Construction Manager at Risk for Construction of PRTC Western Bus Maintenance and Storage Facility OPTIONAL PRE-SUBMITTAL

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1 DATE: June 30, 2014 REQUEST FOR QUALIFICATIONS: RFQ #14-08 SUBJECT: Construction Manager at Risk for Construction of PRTC Western Bus Maintenance and Storage Facility OPTIONAL PRE-SUBMITTAL DATE: July 9, 2014 TIME: LOCATION: 10:30 A.M. EST PRTC Large Conference Room Potomac Mills Road Woodbridge, VA DATE: July 25, 2014 QUALIFICATION STATEMENTS DUE TIME: SUBMIT TO: 123:00 P.M. EST Nick Alexandrow PRTC Potomac Mills Road Woodbridge, VA Fax:

2 PRTC REQUEST FOR QUALIFICATIONS RFQ #14-08 CMAR FOR WESTERN BUS MAINTENANCE & OPERATIONS FACILITY All inquiries for information regarding this Request for Qualifications should be directed to Nick Alexandrow at (703) (fax) or at In general, the minimum qualification criteria for interested Construction Managers are as follows: Minimum bonding capacity for this project is twenty- six million US dollars ($26,000,000); Able to provide Construction Manager at Risk Services, both Pre-Construction Design Phase and Construction Phase; Project Manager and Project Superintendent must have provided similar Construction Manager at Risk services for at least three (3) projects comparable in size, scope and complexity over the last five years. Offeror must have a Quality Assurance/Quality Control program in place as well as a Safety Program. Project Description: This project will involve 3 new buildings and approximately 15.2 acres of site development. This new facility will serve the needs of PRTC in the Western Prince William County corridor and is located near the intersection of the Prince William County Parkway and Interstate 66 in Manassas VA. Bus Fleet Operations and Maintenance functions that will be located at this facility include a new Operations / Administrative Building, new Bus Fleet Maintenance building and a Service Lane building. Fleet and employee parking and travel ways are also included. In order to receive consideration, Construction Manager s Qualification Submittals must be received by PRTC, at the address on the cover sheet, no later than 12:00 PM local time on July 25, Submittals must reach the above address by the deadline stated. Submissions time stamped 2:31 or later will be late and will not be accepted Contractors shall submit one (1) original (identify the Original as such on the front cover of the Qualification Statement), five (5) hard copies, and one (1) electronic copy to include the following: 1. This completed and signed cover sheet. 2. Submittal materials as described in Attachment B of this RFQ. 3. Insurance Checklist signed. Name and Address of Firm: Phone #: Fax #: Date: BY: _ (Signature) Name: (Typed or Printed Name and Title) address: _ 2

3 I. OVERVIEW...4 A. Background...4 B. Project Description / Broad Scope of Work C. Project Site... 6 D. Project Financing...6 II. REQUEST FOR QUALIFICATION SUBMITTAL...6 A. Owner...6 B. Owner s Architect...6 C. The Construction Management (CM) Team Selection Process D. Communications...7 E. Disadvantaged Business Enterprise (DBE).. 7 F. Owner s Rights and Obligations... 8 G. Evaluation and Scoring H. Optional Pre-Submittal Conference...9 I. Submittal Requirements J. Anticipated Project Schedule...11 III. ATTACHMENTS A. Concept Plan B. Contractor s Statement of Qualifications C. Insurance Checklist

