BIDDER S QUALIFICATION AND EXPERIENCE STATEMENT

Transcription

1 BIDDER S QUALIFICATION AND EXPERIENCE STATEMENT The OWNER will require supporting evidence regarding Bidder s Qualifications and competency. The Bidder will be required to furnish all of the applicable information listed below and must be submitted with the sealed bid at the time of the Bid Opening. The Qualifications and Experience certificate must be type written and signed in ink. QUALIFICATIONS AND EXPERIENCE CERTIFICATE The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. Submitted To: Address: Submitted By: Name: Address: Telephone No. Fax No. Principal Office: Corporation: Partnership: Joint Venture: Other: Individual: Name of Project: Type of Work (File a separate form for each classification of work.) General: HVAC: Other: Plumbing: Electrical: (Please Specify) QES-1

2 ORGANIZATION How many years has your organization been in business as a CONTRACTOR? How many years has your organization been in business under its present business name? Under what other or former names has your organization operated? If your organization is a corporation, answer the following: Date of Incorporation: State of Incorporation: President s Name: Vice President s Name: Secretary s Name: Treasurer s Name: If your organization is a partnership, answer the following: Date of Organization: Type of Partnership: Name(s) of General Partner(s): If your organization is individually owned, answer the following: Date of Organization: Name of OWNER: If the form of your organization is other than those listed above describe it and name the principals: QES-2

3 LICENSING List jurisdiction and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable: List jurisdiction in which your organization s partnership or trade name is filed: EXPERIENCE List the categories of work that your organization normally performs with its own forces: On a separate sheet, list major construction projects your organization has in progress, giving the name of project, OWNER, architect/engineer, contract amount, percent complete, and scheduled completion date. On a separate sheet, list the major construction projects your organization has completed in the past five (5) years, giving the name of the project, OWNER, architect/engineer, contract amount, date of completion and percentage of the cost of the work performed with your own forces. On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. CLAIMS AND SUITS (if the answer to any of the questions below is yes, please attach details) Has your organization ever failed to complete any work awarded to it? Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or officers? QES-3

4 REFERENCES Trade References: Bank References: Surety: Name of Bonding Company: Name and Address of Agent: Signature: Dated at: this day of, 20 Name of Organization: By: Title: Mr/Mrs/Ms being duly deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this day of, 20 Notary Public: My Commission Expires: IF THIS INFORMATION IS NOT SUBMITTED WITH THE SEALED BID AT THE TIME OF BID, THE BID WILL BE CONSIDERED INCOMPLETE. QES-4

5 PROPOSAL FOR SANITARY LIFT STATION IMPROVMENTS TO THE CHARTER TOWNSHIP OF NORTHVILLE The undersigned as Bidder hereby declares that this Proposal is made in good faith without fraud or collusion with any person or persons bidding on the same Contract; that he has read and examined the Advertisement, Information for Bidders, Proposal, General Conditions, Agreement, Forms of Bonds, Specifications and Plans, as prepared by the ENGINEERS, and understands all of the same; that he or his representative has made personal investigation at the site and has informed himself fully with regard to the conditions to be met in the execution of this Contract, and the undersigned proposes to furnish all labor, materials, tools, power, transportation, and construction equipment necessary for the construction of the Project and performing related work in full accordance with the aforesaid Contract Documents, including any and all addenda officially issued, the receipt of which is hereby acknowledged: Addendum No. /Dated Date of Receipt Signature AWARD OF CONTRACT: The Contract(s) will be awarded to the lowest responsive, responsible Bidder based on unit prices for all work as specified. PROPOSAL PRICE: The Bidder agrees to complete the Project for the following lump sums: Item Description Amount Haggerty Road Lift Station Improvements (Excluding Generator and ATS) North Beacon Woods Lift Station Improvements (Excluding Generator and ATS) 3. Haggerty Road Lift Station Generator and ATS $ 4. North Beacon Woods Lift Station Generator and ATS $ $ $ TOTAL BID PRICE (ITEM NOS. 1 THROUGH 4) Dollars ($ ) (Amount shall be shown in both words and figures. In case of a discrepancy, the amount shown in words shall govern). The undersigned agrees that if the foregoing Proposal shall be accepted by the OWNER, he will, within ten (10) days (Sundays and legal holidays excepted) after receiving notice of such acceptance, enter into the attached form of Agreement and will complete the Project, ready for use, at the price and within the time stated in this Proposal, and that he will furnish the OWNER satisfactory Contract Bonds and certificates of insurance coverage. The undersigned further agrees that if the foregoing Proposal shall be accepted, he will commence work immediately after the Contract has been awarded, the Agreement executed, P-1

