August RFQ 963A

Transcription

1 DATE: August 2, 2011 ADDENDUM NUMBER: 2 MODIFYING: PROJECT: DUE DATE AND TIME: FROM: TO: RFQ 963A SHUTDOWN CONTRACTOR SPECIALISTS August 18, 2011, 2:00 p.m. THE METROPOLITAN WATER DISTRICT OF SOUTHERN CALIFORNIA 700 North Alameda Street, Third Floor Los Angeles, California (213) All prospective bidders This addendum forms a part of the Request for Qualifications, RFQ 963A. Use RFQ 963A as originally issued to submit Statements of Qualifications and acknowledge receipt of this addendum and all previously issued addenda by completing Part 8, Acknowledgment of Addenda, of the Prequalification Questionnaire. This addendum consists of 2 pages of text and 47 pages of attachments. CHANGES TO PRIOR ADDENDA: 1. In Addendum 1, delete the paragraph below the heading TO: All prospective bidders, and replace with the following: This addendum forms a part of the Request for Qualifications, RFQ 963A. Use RFQ 963A as originally issued to submit Statements of Qualifications and acknowledge receipt of this addendum by completing Part 8, Acknowledgment of Addenda, of the Prequalification Questionnaire. 2. In Addendum 1, eliminate the response to Question and Answer No. 1 due to the re-issuance of the Prequalification Questionnaires (Prime Contractor and Subcontractor) in this addendum. Refer to the revised response under Question and Answer No. 1 in this addendum. CHANGES TO PREQUALIFICATION REQUIREMENTS: 3. In Section 1, Prime Contractor/Subcontractor Qualifications Paragraph 1.3A, change $5,000,000 and above to read: a minimum of $1,000,000 each 4. In Section 1, Prime Contractor/Subcontractor Qualifications Paragraph 1.3B, change $500,000 and above to read: a minimum of $500,000 each QUESTIONS AND CLARIFICATIONS: Requests for clarification of details on the provisions of the prequalification documents have been identified. The questions with the appropriate Metropolitan responses are as follows: (1) Question: Can Respondents who submitted the Statements of Qualifications (SOQs) under RFQ 963 use the same submittals for the re-advertised RFQ 963A? Answer: No. Respondents to RFQ963A shall use the revised Prequalification Questionnaire (Prime Contractor and Subcontractor) as issued in this addendum. Revisions made to the questionnaires are marked with a heavy line on the left hand margin for easier reference. (2) Question: Would Metropolitan consider lowering the currently required $5,000,000 for Prime Contractors threshold to a lower amount? August RFQ 963A

2 Addendum Number 2 Answer: Yes. The required minimum construction value for each project has been revised in this addendum. (3) Question: Please clarify if the three projects must all be a minimum of $5,000,000 each or if the three projects combined must total a minimum of $5,000,000? Answer: Each of the three projects shall have a minimum value of at least $1,000,000 as revised in this addendum. (4) Question: In reference to Question 3, must all three projects include a shutdown component or can these three projects involve water/wastewater treatment plant that does not include shutdown work? Answer: Metropolitan is prequalifying contractors that are capable of handling repair works during shutdown conditions, thus, the experience required calls for each project to include a shutdown component. (5) Question: In Section 1, Paragraphs 1.3A and 1.3B, Respondents are required to have completed at least three projects of certain values. However, in the Prequalification Questionnaires (Prime Contractor and Subcontractor), under Part 6 (A, B, and C), Respondents are required to list five projects. Please clarify. Answer: Part of the minimum requirements for the first phase of the evaluation (Part 1A) is for Respondents to have completed at least three shutdown related projects meeting the minimum values as revised in this addendum. For the second phase of the evaluation for the applicable category, Respondents shall list up to five projects completed in the last five years (Parts 6A and 6B) or ten years (Part 6C). The first three projects shall be the shutdown related projects meeting the minimum values specified, while the other two projects shall be shutdown related projects of any size. END OF ADDENDUM August RFQ 963A

3 RFQ NO. 963A SHUTDOWN CONTRACTOR SPECIALIST PREQUALIFICATION QUESTIONNAIRE (PRIME CONTRACTOR) Prequalifying under the following category/ies: Pipeline Repairs Mechanical and Rotating Equipment Repairs Electrical and Power Generation Repairs COMPANY INFORMATION: RESPONDENT/COMPANY NAME: ADDRESS: PRINCIPAL OFFICE: PHONE: FAX: CONTACT PERSON: PHONE: FAX: ADDRESS: -1-