4 I. OVERVIEW A. Background PRTC is a suburban public transportation agency located 25 miles south of Washington, DC. The PRTC Transit Center is a 16 year old building and is the agency s only facility. It serves as the administrative, operations, and maintenance complex for both PRTC staff and employees of the bus operations and maintenance contractor, First Transit. The bus fleet consists of 153 vehicles housed in a gated, fenced yard behind the Center. The Transit Center sits between two ramps for I-95 and is bounded by Dale Boulevard on the south. The bus storage yard has been expanded once and cannot be expanded any more. In 2007, the PRTC s governing board adopted a long-range bus service plan spanning the next twenty-five years ( the plan ). The plan calls for the implementation of a second bus maintenance facility in the western region of PRTC s bus service area because: PRTC s existing bus maintenance facility in Woodbridge, VA cannot be expanded. PRTC-operated bus services in the western region of the service area ( the westerly routes ) require long dead-head miles to reach the beginning of the westerly routes, so a second facility in the western portion of Prince William County would significantly reduce dead-head mileage and time savings, thereby decreasing costs to operate the service. PRTC (the Owner) wishes to retain the services of a Construction Management firm (CM), to provide pre-construction services with the intent of negotiating a guaranteed maximum price (GMP) for Construction Management at Risk (CM at Risk) services when construction drawings are complete. The purpose of this Request for Qualifications (RFQ) is to establish a short-list of three to five qualified CMs to receive the RFP. The Owner intends to issue the RFP to the short-listed CMs only. B. Project Description Federal funds will be used for this contract. Accordingly, all applicable federal and state requirements will apply, full compliance with Davis Bacon wage scales, and certified payrolls will be part of the responsibilities of the successful CMAR. Prospective Contractors are expected to become familiar with these requirements, and should not submit proposals if unable to execute a contract containing such provisions. 4

5 A acre site has been acquired for the western facility and is located at the southern end of the Patriot Business Center industrial park at the intersection of Balls Ford Road and Doane Drive, bounded by vacant land to the north, a Norfolk Southern Railroad spur track and existing industrial buildings to the east, Prince William Parkway to the west, and an existing storm water detention pond (SWM) and Forest Conservation Area to the south. The SWM facility will serve the planned PRTC facility as well as the rest of the Patriot Business Center. The proposed facility is anticipated to house a bus maintenance building (45,000 +/- gross square feet), a fleet service building with fueling, fare collection, and fully automated bus wash (17,000 +/- gross square feet), and an administrative and operations building (18,000 +/- gross square feet). It is also anticipated that the western facility will accommodate approximately 23 visitor parking spaces, 181 employee parking spaces, and 118 bus parking spaces. A landscaped buffer adjacent to Prince William Parkway along the entire western side of the site is also anticipated in accordance with the Highway Corridor Overlay District (HCOD) requirement. (See Attachment A - Concept Plan). The project is envisioned to be a standard 40 year construction type and will utilize cost effective building systems and be consistent with the PRTC s standard pallet of materials. The project will incorporate the design requirements of LEED Silver certification. CMAR Broad Scope of Work The selected CM will provide ongoing construction, design and constructability reviews of the design documents to assist the design team in maintaining project intent and budget integrity while diminishing or eliminating construction issues prior to the commencement of physical work. Schedule parameters necessitate the GCCM s participation in the design phase to begin while the consultant proceeds into construction documents specifically to include the following items. At the conclusion of the 30% Documents (Design Development) the CM will be retained and provided copies of the 30% documents including Drawings, Outline Specifications, Cost Estimate, and Project Schedule. Therein after the CM will be expected to participate in a Value Engineering Exercise, Perform Constructability Reviews of all design disciplines, Review the cost estimate and schedule, prepare a 60% CD progress Construction Cost Estimate, reconcile 60% CD Construction Cost estimate with Design Team, attend meetings with project team as necessary to reconcile the construction costs. Continue to meet with project team to review and monitor development of the 100% Construction Documents. At or about the 90% CD phase, the CM will be expected to provide the owner with a Guaranteed Maximum Price (GMP) proposal and transition the design phase services into a Construction Manager at Risk (CMAR). 5

