action; explain the basis of the claim, and whether a settlement was reached or a judgment entered into for or against the Applicant, or the Applicant’s bonding company or Insurance Company.
8. Provide a statement that the Applicant, as well as all of its affiliated companies, is not involved in any dispute, formal claim, or litigation with neither the ACCGov, nor any authority or organization with which the ACCGov has a vested interest. If this is not the case, please explain.
RFPQ #26011 Page - 6
9. Provide a statement that the Applicant has a Safety Program. Also provide the date it was last updated. If this is not the case, please explain.
10. Include a copy of the Applicant’s Georgia General Contractor License or Georgia Utility Contractor’s License.
11. Provide a list of all projects currently under contract with a construction contract amount in excess of $1 million.
Provide Project Name /Title, Project Owner, contract amount and scheduled completion dates.
VI. Supplemental Information
A. ACCGov will not be liable in any way for any costs incurred by any Applicant in the preparation of its Pre-Qualification Application nor participation in any discussions.
B. ACCGov reserves the right to accept or reject any one or all Pre-Qualification Applications. ACCGov, upon receipt of the Application, shall have the right to investigate the information set forth on the Application, including work performed by the Applicant on projects referenced by the Applicant, or any other projects performed by the Applicant.
Investigations will be performed by Owner’s personnel or their representatives as deemed appropriate by ACCGov which may include site visits and interviews with project owners and construction contract administration staff.
ACCGov has the right to consider any additional information obtained about an Applicant’s qualifications through this process.
C. Application Format: The Application must include responses to all information requested. The Application shall address required documentation in the order identified above, indexed and clearly identified. Additional data may be submitted as deemed appropriate to support or augment the required documentation. Submittal shall be prepared on standard 8-1/2” x 11” letter size paper using 12-point font. Hard copies shall be bound on the left side. No page limitation has been established for the application submission, but non-pertinent “boilerplate” materials are discouraged.
D. Should any Applicant not be deemed pre-qualified by ACCGov, the Applicant may respond within three business days of being notified of pre-qualification status to ACCGov Administrator requesting reasons for not being deemed pre-qualified. The Applicant may then provide further written information in an attempt to correct such deficiencies within three business days of receiving reasons for not being deemed pre-qualified. This will be an informal appeals process.
E. For the purposes of this Application and its review, “project” shall be defined as a single construction contract, including all associated change orders.
F. Applicants will be advised of their status approximately three to four weeks after the submittal deadline.
G. The words “corporation” or “corporate” as used herein shall include limited liability companies, limited partnerships and other similar for-profit business entities organized and existing under the laws of a state government.
RFPQ#26011 Page - 7
SECTION VII – PROPOSAL FORMS
GEORGIA SECURITY & IMMIGRATION COMPLIANCE (GSIC) AFFIDAVIT
The Unified Government of Athens-Clarke County and Contractor agree that compliance with the requirements of O.C.G.A.
§ 13-10-91, as amended, are conditions of this Agreement for the physical performance of services.
If employing or contracting with any subcontractor(s) in connection with this Agreement, Contractor further agrees:
(1) To secure from the subcontractor(s) an affidavit attesting to the subcontractor’s compliance with by O.C.G.A.
§ 13-10-91(b), as amended; such affidavit being in a form similar to and containing the same information as the form attached hereto; and
(2) To obtain such subcontractor affidavit(s) when the subcontractor(s) is retained. Contractor shall have such forms available for inspection and submit to the Owner, if requested by the Owner.
The failure of Contractor to supply the affidavit of compliance at the time of the bid will be cause for the bid being deemed non-responsive. Failure of Contractor to continue to satisfy the obligations of O.C.G.A. § 13-10-91, as amended throughout the entire contract period shall constitute a material breach of the contract. Upon notice of such breach, Contractor shall be entitled to cure the breach within ten days, upon providing satisfactory evidence of compliance with the terms of this Agreement and State law. Should the breach not be cured, Athens-Clarke County shall be entitled to all available remedies, including termination of the contract and damages.