4 PART 1: MINIMUM REQUIREMENTS A. Respondents will be immediately rated fail if the answer to any of questions 1 through 5 is No. 1. Does the Respondent possess a valid and current California Contractor s license for the types of projects, for which it intends to submit a bid? Yes -2- No 2. Has the respondent completed at least three projects involving repairs/new construction valued at $1,000,000 each or more under the qualifying category in shutdown conditions requiring 24/7 operations within the last five (5) years? Yes No 3. Does the Respondent have a liability insurance policy with a policy limit of at least $2,000,000 per occurrence and $2,000,000 aggregate (will vary dependent upon project size)? Yes No 4. Does the Respondent have a 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 5. Have you attached a letter of bond-ability confirming name, address and telephone number of a contact for a California admitted surety? The letter must include both single and aggregate bonding capacity totals. Yes No B. Respondents will be immediately rated fail if the answer to any of questions 6 through 10 is Yes 6. In the last five years, has your firm had its Contractors license suspended? Yes No 7. In the last five years, has your firm, or any officer, been convicted of a crime involving the awarding of a contract of a government (local, state or federal) construction project, or the bidding or performance of a government contract? Yes No 8. In the last five years, has your firm been defaulted or terminated by an owner (other than for convenience of the project owner) or has your surety completed a contract for your firm? Yes No 9. At the time of submitting this pre-qualification form, is your firm ineligible to bid on or be awarded any public works contract, or perform as a subcontractor on a public works contract? Yes No 10. Has your firm, or any person, ever been found guilty in a criminal action, for making any false claim or material misrepresentation to any public agency or entity? Yes No

5 PART 2 - CURRENT ORGANIZATION AND BUSINESS STRUCTURE 1. Please check appropriate organizational structure: Corporation Partnership Other 2. If a corporation, answer the following: a. Date of incorporation: b. State of incorporation: c. List Board of Directors and Titles: Sole Proprietorship Joint Venture 3. If a sole proprietorship or partnership, answer the following: a. Date of organization: b. Name and address of all partners: c. If partnership (state whether general or limited): 4. If a joint venture, answer the following: a. Date of commencement of joint venture: b. Names and addresses of members of the joint venture: 5. How many years has your organization been in business as a General Contractor? 6. How many years has your organization been in business under its present business name? 7. Under what other or former names has your organization operated? 8. If other than a corporation, sole proprietorship, or partnership, describe organization and name principals: 9. List states and categories in which your organization is legally qualified to do business. Indicate registration or license numbers and expiration dates, as applicable. 10. List the work normally performed by your work forces: -3-

6 PART 3: FINANCIAL INFORMATION 1. State your firm s gross revenues for the last three years: 2. Name of Bonding Company(ies) and name(s) and address(es) of agent(s) for the last five years: 3. Maximum bonding capacity (in dollars) $ 4. In the last five years, has any surety made any payments, on your firm s behalf to satisfy any claims made against a performance or payment bond issued in connection with a construction project, either public or private? If yes, on separate signed pages, provide a list of all demands placed on the bid bond, payment and/or performance bond of the firm during the preceding fiveyear period. Details should include date, project, dollar amount, and an explanation of circumstances. 5. If required, will you be able to provide a liability insurance policy with a policy limit of at least $2,000,000 per occurrence and $2,000,000 aggregate? -4-

7 PART 4: DISPUTES AND NON-COMPLIANCE RFQ 963A For responses to Part 4, provide separate signed pages as necessary. Write Part 4, Question No. on the top right hand corner and sign at the bottom of each page. 1. Have you ever failed to complete any construction contract awarded to you? If so, note when, where, and why. 2. In the last five years, has your license been suspended or revoked for failure to comply with substantive licensing requirements? If so, note when, and why. 3. In the last five years, has your firm been assessed and paid liquidated damages after completion of a project under construction contract with either a public or private owner because of a delay in completing the project? If yes, describe the circumstances that lead to the assessment of liquidated damages, provide the name of the owner, project name, amount of liquidated damages paid, and when. 4. In the last five years, have any complaints been filed in court against your firm concerning your firm s work on a construction project? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the plaintiff, a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or, if resolved, of the resolution. 5. In the last five years, have any complaints been filed in court against your firm for failure to comply with labor laws and regulations and worker s compensation law, or failure to provide timely payment of all obligations to subcontractors, vendors, or suppliers? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the entity (or entities), a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or if resolved, of the resolution. -5-