6 C. Project Site The Acre site is located near the intersection of Doane Drive and Balls Ford Road, at the end of Doane Drive, Manassas Virginia. The buildings will be new. D. Project Financing Proceeding with this project, including the execution of the GCCM at Risk contract are predicated upon the receipt of funding and legislative authorization. II. REQUEST FOR QUALIFICATIONS SUBMITTAL PROCESS A. Owner The Owner will be PRTC. The Owner s Project Manager for the project will be: B. Owner s Architect Nick Alexandrow PRTC Potomac Mills Road Woodbridge, VA nalexandor@omniride.com Tel: , FAX: The Owner s Architect Project Manager for the project is: Sean Beachy, AIA Wendel 1420 King Street, Suite 510 Alexandria VA, C. The Construction Management (CM) Team Short-List Selection Process 1. The selection process will focus on qualifications and project requirements, short-listing those three to five CM teams deemed most capable of delivering the building on time and within budget. The schedule anticipates execution of the contracts for pre-construction services in calendar year 2014, and execution of the contract for the construction services in calendar year The PRTC will establish an Evaluation Committee that will serve 6

7 throughout the selection process. This selection process will consist of two distinct parts: Request for Qualifications (RFQ) Submittal with the subsequent evaluation and short-listing and the Request for Proposals (RFP) response with the attendant evaluation and contract award. 3. In the RFQ Phase, CM Teams interested in being considered for this project must submit their qualifications in strict accord with Attachment B. The committee will review, evaluate and rank Respondents submittals and identify a short-list of at least three CM Teams, but not more than five. Those short-listed teams will receive copies of the RFP. Proposal evaluation and award criteria will be discussed in the RFP document. D. Communications Any and all communication and requests for information or clarification concerning the project shall be addressed to Nick Alexandrow. Specifically, except as provided for during the RFQ Phase Pre-Submittal Conference, Respondents shall refrain from contacting the Owner s consultants, or any other staff members of PRTC involved in this project, including members of the Evaluation Committee or other participants responding to either the RFQ or the RFP. Any unauthorized communication or attempt at communication may result in non-consideration of Respondent s submittal. E. Disadvantaged Business Enterprise (DBE) Each Prospective Contractor will be required at the proposal stage to submit its use of sub-contractors in the delivery of this project. The submission does not necessarily require the Prospective Contractor to utilize DBE's in the performance of the contract. Where it is practicable for any portion of the awarded contract to be subcontracted, the contractor is encouraged to offer such business to minority and/or women-owned businesses. All DBE's proposed must be certified by the U.S. DOT, another federal agency using essentially the same definition and ownership and control criteria as DOT, or another recipient of DOT funds, the Washington Metropolitan Area Transit Authority, Virginia Department of Transportation, or the Metropolitan Washington Airports Authority. The Successful Contractor and its subcontractors agree to ensure that disadvantaged business enterprises as defined in 49 C.F.R. Part 26 have a level playing field on which DBEs can compete fairly and participate fully in contracts and subcontracts financed in whole or in part with federal funds provided under this agreement. In this regard, PRTC and its contractors shall take all necessary and reasonable steps in accordance with 49 C.F.R. Part 26 to ensure that disadvantaged business enterprises have a level playing field to compete for and perform contracts. The Successful Contractor shall be required to submit a schedule of DBE use and payments made to DBEs on a biannual basis as determined by PRTC. The contractor is required to maintain records and documents of payments to DBE s 7

8 for three years following the performance of the contract and will make these records available to PRTC upon request. F. PRTC s Rights and Obligations 1. PRTC shall have the following rights and obligations with respect to the selection process: a. PRTC will not assume any liability for loss of or damage to Submittals in transit from Respondents. b. All materials submitted for consideration in response to this RFQ will become the property of PRTC. Submissions will not be returned to the Respondents. c. PRTC reserves the right to suspend or discontinue the selection process at any time and to return or reject any or all Submittals of qualifications without obligation to the Respondent. d. In all questions regarding the selection procedure, interpretation shall be by and through the designated correspondent, Nick Alexandrow. All such interpretations will be binding. G. Evaluation and Scoring 1. The Evaluation Committee will score each Construction Management Team s response to the RFQ in accord with predetermined evaluation criteria. The Owner expects to short-list at least three CM Teams each of which will then receive the RFP. Evaluation criteria for reviewing qualifications will include, but are not limited to: a. Experience with managing and/or constructing 5 points buildings with a high degree of energy efficiency utilizing green/sustainable design features. b. The overall experience and ability of the Construction 30 points Management Team, with particular emphasis on the proposed Project Manager and Project Superintendent. c. The Construction Management Team s performance 30 points on past projects similar in scope and size. d. The Construction Management Team s 20 points demonstrated ability to establish budgets, control costs, provide for quality control and achieve of project schedules. e. The financial capability including the insurance 15 points 8