SEE AFFIDAVITS ON FOLLOWING PAGES
MANDATORY SUBMITTAL
RFPQ #26011 Page - 8
CONTRACTOR AFFIDAVIT & AGREEMENT UNDER O.C.G.A. § 13-10-91(b)(1)
By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, as amended, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of The Unified Government of Athens-Clarke County, Georgia, has registered with, is authorized to use, and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the provisions and deadlines established in O.C.G.A. § 13-10-91, as amended.
Furthermore, the undersigned will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b).
Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:
Federal Work Authorization User Identification Number Date of Authorization
Name of Contractor: _______________________________________________________________
Name of Project: _______________________________________________________________
Name of Public Employer: _The Unified Government of Athens – Clarke County_Georgia________
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on ____, ___________, 202__ in _______________________, _____________________.
Signature of Authorized Officer or Agent
Printed Name and Title of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE
____ DAY OF ____________, 202_
Notary Public My Commission Expires:
RFPQ#26011 Page - 9
REQUIRED DOCUMENTATION CHECKLIST
Application for Pre-Qualification
This Required Documentation Checklist is required to be completed and submitted by all applicants. Applicants shall acknowledge that each item has been addressed in accordance with the requirements of this RFPQ by clearly marking each checkbox in the list below.
Application Cover & Disclosure Affidavit
☐ Applicant has completed and submitted the Contractor Pre-qualification Application Cover.
☐ Applicant has completed and submitted the Disclosure Affidavit.
Project Construction Experience Criteria
The required information below has been completed and submitted on the General Contractor Project Construction Experience Information Form for each project referenced as documentation of meeting the Criteria:
☐ A minimum of five (5) Project Construction Experience Forms have been completed and attached.
☐ A minimum of three (3) of the submitted projects were performed on water treatment plant sludge.
☐ Each of the projects consisted of dredging, onsite sludge dewatering, hauling of dewatered solids, and disposal of dewatered solids.
☐ The Superintendent proposed for the new project has been the Superintendent on at least two (2) projects meeting the Criteria.
☐ The Superintendent proposed for the new project has a minimum of 5 years (career) dredging and sludge dewatering supervisory field experience.
☐ At least 50 percent of the labor related items on each Project was completed by the Applicant's own work force.
☐ Name of project as bid, name of owner, owner contact and contact information (current address, phone number and email), name of design firm (lead designer name, phone number and email), name of construction contract administration firm (lead project manager, phone number and email).
☐ A summary project description including work performed, major components of the project, equipment utilized, etc.
☐ Percent and description of labor-related items performed by the Applicant's own work force.
☐ If the project was performed as a joint venture, provide the name of the joint venture partner and the percentage of the Applicant’s joint venture responsibility; describe the responsible scope of work conducted by the Applicant and its relationship to qualification of the Applicant.
☐ If the Project Construction Experience offered in the Application is that of a Parent Company, sister corporation or subsidiary corporation associated with the General Contractor Applicant describe the associated experience for each entity and its relationship to qualification of the Applicant.
☐ Names and contact information for major subcontractors. If work was self-performed, please indicate such.
☐ The bid date, bid amount and final cost to owner.
☐ The contract performance time as bid, actual time to complete project and completion date.
☐ Description and associated value of major Change Orders including impacts/adjustments to contract time.
RFPQ #26011 Page - 10
☐ Provide experience, resumes, of proposed on-site Project Manager and Construction Superintendent who would be involved in this project. Experience can be from previous employment but must be pertinent to technical characteristics listed under the Project Construction Experience Criteria. Also provide a staffing plan, if appropriate, identifying other key personnel anticipated to be assigned to the Project. Provide a brief description and title for each position identified in the staffing plan.
Corporate Experience Criteria
The required information below has been completed and submitted in a narrative response as documentation of meeting the Criteria:
☐ Provide name, address and telephone number of Applicant's corporate headquarters, regional offices, subsidiaries and affiliates, if any. Provide name, title, and biographical summary of pertinent corporate officers. Provide a statement that Applicant has operated under the current corporate name for the last five years.
☐ Provide a statement of bonding capacity, name of Surety Company, with agent contact persons, and telephone numbers. Define current maximum approved bonding program, allowable single project limit and current bonded work backlog.
☐ Provide a statement that Applicant has not defaulted on a project nor failed to complete a project within the past ten years. If this is not the case, explain.
☐ Provide a statement that Applicant has not filed for bankruptcy or been judged bankrupt at any time over the past nine years. If this is not the case, explain.