8 6. In the last five years, has your firm filed a complaint in court against a project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the entity (or entities), a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or, if resolved, of the resolution. 7. Using your firm s OSHA No. 300 Logs (Work-Related Injuries and Illnesses) for the last 3 years, provide the following information: a. Number of lost workday cases (injuries involving days away from work) b. Number of restricted workday cases c. Number of cases with medical treatment d. Number of fatalities e. Incident rate lost workdays f. Incidence rate OSHA recordables g. OSHA citations -6-

9 PART 5: ON-GOING PROJECTS RFQ 963A Provide all the required information on all projects the Respondent currently has under contract within Southern California. The names, references and phone numbers must be current and verifiable. Use additional sheets as necessary. (1) Project Name: Owner: Description of Project, Scope of Work: Performing Work as Prime Contractor: Subcontractor: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: (2) Project Name: Owner: Description of Project, Scope of Work: Performing Work as Prime Contractor: Subcontractor: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: -7-

10 (3) Project Name: Owner: Description of Project, Scope of Work: Performing Work as Prime Contractor: Subcontractor: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: -8-

11 PART 6A: COMPLETED PROJECTS (PIPELINE REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last five years involving water pipelines ranging in sizes between 36 inches and 201 inches. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: larger diameter pipeline repairs; more complex traffic control; shorter duration shutdown windows relative to the work required which utilized more complex construction methods such as shoring or groundwater control. The first three projects shall meet the minimum required value of $1,000,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Number of Pipeline Sections Repaired: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No Performed Work as Prime Contractor: Subcontractor: -9-

12 (2) Project Name: Owner: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Number of Pipeline Sections Repaired: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No Performed Work as Prime Contractor: Subcontractor: (3) Project Name: Owner: -10-

13 Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Number of Pipeline Sections Repaired: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No Performed Work as Prime Contractor: (4) Project Name: Owner: Subcontractor: RFQ 963A Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Number of Pipeline Sections Repaired: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No Performed Work as Prime Contractor: Subcontractor: -11-

14 (5) Project Name: Owner: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Number of Pipeline Sections Repaired: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No Performed Work as Prime Contractor: Subcontractor: -12-

15 PART 6B: COMPLETED PROJECTS (MECHANICAL AND ROTATING EQUIPMENT REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last five years involving repair or rebuilding of turbines, pumps, valves, or compressors, or dynamic balancing of rotating apparatus. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: combination of repair, refurbishment, or rebuilding of various mechanical equipment in any one project completed within shorter duration shutdown windows relative to the work required which utilized more complex construction methods. The first three projects shall meet the minimum required value of $1,000,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No Performed Work as Prime Contractor: Subcontractor: -13-

16 (2) Project Name: Owner: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No Performed Work as Prime Contractor: Subcontractor: (3) Project Name: Owner: -14-

17 Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No Performed Work as Prime Contractor: Subcontractor: (4) Project Name: Owner: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No -15-

18 Warranty claims by Owner on installed equipment Yes No Performed Work as Prime Contractor: (5) Project Name: Owner: Subcontractor: RFQ 963A Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No Performed Work as Prime Contractor: Subcontractor: -16-

19 PART 6C: COMPLETED PROJECTS (ELECTRICAL AND POWER GENERATION REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last ten years involving electrical and power generation repairs of the highest voltage installed. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: repair or retrofit of 230 kv circuit breakers, disconnect switches, power transmission lines, switchgears, and substations of similar voltage, repair/rewinding/testing of power transformers, reactors, and generator switchgears, electrical field testing, connections or tie-ins completed within shorter duration shutdown windows relative to the work required which utilized more complex construction methods. The first three projects shall meet the minimum required value of $1,000,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No -17-

20 Performed Work as Prime Contractor: Subcontractor: (2) Project Name: Owner: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No Performed Work as Prime Contractor: Subcontractor: (3) Project Name: Owner: -18-