9 and bonding history of the Construction Management Team. Note: It is the intent of the Owner that a proposed CM Team short-listed at the RFQ Phase remain constant through the RFP Phase. If not, the short-listed firm may be disqualified at the sole discretion of the Owner. H. Optional Pre-Submittal Conference 1. Interested teams may attend a Pre-Submittal Conference at PRTC to be held at 10:30 AM on Wednesday, July 9, 2014, in the Large Conference Room, Potomac Mills Road, Woodbridge, VA to review the scope and requirements of this project. Attending teams may be given the opportunity to tour the project site. Requests for meetings by individual teams will not be considered. I. Submittal Requirements 1. RFQ Response: In order to be considered for selection, the Offeror shall submit a complete response to this RFQ as follows to PRTC: a. One (1) original and five (5) hard copies of the entire Qualifications Statement, INCLUDING ALL ATTACHMENTS. Any proprietary information should be clearly marked in accordance with 1.c below. Identify the Original as such on the front cover of the proposal. b. One (1) electronic copy in WORD format or searchable PDF (CD or flash drive) of the entire Qualifications Statement, INCLUDING ALL ATTACHMENTS. Any proprietary information should be clearly marked in accordance with 1.c below. c. Should the Qualifications Statement contain proprietary information, provide one (1) redacted hard copy and one (1) redacted electronic copy of the Statement and attachments with proprietary portions removed or blacked out. This copy should be clearly marked Redacted Copy on the front cover. Ownership of all data, materials and documentation originated and prepared for PRTC pursuant to the RFQ shall belong exclusively to the PRTC and be subject to public inspection in accordance with the Virginia Freedom of Information Act. Trade secrets or proprietary information submitted by the offeror shall not be subject to public disclosure under the Virginia Freedom of Information Act; however, the offeror must invoke the protection of Section F of the Code of Virginia, in writing, either before or at the time the data is submitted. The written notice must specifically identify the data or materials to be protected and state the reasons why protection is necessary. The proprietary or trade secret materials submitted must 9

10 be identified by some distinct method such as highlighting or underlining and must indicate only the specific words, figures, or paragraphs that constitute trade secret or proprietary information. The classification of an entire proposal document, line item prices and/or total proposal prices as proprietary or trade secrets is not acceptable and will result in rejection and return of the proposal. No other distribution of the proposal shall be made by the Offeror. 2. Submittals shall be sealed and clearly marked with the name and address of the Respondent and the title and solicitation number of this RFQ. Facsimile (FAX) submittals are not acceptable and will not be considered. The submittal shall consist of the following: a. A completed and signed copy of the cover sheet to this RFQ. b. A completed copy of Contractors Statement of Qualifications accompanying this RFQ as Attachment B. 3. Responses to the items listed in Attachment B shall be tabbed and numbered in accordance with the numbering scheme of the attachment. That is, each alphabetically captioned section of the Statement of Qualifications shall be a separate tab within the bound submittal. Items within that section will be numbered and arranged as on the attachment, e.g.: Tab A: SECTION A - GENERAL INFORMATION A.1. (Response) A.2. (Response), etc. Tab B: SECTION B - BONDING & INSURANCE B.1. (Response) B.2. (Response), etc. TAB C, etc. 4. Respondents must ensure that the Respondents Certification and Contact Authorization Form of Attachment B is properly executed and notarized. Failure to comply with this requirement may result in non-consideration of a submittal. J. Anticipated Project Schedule Pre-Qualification Advertisement June 29, 2014 RFQ Optional Pre-Submittal Conference July 9, 2014 at 10:30 a.m. (Site visit following) Statement of Qualification July 25, 2014 at 12:00 Noon 10

