APPLICATION FOR CERTIFICATE OF QUALIFICATIONS TO PROPOSE FOR PROFESSIONAL SERVICES

Transcription

1 THE METROPOLITAN ST. LOUIS SEWER DISTRICT 2350 MARKET STREET ST. LOUIS, MO (USED IN PREQUALIFYING CONSULTANTS ON ARCHITECTURAL, ENGINEERING, AND SURVEYING SERVICES) January 1, 2014 through December 31, 2014 Submitted By (Company as shown on License) Address City, State, Zip Code Telephone and Fax Address Date

2 APPLICATION CHECKLIST FOR REQUIRED ATTACHMENTS (Items are not included in the application packet) Revised October 3, Current copy of Professional Engineering License for firm issued by the State of Missouri (if applicable as noted on page 5) 2 Current copy of Professional Land Surveying License for firm issued by the State of Missouri (if applicable as noted on page 5) 3 Current copy of Architectural License for firm issued by the State of Missouri (if applicable as noted on page 5) 4 Current copy of Firm s MBE/WBE certification (if applicable as noted on page 5) 5 Firm s City, State, and Country of Corporate Headquarters (page 5) 6 Current copy of Firm s Professional Liability Insurance coverage (page 8) 7 Signature for Qualifications and Experience (page 12) 8 Agreement to Notify District of Organizational Changes (page 74) 9 Vendor s Conflict of Interest Questionnaire, along with Attachment A (page 81) 10 Affidavit (page 85a through 85e as appropriate) 2

3 General Information on Selection Process The Metropolitan St. Louis Sewer District utilizes a Qualifications Based Selection (QBS) process to select qualified firms to provide the necessary professional services to assists the District in the implementation of its Capital Improvement and Replacement Program (CIRP). In an effort to expedite the selection process, the District annually* pre-qualifies design consultants in specific areas of expertise, based on the general information provided in this document. This list of pre-qualified firms is used to develop a consultant short-list for projects that typically have a total design budget of less than $500,000. The short-list of consultants is asked to send a response to a Request for Proposal (RFP) for specific projects. For more complex projects (typically having a design budget of $500,000 or more) a Request for Qualifications for the specific project(s) is sent to all pre-qualified firms. A short-list is then developed and RFPs sent to those firms. More details about the District s QBS process can be found on the District s website Consultants must have a fully functioning office within the District s boundaries, as defined in Part II of the application, to be considered for pre-qualification. *The District will accept and review pre-qualification information throughout the year should there be a significant change in a firm s qualification information or a firm recently opened an office within the District s boundaries. Contractual Approach The District typically utilizes two approaches in engaging professional services. In the first, General Services Agreements (GSA) are utilized to provide staff extension or specialized expertise that the District does not have for multiple small projects that typically have a construction budget of $300,000 or less. Firms wishing to be considered for this type of contractual work must have sufficient local staffing to provide the flexibility and quick response that is sometimes needed for these types of projects. GSA contracts typically range in value from $50,000 to $150,000. The second approach is to engage professional services for individual capital projects that generally have a design schedule of six (6) months to a year. For these types of services the qualifying firm may not be required to have the same depth of staffing as would be required for a GSA contract, depending on the project scope and level of difficulty. Applicants interested in pre-qualifying for one or both types of contractual services must do so by completing the appropriate sections of Part III of this application. Other Services On occasion, the District may seek services in areas not included in this pre-qualification package. In these instances, all pre-qualified consultants will be offered the opportunity to respond a Request for Qualifications for these services. 3

4 INSTRUCTION TO APPLICANTS All firms wishing to be pre-qualified must complete all parts of this application. Failure to adequately complete any part of this application could result in the rejection of the application in its entirety Part I DETAILED INFORMATION ABOUT THE FIRM (Page 5) Part II ST. LOUIS OFFICE INFORMATION (Page 9) Part III QUALIFICATIONS AND EXPERIENCE (Page 12) Part IV Part V AGREEMENT TO NOTIFY DISTRICT OF ORGANIZATIONAL CHANGES (Page 74) CONFLICT OF INTEREST POLICY AND VENDOR S CONFLICT OF INTEREST QUESTIONNIARE (Page 75) PART VI AFFIDAVITS (Page 85) ATTACHMENT B MSD s MINIMUM INSURANCE REQUIREMENTS (Page 91) The applicant must also attach a copy of the following documents: License issued by the State of Missouri authorizing the rendering of architectural, professional engineering, or land surveying services (as appropriate) MBE/WBE Certificate (if applicable) Agreement to Notify District of Organizational Changes (Part IV, Page 74) Executed Vendor Conflict of Interest Questionnaire (Part V, Page 81) Executed Affidavit in accordance with Company s status (see pages 85a through 85e) Current Insurance Certificate that demonstrates that the firm meets the minimum insurance requirements of the District (see Attachment B, Page 91)