21 Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No Performed Work as Prime Contractor: Subcontractor: (4) Project Name: Owner: Voltage Requirement: -19-

22 Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No RFQ 963A Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes Performed Work as Prime Contractor: (5) Project Name: Owner: Subcontractor: No Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No -20-

23 Performed Work as Prime Contractor: Subcontractor: -21-

24 PART 7: ADDITIONAL DOCUMENTATION RFQ 963A 1. Firm Qualifications / Staffing Plan: Submit resumes for the Project Manager and any key personnel who will participate in these services. Resumes shall highlight education, licenses, relevant experience, and specific responsibilities for services described herein. 2. List of Available Equipment for Use: Submit a list of all equipment owned and intended for use if issued a contract in connection with this RFQ. The list shall include the equipment size and capacity. 3. Provide a letter from your surety or an authorized agent indicating your firm s bond-ability. The letter shall include the amount of your firm s single bond limit and aggregate amount. A letter from an authorized agent must include a power of attorney and notary acknowledgment. 4. Provide a notarized letter from a California admitted insurance carrier stating that Respondent is able to obtain insurance if awarded a construction contract. -22-

25 PART 8: ACKNOWLEDGMENT OF ADDENDA I hereby acknowledge the receipt, understanding and full consideration of Addenda to the Request for Statements of Qualifications for Metropolitan s RFQ No. 963A. Date: Respondent s Name: By: Title: (Acknowledgment of Addenda must be signed by a corporate official) -23-

26 PART 9: PREQUALIFICATION CERTIFICATION The undersigned swears that the foregoing statements and attachments, which include pages, are true and correct and includes all material information necessary to identify and explain the operations of (Name of Organization) as well as the ownership thereof. It is recognized and acknowledged that all information contained herein and submitted concurrently or in supplemental documents with this Application is complete, current, and true. I further acknowledge that any false, deceptive or fraudulent statements on the Application will result in denial of prequalification and may cause the said firm from participating in future contracts with Metropolitan. Signature of Owner, Officer, President, or Chief Executive Officer Name/Title Date COUNTY OF STATE OF: Subscribed and sworn to before me this day of, 20 SIGNED (Notary Public) (Address of Notary) My Commission Expires -24-

27 RFQ NO. 963A SHUTDOWN CONTRACTOR SPECIALIST PREQUALIFICATION QUESTIONNAIRE (SUBCONTRACTOR) Prequalifying under the following category/ies: Pipeline Repairs Mechanical and Rotating Equipment Repairs Electrical and Power Generation Repairs COMPANY INFORMATION: RESPONDENT/COMPANY NAME: ADDRESS: PRINCIPAL OFFICE: PHONE: FAX: CONTACT PERSON: PHONE: FAX: ADDRESS: -1-

28 PART 1: MINIMUM REQUIREMENTS A. Respondents will be immediately rated fail if the answer to any of questions 1 and 2 is No. 1. Does the Respondent possess a valid and current California Contractor s license for the types of projects, for which it intends to submit a bid? Yes No 2. Has the respondent completed at least three projects involving repairs/new construction valued at $500,000 each or more under the qualifying category in shutdown conditions requiring 24/7 operations within the last five (5) years? Yes No B. Respondents will be immediately rated fail if the answer to any of questions 3 through 7 is Yes 3. In the last five years, has your firm had its Contractors license suspended? Yes No 4. In the last five years, has your firm, or any officer, been convicted of a crime involving the awarding of a contract of a government (local, state or federal) construction project, or the bidding or performance of a government contract? Yes No 5. In the last five years, has your firm been defaulted or terminated by a Prime Contractor (other than for convenience of the project owner) or has your surety completed a contract for your firm? Yes No 6. At the time of submitting this pre-qualification form, is your firm ineligible to bid on or be awarded any public works contract, or perform as a subcontractor on a public works contract? Yes No 7. Has your firm, or any person, ever been found guilty in a criminal action, for making any false claim or material misrepresentation to any public agency or entity? Yes No -2-