☐ Provide a statement that Applicant has not been involved in liquidated damages in the past five years. If this is not the case, explain.
☐ Provide a statement that the Applicant has never abandoned a project, even temporarily, during a dispute. If this is not the case, please explain.
☐ Provide a statement whether Applicant has or has not been involved in litigation as a plaintiff against an owner, design firm or construction contract administration firm, or served an owner with a claim for additional compensation prepared by an attorney or a claims consultant, excluding routine change order requests, in the past five years. If Applicant has had such involvement, explain. List any lawsuits or administrative actions to which the Applicant is currently a party or has been a party (as either a plaintiff or defendant) during the past ten years. For each suit, list all parties and indicate whether any party was a bonding company, insurance company, an owner, or other. Identify the project giving rise to the suit or administrative action; explain the basis of the claim, and whether a settlement was reached or a judgment entered into for or against the Applicant, or the Applicant’s bonding company or Insurance Company.
☐ Provide a statement that the Applicant, as well as all of its affiliated companies, is not involved in any dispute, formal claim, or litigation with neither the ACCGov, nor any authority or organization with which the ACCGov has a vested interest. If this is not the case, please explain.
☐ Provide a statement that the Applicant has a Safety Program. Also provide the date it was last updated. If this is not the case, please explain.
☐ Include a copy of the Applicant’s Georgia General Contractor License or Georgia Utility Contractor’s License.
☐ Provide a list of all projects currently under contract with a construction contract amount in excess of $1 million.
Provide Project Name /Title, Project Owner, contract amount and scheduled completion dates.
RFPQ#26011 Page - 11
J.G. BEACHAM WATER TREATMENT PLANT SLUDGE LAGOON CLEANOUT
CONTRACTOR PREQUALIFICATION APPLICATION COVER
Application for: General Contractor
Applicant (Company) Name:
Applicant Home Address:
Applicant Branch Office Responsible for Project, if different:
Applicant Contact (Person) Name:
Applicant Contact Title:
Applicant Contact Phone Number:
Applicant Contact Email Address:
DISCLOSURE AFFIDAVIT
The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the local public agency in verification of the recitals comprising this Application for Bidder's Pre-Qualification. I have read the Project Construction Experience and Corporate Criteria, and have provided documentation as outlined in this RFPQ. By this signature, the signer affirms that the information provided herein is true and correct to the best of his/her knowledge and belief.
Applicant:
By:
(name signed)
(name printed or typed) Title:
Date:
Subscribed and sworn to me this ___ day of ______________, 20___.
NOTARY PUBLIC:
(name signed)
(name printed or typed)
Commission Expires :
(SEAL)
RFPQ #26011 Page - 12
PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM
Applicant Name:
Project Title:
Project Description (including facility type, sludge or material type removed, dredging method, and dewatering method ):
Contractor’s Office in Responsible Charge:
Contractor’s Superintendent:
Major Subcontractors:
Major Material Suppliers:
Duration and Equipment used:
Project Owner/Municipality:
Owner Name:
Contact Person:
Phone Number:
Design Firm:
Company Name:
Contact Person:
Phone Number:
Construction Contract Administration / Inspection Firm:
Company Name:
Contact Person:
Phone Number:
Joint Venture: No_____ Yes_____ Percentage of Applicant’s Joint Venture responsibility: ______% Name of Joint Venture partner(s) (If applicable):
Description of JV Work; Basis of Qualification (if applicable):
RFPQ#26011 Page - 13
PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM
(continue)
Project Title:
Percentage of Work performed by Applicant: __________%
Construction Contract:
Bid Date:
Bid Price / Initial Contract Price:
Final Contract Price:
Contract Time:
Initial Performance Time:
Actual Time to Complete Construction:
Completion Date:
Number of Creek Crossings (if any):
Describe methods used to perform dredging operations:
Describe methods used to perform dewatering operations:
Describe methods used to control erosion, sedimentation and pollution:
Comments:
| J.G. Beacham Water Treatment Plant Sludge Lagoon Cleanout |
| PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM |
| PROJECT CONSTRUCTION EXPERIENCE INFORMATION FORM |
File details come from the government source that posted it. Updated .