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6 Name of Company Principal Address PART I DETAILED INFORMATION ABOUT THE FIRM City & State Zip City, State & Country of Corporate Headquarters Type of Organization (check applicable category): ( ) A Corporation ( ) A General Partnership ( ) A Limited Liability Partnership ( ) A Limited Liability Company ( ) Sole Proprietorship ( ) Joint Venture NOTE: Attach a copy of the current License issued by the State of Missouri authorizing applicant to perform architectural, professional engineering, or land surveying services in the State of Missouri. Is your firm certified as a Minority Business Enterprise? Yes Is your firm certified as a Women's Business Enterprise? Yes No No NOTE: If yes to either of the above, attach a copy of your current certification. Incorporated or organized: Date State (If a corporation, provide name and address of registered agent) List names of all partners or officers. (Note: If limited partnership, explain and please list full 100% ownership) Name and Title Address, City, and State

7 Fractional interest in firm or number of shares owned 5

8 Name and Title Address, City, and State PART I DETAILED INFORMATION ABOUT THE FIRM (cont.) Fractional interest in firm or number of shares owned Name and Title Address, City, and State Fractional interest in firm or number of shares owned Name and Title Address, City, and State Fractional interest in firm or number of shares owned Name and Title Address, City, and State Fractional interest in firm or number of shares owned Name and Title Address, City, and State Fractional interest in firm or number of shares owned Name and Title Address, City, and State Fractional interest in firm or number of shares owned (Use additional sheets as necessary.)

9 6 PART I DETAILED INFORMATION ABOUT THE FIRM (cont.) Location Number of Personnel List offices (by City): Type of work performed: (Specify, if different in each office) Work usually sub-contracted: Bank References:

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11 PART I DETAILED INFORMATION ABOUT THE FIRM (cont.) Identify any pending litigation involving applicant's work wherein applicant is a party, other than plaintiff. Insurance: List full name of each insurance company, type, and amount of coverage (See Attachment B for District s minimum requirements). Name Type of Coverage Amount List full name of Professional Liability Insurance Company and amount of coverage (See Attachment B, Page 88 for District s minimum requirements).. Name Amount Note: Attach your firm's current Certificate of Insurance. Estimated Annual Capacity (Billings for the last three (3) years): How many years have you operated under the above name:

12 8 PART II ST. LOUIS OFFICE INFORMATION (The District requires that a qualifying firm maintain a full-time (fully staffed) office within the District boundaries that operates as a self-sufficient office.) A. Address of Office Located within the District s Boundary (St. Louis Office): B. Number of Years at this Address: C. Number of Years at any other address within the District s Boundary: D. Personal History Statement of all Principals located in the St. Louis office: (Furnish complete relevant data.) Name Education [degree(s), school(s) & year(s)] Registrations (state, license expiration date, registration number): Experience: Number of Years St. Louis Office Prior to this office As a Principal As a Key Man (Project manager, office manager, etc.) Name Education [degree(s), school(s) & year(s)]

13 Registrations (state, license expiration date, registration number): 9

14 Experience: Number of Years St. Louis Office Prior to this office As a Principal As a Key Man (Project manager, office manager, etc.) Name Education [degree(s), school(s) & year(s)] Registrations (state, license expiration date, registration number): Experience: Number of Years St. Louis Office Prior to this office As a Principal As a Key Man (Project manager, office manager, etc.) Name Education [degree(s), school(s) & year(s)] Registrations (state, license expiration date, registration number): Experience: St. Louis Office Prior to this office As a Principal As a Key Man (Project manager, office manager, etc.) Number of Years