29 PART 2 - CURRENT ORGANIZATION AND BUSINESS STRUCTURE 1. Please check appropriate organizational structure: Corporation Partnership Other 2. If a corporation, answer the following: a. Date of incorporation: b. State of incorporation: c. List Board of Directors and Titles: Sole Proprietorship Joint Venture 3. If a sole proprietorship or partnership, answer the following: a. Date of organization: b. Name and address of all partners: c. If partnership (state whether general or limited): 4. If a joint venture, answer the following: a. Date of commencement of joint venture: b. Names and addresses of members of the joint venture: 5. How many years has your organization been in business as a General Contractor? 6. How many years has your organization been in business under its present business name? 7. Under what other or former names has your organization operated? 8. If other than a corporation, sole proprietorship, or partnership, describe organization and name principals: 9. List states and categories in which your organization is legally qualified to do business. Indicate registration or license numbers and expiration dates, as applicable. 10. List the work normally performed by your work forces: -3-

30 PART 3: FINANCIAL INFORMATION 1. State your firm s gross revenues for the last three years: 2. Name of Bonding Company(ies) and name(s) and address(es) of agent(s) for the last five years: 3. Maximum bonding capacity (in dollars) $ 4. In the last five years, has any surety made any payments, on your firm s behalf to satisfy any claims made against a performance or payment bond issued in connection with a construction project, either public or private? If yes, on separate signed pages, provide a list of all demands placed on the bid bond, payment and/or performance bond of the firm during the preceding fiveyear period. Details should include date, project, dollar amount, and an explanation of circumstances. -4-

31 PART 4: DISPUTES AND NON-COMPLIANCE RFQ 963A For responses to Part 4, provide separate signed pages as necessary. Write Part 4, Question No. on the top right hand corner and sign at the bottom of each page. 1. Have you ever failed to complete any construction contract awarded to you? If so, note when, where, and why. 2. In the last five years, has your license been suspended or revoked for failure to comply with substantive licensing requirements? If so, note when, and why. 3. In the last five years, has your firm been assessed and paid liquidated damages after completion of a project under construction contract with either a public or private owner because of a delay in completing the project? If yes, describe the circumstances that lead to the assessment of liquidated damages, provide the name of the owner, project name, amount of liquidated damages paid, and when. 4. In the last five years, have any complaints been filed in court against your firm concerning your firm s work on a construction project? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the plaintiff, a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or, if resolved, of the resolution. 5. In the last five years, have any complaints been filed in court against your firm for failure to comply with labor laws and regulations and worker s compensation law, or failure to provide timely payment of all obligations to subcontractors, vendors, or suppliers? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the entity (or entities), a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or if resolved, of the resolution. -5-

32 6. In the last five years, has your firm filed a complaint in court against a project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration? If yes, identify the complaint(s) by providing the project name, date of the complaint, name of the entity (or entities), a brief description of the nature of the complaint, the court in which the case was filed, and a brief description of the status of the complaint pending, or, if resolved, of the resolution. 7. Using your firm s OSHA No. 300 Logs (Work-Related Injuries and Illnesses) for the last 3 years, provide the following information: a. Number of lost workday cases (injuries involving days away from work) b. Number of restricted workday cases c. Number of cases with medical treatment d. Number of fatalities e. Incident rate lost workdays f. Incidence rate OSHA recordables g. OSHA citations -6-

33 PART 5: ON-GOING PROJECTS RFQ 963A Provide all the required information on all projects the Respondent currently has under contract within Southern California. The names, references and phone numbers must be current and verifiable. Use additional sheets as necessary. (1) Project Name: Owner/Prime Contractor: Description of Project, Scope of Work: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: (2) Project Name: Owner/Prime Contractor: Description of Project, Scope of Work: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: -7-

34 (3) Project Name: Owner/Prime Contractor: Description of Project, Scope of Work: Total Value of Contract Awarded: Start Date: Percent Completed: Extension Time Granted: -8-

35 PART 6A: COMPLETED PROJECTS (PIPELINE REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last five years involving water pipelines ranging in sizes between 36 inches and 201 inches. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: larger diameter pipeline repairs; more complex traffic control; shorter duration shutdown windows relative to the work required which utilized more complex construction methods such as shoring or groundwater control. The first three projects shall meet the minimum required value of $500,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner/Prime Contractor: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No -9-

36 (2) Project Name: Owner/Prime Contractor: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No (3) Project Name: Owner/Prime Contractor: -10-

37 Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No RFQ 963A (4) Project Name: Owner/Prime Contractor: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No -11-