11 Distribute/Evaluate/ Rank/Pre-Qualify July 26 July 31, 2014 Notify Pre-Qualified CM Teams and Release RFP August 1, 2014 CM Proposals Due September 3, 2014 at 12:00 Noon Proposals Evaluated September 4 through 12, 2014 Conduct Interviews September 22, 23 and 24, 2014 Commission Authorization to Award Contract October 2, 2014 Contract for Pre-construction Services Signed October 17, 2014 NOTE: This schedule is only intended to be a planning tool; dates are projected, and the actual schedule may vary from these projections. Under no condition is the Owner bound by this schedule. III. ATTACHMENTS A. Concept Plan B. Contractor s Statement of Qualifications C. Insurance Checklist 11

12 ATTACHMENT B CONTRACTOR'S STATEMENT OF QUALIFICATIONS TABLE of CONTENTS A. General Information B. Bonding and Insurance C. Legal Proceedings / Claims D. References E. Financial F. Organizational Experience G. Key Personnel H. Respondent s Certification and Contact Authorization 12

13 SECTION A - GENERAL INFORMATION A.1. A.2. A.3. A.4. A.5. A.6. A.7. A.8. Legal name and address of Respondent: Federal Employer Identification Number: Telephone and fax number: Name, title, telephone and fax number of Respondent s authorized point of contact concerning this submittal: President, Chief Executive Officer, or Managing Partner's address and phone number (if different from above) and length of time in current position: Date authorized to transact business in Virginia: Number of Respondent s License or Certificate issued by the Commonwealth of Virginia Department of Professional and Occupational Regulation: Type of Organization: Corporation, Partnership, Privately Held, Joint Venture: Provide as appropriate: Corporation: State of Incorporation: Date of Incorporation: FEIN: Partnership: Date Organized: Form of Partnership: Privately Held: Date of Organization: Joint Venture: Date of Organization: If Respondent is a Joint Venture, as Attachment (A1) provide a copy of the Joint Venture Agreement. If Respondent is a Partnership, as Attachment (A1) provide a copy of the Partnership Agreement. Name and Title of Person Authorized to sign binding commitments for the Respondent. A.9 If Respondent has ever operated under another name, please provide the other name, number of years in business under this name and State license number under this name. SECTION B - BONDING & INSURANCE B.1 Confirm that Respondent s bonding company is listed in the Federal Register Circular 570 published by the U.S. Department of Treasury, has at least an "A" rating as established by the A.M. Best Company, and is licensed to transact fidelity and Surety business in the Commonwealth of Virginia. 13

14 B.2. B.3. B.4. As Attachment (B1) provide a letter from Respondent s Surety, identifying the Surety and confirming the Surety s willingness to bond the Respondent for a maximum contractual value of $26 million, and confirming the items in B.1. above. Name, address, and telephone numbers of Respondent s current Surety agent or underwriting contact: Has any company refused to bond Respondent on any project in the last 5 years? If yes, provide the name and address of the Surety company and specify the reasons given for the refusal: B.5. A checklist of required insurance coverage is attached and identified as Insurance Checklist (Attachment C). Items marked X are required to be provided. B.6. Provide, as Attachment (B3) a letter from the insurance carrier detailing the history of any claims paid against the Commercial General Liability, Worker s Compensation or Builder s Risk insurance during the last five years. SECTION C - LEGAL PROCEEDINGS/CLAIMS C.1. C.2. C.3. Identify any lawsuits, administrative orders, hearings, or proceedings initiated by the Environmental Protection Agency, National Labor Relations Board, Occupational Safety and Health Administration, or the Internal Revenue Service, or similar state or local government agencies, in the last five years, concerning any labor practices, project environmental, health or safety practices, or tax liability, respectively, of the Respondent. Identify the nature of the proceeding and its ultimate resolution. In the last ten years, has Respondent s organization, or any officer, director, partner or owner, had judgments entered against it or them for the breach of contracts for construction? If yes, 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. If Respondent answers yes to any of the following, 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. C.3.a. In the last ten years, has Respondent s organization or any officer, director, partner, owner, project manager, procurement manager or chief financial officer of Respondent s organization: C.3.a.1. 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? 14