6 and he has received a Notice to Proceed and he shall complete the entire work substantially within 180 calendar days and finally within 210 calendar days. The undersigned attaches hereto his Bid Security, as required by the Advertisement and Information for Bidders, and the undersigned agrees that in case he shall fail to fulfill his obligations under the foregoing Proposal and/or shall fail to furnish bonds, as specified, the OWNER may, at its option determine that the undersigned has abandoned his rights and interests in such Contract and that his Bid Security accompanying his Proposal has been forfeited to the said OWNER, but otherwise the Bid Security shall be returned to the undersigned upon the execution of the Contract and the acceptance of the bonds. The undersigned also agrees that for each and every calendar day that he may be in default of substantial completion of the entire work, ready for use, within the time specified in this Proposal or within the time to which said time of completion may be extended for good cause shown, the OWNER will suffer a damage of Eight Hundred Dollars ($800.00) per day, and said OWNER shall be compensated therefore at the rate as liquidated damages in accordance with Article 1- B, Liquidated Damages, of the Agreement. The Bidder shall acknowledge that he/she is an equal opportunity employer and that they do not discriminate against other firms due to race, age, gender or physical conditions. In submitting this bid, it is understood that the right is reserved by the OWNER to accept any bid, to reject any or all bids, and to waive irregularities in bidding in the interest of the OWNER. The Bidder has completed the accompanying "Legal Status" form. Dated and Signed at this the day of, 20. OFFICIAL ADDRESS BIDDER'S NAME By Telephone Title P-2

7 DESIGNATION OF MAJOR SUBCONTRACTORS AND SUPPLIERS Each bidder shall set forth below: (a) the name and the location of the place of business of each Subcontractor who will perform work or labor or render service to the CONTRACTOR in or about the construction of the work in an amount in excess of two percent (2%) of the CONTRACTOR s total base bid; and (b) the portion of the work which will be done by each such Subcontractor. If the CONTRACTOR fails to specify a Subcontractor for any portion of the work as above stated, he agrees to perform that work himself. The CONTRACTOR shall not, without written consent of the OWNER, make any substitution, alterations, or additions to the following list of Subcontractors that is made a part of this Bid. The qualifications of each Subcontractor/Supplier will be presented to the ENGINEER for review and approval after a CONTRACTOR is selected. However, specific information may be requested from the Bidder prior to a CONTRACTOR being selected in order to aid in the evaluation of a responsive responsible Bidder. Portion of Work to be Done Electrical Name of Subcontractor/Supplier Address of Shop, Mill or Office Controls & SCADA Concrete Site Work Self-Priming Pump System Manufacturer Generator Manufacturer Bypass Pumping Mechanical IF THIS INFORMATION IS NOT SUBMITTED WITH THE SEALED BID, THE BID WILL BE CONSIDERED INCOMPLETE. Signed MS-1

8 NAME, ADDRESS, LEGAL STATUS, AND SIGNATURE OF BIDDER This Proposal is submitted in the name of: (Print) The undersigned hereby designates below his business address to which all notices directions or other communications may be served or mailed: Street City State Zip Code Phone Fax The undersigned hereby declares that he has legal status checked below: ( ) INDIVIDUAL ( ) INDIVIDUAL DOING BUSINESS UNDER AN ASSUMED NAME ( ) CO-PARTNERSHIP The Assumed Name of the Co-Partnership is registered in the County of, Michigan. ( ) CORPORATION INCORPORATED UNDER THE LAWS OF THE STATE OF. The Corporation is: ( ) LICENSED TO DO BUSINESS IN MICHIGAN ( ) NOT NOW LICENSED TO DO BUSINESS IN MICHIGAN The name, titles and home addresses of all persons who are officers or Partners in the organization are as follows: NAME AND TITLE HOME ADDRESS Signed and Sealed this day of, 20. By (Signature) Printed Name of Signer Title LS-1

9 BID CERTIFICATION I certify that this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid for the same materials, supplies, equipment, or service, that it meets or exceeds all the specifications contained herein, and is in all respects fair and without collusion or fraud. I understand collusive bidding is a violation of State and Federal law, and can result in fines, prison sentences, and civil damage awards. I agree to abide by all conditions of this bid, and certify that I am authorized to sign for the bidder. Bidder Signature Title Date Certified BC-1