38 (5) Project Name: Owner/Prime Contractor: Pipe Sizes: Pipe Types: Depths of Excavation: Method of shoring used: Traffic Control Condition: Complex Simple None Groundwater Control: Yes No -12-

39 PART 6B: COMPLETED PROJECTS (MECHANICAL AND ROTATING EQUIPMENT REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last five years involving repair or rebuilding of turbines, pumps, valves, or compressors, or dynamic balancing of rotating apparatus. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: combination of repair, refurbishment, or rebuilding of various mechanical equipment in any one project completed within shorter duration shutdown windows relative to the work required which utilized more complex construction methods. The first three projects shall meet the minimum required value of $500,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner/Prime Contractor: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No -13-

40 (2) Project Name: Owner/Prime Contractor: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No (3) Project Name: Owner/Prime Contractor: -14-

41 Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No (4) Project Name: Owner/Prime Contractor: RFQ 963A Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No -15-

42 (5) Project Name: Owner/Prime Contractor: Type of equipment repaired or refurbished: Did the project involve equipment design? Yes No Functional testing of repaired or refurbished equipment Yes No Equipment adjustments made due to functional testing failure Yes No Warranty claims by Owner on installed equipment Yes No -16-

43 PART 6C: COMPLETED PROJECTS (ELECTRICAL AND POWER GENERATION REPAIRS) RFQ 963A NOTE: Complete and submit only the applicable version of Part 6 (A, B, or C) for the category that the Respondent is qualifying for. List up to five urgent construction projects completed in the last ten years involving electrical and power generation repairs of the highest voltage installed. The list shall only include public works projects that are located within Southern California. Metropolitan encourages Respondents to list projects that meet the following criteria: repair or retrofit of 230 kv circuit breakers, disconnect switches, power transmission lines, switchgears, and substations of similar voltage, repair/rewinding/testing of power transformers, reactors, and generator switchgears, electrical field testing, connections or tie-ins completed within shorter duration shutdown windows relative to the work required which utilized more complex construction methods. The first three projects shall meet the minimum required value of $500,000 each and the next two projects may be of any value. (Names, references, and phone numbers must be current and verifiable): (1) Project Name: Owner/Prime Contractor: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No -17-

44 (2) Project Name: Owner/Prime Contractor: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No (3) Project Name: Owner/Prime Contractor: -18-

45 Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No (4) Project Name: Owner/Prime Contractor: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No -19-

46 Were adjustments to the system needed or any re-testing required? Yes No (5) Project Name: Owner/Prime Contractor: Voltage Requirement: Electrical Field Testing Required: Complex Simple None Any damaged equipment during testing? Yes No Failure by Owner-provided Testing Agency to start or complete testing due to Respondent s inability to provide testing plan or documentation requirement Yes No Were adjustments to the system needed or any re-testing required? Yes No -20-

47 PART 7: ADDITIONAL DOCUMENTATION RFQ 963A 1. Firm Qualifications / Staffing Plan: Submit resumes for the Project Manager and any key personnel who will participate in these services. Resumes shall highlight education, licenses, relevant experience, and specific responsibilities for services described herein. 2. List of Available Equipment for Use: Submit a list of all equipment owned and intended for use if issued a contract in connection with this RFQ. The list shall include the equipment size and capacity. -21-

48 PART 8: ACKNOWLEDGMENT OF ADDENDA I hereby acknowledge the receipt, understanding and full consideration of Addenda to the Request for Statements of Qualifications for Metropolitan s RFQ No. 963A. Date: Respondent s Name: By: Title: (Acknowledgment of Addenda must be signed by a corporate official) -22-

49 PART 9: PREQUALIFICATION CERTIFICATION The undersigned swears that the foregoing statements and attachments, which include pages, are true and correct and includes all material information necessary to identify and explain the operations of (Name of Organization) as well as the ownership thereof. It is recognized and acknowledged that all information contained herein and submitted concurrently or in supplemental documents with this Application is complete, current, and true. I further acknowledge that any false, deceptive or fraudulent statements on the Application will result in denial of prequalification and may cause the said firm from participating in future contracts with Metropolitan. Signature of Owner, Officer, President, or Chief Executive Officer Name/Title Date COUNTY OF STATE OF: Subscribed and sworn to before me this day of, 20 SIGNED (Notary Public) (Address of Notary) My Commission Expires -23-