15 C.3.a.2. C.3.a.3. C.3.a.4. Ever been found guilty on charges relating to conflicts of interest? Ever been convicted on criminal charges relating to contracting, construction bidding, bid rigging or bribery? Ever been convicted: (i) under Va. Code Section et seq. (Ethics in Public Contracting); (ii) under Va. Code Section et seq. (Va. Governmental Frauds Act); (iii) under Va. Code Section et seq. (Conspiracy to Rig Bids); (iv) of a criminal violation of Va. Code Section (enforcement of occupational safety and health standards); or (v) of violating any substantially similar federal law or law of another state? C.3.b. Is Respondent s organization or any officer, director, partner or owner currently debarred from doing federal, state or local government work for any reason? C.4. If Respondent answers yes to any of the following, 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. C.4.a. Has Respondent s organization: C.4.a.1. C.4.a.2. Ever been terminated on a contract for cause? Within the last five years, made payment of actual and/or liquidated damages for failure to complete a project by the contracted date? C.4.b. Has Respondent s organization, in the last three 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? C.4.c. Have any Performance or Payment Bond claims ever been paid by any Surety on behalf of Respondent s organization? SECTION D - REFERENCES Provide the company name, address, telephone, and fax numbers, contact person, title, and years of relationship for each reference. D.1. D.2. Major Trade References: Provide a minimum of six (preferably Virginia Respondents) Bank or Financial References: 15

16 SECTION E - FINANCIAL E.1. Provide a copy of a Dun & Bradstreet Inc., B.I.R. (Business Information Report) with this Submittal. A copy may be obtained, free of charge, Directly from Dun & Bradstreet by calling If your organization is not currently listed, call the same telephone number and provide the necessary information and a report will be prepared, free of charge in approximately 10 days. The Owner reserves the right to independently obtain additional or similar. SECTION F - ORGANIZATIONAL 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. F.1. State value of construction currently under contract (2014): F.2. F.3. F.4. F.5. State value of construction currently bid and outstanding: 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 eight (8) years: For at least three (3) projects in the last 5 years, list projects for which your team has provided/is providing Construction Manager at Risk services which are most related to this project. In determining which projects are most related, consider related size and complexity; how many members of the proposed team worked on the listed project; and, how recently the project was completed. List the projects in priority order, with the most related project listed first providing the information requested in F.5. In describing each project, provide the following information, numbered as follows: F.5.a. Project Name: F.5.b. Project Address: F.5.c. Size of Project such as: (gross square feet, height, or stories plus sub-surface levels, total cost): F.5.d. Owner's Name: F.5.e. Owner s Address: F.5.f. Owner s Phone Number: F.5.g. Owner s Point of Contact for this project: F.5.h. Architect's Name: F.5.i. Architect s Address: 16

17 F.5.j. Architect s Phone Number: F.5.k. Architect s Point of Contact for this project: F.5.l. Project s Construction Budget: F.5.m. Project s Original Negotiation Construction Cost/GMP F.5.n. Project s Final or current Contract Amount: F.5.o. Total number of change orders, percent of total change order amount to original Contract Sum, and reason for each change order: F.5.p. Project s Substantial Completion Date: (Plus or minus days from original contract Substantial Completion date): F.5.q. Project s Final Completion Date: (Plus or minus days from original contract Final Completion date): F.5.r. Project Description, i.e., function of building and component building systems: F.5.s. CM s Project Manager assigned to the project. F.5.t. CM s Project Superintendent assigned to the project. SECTION G - KEY PERSONNEL The expertise, experience, and qualifications of Respondent s personnel will be a major factor in evaluating a Respondent s Qualifications Statement. The information provided should convey the relevant expertise, experience and qualifications relative to complex Construction Management projects. Evidence that the proposed personnel have previously worked together as a team should be included where applicable. Regarding specific personnel qualifications, the PRTC desires that: The Project Manager most likely to be assigned to this project have served as Project Manager on at least three (3) Construction Management projects of comparable scope, involving similar facilities, over the past five years, with one of those projects within the past two years. Equivalent or comparable experience may be considered, at the PRTC's sole discretion; however, it shall be sufficiently similar so that the PRTC may conclude that the proposed Project Manager is familiar with and capable of handling the project described in the RFQ. The Superintendent most likely to be assigned to this project has served as Superintendent on at least three (3) Construction Management projects of comparable scope, involving similar facilities, over the last five years, with one of those projects within the past two years. Equivalent or comparable experience may be considered, at the PRTC's sole discretion; however, 17

18 it shall be sufficiently similar so that the PRTC may conclude that the proposed Superintendent is familiar with and capable of handling the project described in the RFQ. Provide the following information for each key personnel proposed: G.1. G.2. G.3. G.4. Name, title, proposed position: Education or related experience: Licenses - List current licenses by type, state and year obtained: Number of years each proposed staff member has been employed by: G.4.a. Respondent s organization: G.4.b. Respondent s organization in the position proposed: G.4.c. Previous organizations in the position proposed: G.5. Construction Manager at Risk projects of similar nature, scope, and duration performed by the proposed personnel during the past five years (in the same position as being proposed). State for each project the following minimum information: G.5.a. Name of organization the individual was employed by, the supervisor's name, and telephone number: G.5.b. Project name and location: G.5.c. Project scope (dollar value, square footage etc.): G.5.d. Indicate whether the project was completed on time and within budget and if not explain: G.5.e. Provide any information related to energy efficient or green/sustainable design features that were constructed as part of the project. G.5.e. Project description explaining how it is similar to this project: 18

19 RESPONDENT S CERTIFICATION AND CONTACT AUTHORIZATION 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, and hereby authorizes PRTC to obtain, and the recipient of this form to release, any information regarding our Respondent in relation to business and services we conducted with Respondent s organization. Name of Entity Making the Submittal By: Type or Printed Name of Signer (Must be person designated in Section A.8.) Title: Date: Notary: Signature State of County/City of Subscribed and sworn before me this day of, 2014 Notary Public Signature My commission expires NOTARY SEAL: 19

20 ATTACHMENT C INSURANCE CHECKLIST Items marked X are required to be provided if award is made to your firm. Contractor s Insurance Agent shall mark a check ( Yes or No ) as to availability of insurance. Note: If you have answered No to any of the requirements, provide written explanation below Offeror and Insurance Agent Statement on the following page. Yes No* Required X X X X X X X X X X X COVERAGE REQUIRED 1. Workers Compensation and Employers Liability; Admitted in Virginia Employer s Liability All Sates Endorsement USL&H Endorsement Voluntary Compensation 2. General Liability Products Complete Operations Contractual Liability Personal Injury Independent Contractors XCU Prop. Damage 3. Automobile Liability Owned, Hired & Rented Motor Carrier Act End. X 4. Professional Errors and Omissions 5. Garage Liability Garage keepers Legal Liability Fire Legal Liability Other Insurance: 8. X 9. PRTC named as additional insured on General Liability (This coverage is primary to all other coverage s PRTC may possess) X day cancellation notice required X 11. Best s Guide Rating - A:VI or Better, or Equivalent X 12. The Certificate must state Bid/RFP/RFQ # and Bid/RFP/RFQ Title LIMITS (FIGURES DENOTE MINIMUM) 1. Statutory Limits of the Commonwealth of Virginia: Yes $500,000 $500,000 $500, $1,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence 3. $1,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence 4. $1,000,000 X 13. Umbrella Liability 13. $5,000,000 Limit per Occurrence

21 ATTACHMENT C (continued) INSURANCE CHECKLIST OFFEROR AND INSURANCE AGENT STATEMENT We understand the insurance requirements of these specifications and will comply in full if awarded this Contract. OFFEROR INSURANCE AGENCY SIGNATURE SIGNATURE 21

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