15 (Use additional sheets as necessary) 10 E. Personal History Statement of the St. Louis Office Manager: (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Registrations (state, license expiration date, registration number): Experience: St. Louis Office Prior to this office As a Principal As a Key Man (Project manager, office manager, etc.) Number of Years F. St. Louis Office Staffing Information (Full-time employees only) STAFF Professional Engineers (Mo. P.E.) Engineers not licensed in Missouri (including FE) Professional Land Surveyors Licensed in Missouri Land Surveyors not licensed in Missouri (including LSIT) Professional Architect (Mo. A.I.A.) CADD Technicians Microstation Technicians Clerical Others, including non-fulltime (please specify below) Number Others:

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17 PART III QUALIFICATIONS AND EXPERIENCE The undersigned hereby applies to the Executive Director of the Metropolitan St. Louis Sewer District for a Certificate of Qualification to propose work in the following areas of expertise: (Check each type of work for which qualification is requested and complete the related Part III Section. Please refer to individual Sections for description of work.) General Services Agreement (GSA) Contracts in the areas of: Complete Part III Construction Management (Requires P.E.) Section A, Page 13 Environmental (Required P.E.) Section B, Page 17 Geotechnical Services (Requires P.E.) Section C, Page 21 Sewer and Channel Design (Requires P.E.) Section D, Page 26 Sewer and Process Design (Requires P.E.) Section E, Page 30 Surveying (Requires R.L.S.) Section F, Page 34 Project-Specific Contracts in the areas of: Complete Part III Sanitary Sewers (Requires P.E.) Section G, Page 38 Combined Sewers (Requires P.E.) Section H, Page 42 Large Facilities (Requires P.E.) Section I, Page 46 Small Pump Stations (Requires P.E.) Section J, Page 50 Sewer Rehabilitation (Requires P.E.) Section K, Page 54 Storm Sewers (Requires P.E.) Section L, Page 58 Flood Protection (Requires P.E.) Section M, Page 62 Natural Channel Restoration (Requires P.E.) Section N, Page 66 Building (Architectural, Electrical, Mechanical and Structural) (Requires P.E. and/or A.I.A.) Section O, Page 70 Signature Name (Please Print) Title

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19 PART III QUALIFICATIONS AND EXPERIENCE (cont.) A. General Service Agreement for Construction Management Services (This work typically consists of the inspection of sewer construction and private lateral connections, material testing, pipe and manhole testing and other miscellaneous construction management services). 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

20 13 PART III QUALIFICATIONS AND EXPERIENCE (cont.) A. General Service Agreement for Construction Management Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrate the firm s experience in construction management services. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

21 Role as Subconsultant or in Joint-Venture: 14

22 PART III QUALIFICATIONS AND EXPERIENCE (cont.) A. General Service Agreement for Construction Management Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Roles as Subconsultant or Joint-Venture: Role as Subconsultant or in Joint-Venture:

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24 PART III QUALIFICATIONS AND EXPERIENCE (cont.) A. General Service Agreement for Construction Management Services (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered. 5. Does your company have staff members experienced in Sewer Inspection that are currently 40 Hour Hazwoper Certified? Yes No

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26 PART III QUALIFICATIONS AND EXPERIENCE (cont.) B. General Service Agreement for Environmental Services (This work typically consists of performing Phase I Environmental Assessment, asbestos removal plans, air quality monitoring and other environmental-related studies or designs). 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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28 PART III QUALIFICATIONS AND EXPERIENCE (cont.) B. General Service Agreement for Environmental Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrate the firm s experience in environmental services. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

29 Role as Subconsultant or in Joint-Venture: 18

30 PART III QUALIFICATIONS AND EXPERIENCE (cont.) B. General Service Agreement for Environmental Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Roles as Subconsultant or Joint-Venture: Role as Subconsultant or in Joint-Venture:

31 19 PART III QUALIFICATIONS AND EXPERIENCE (cont.) B. General Service Agreement for Environmental Services (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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33 PART III QUALIFICATIONS AND EXPERIENCE (cont.) C. General Service Agreement for Geotechnical Services (This work typically consists of geotechnical investigation for small storm or sanitary sewer projects and may include performing borings or test holes, evaluating and recommending shoring, foundation, excavation and pipe support methods, and evaluating and recommending solutions to slope failures, foundation, and pipe bedding problems.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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35 PART III QUALIFICATIONS AND EXPERIENCE (cont.) C. General Service Agreement for Geotechnical Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrate the firm s experience in geotechnical services. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Roles as Subconsultant or in Joint-Venture:

36 Role as Subconsultant or in Joint-Venture: 22

37 PART III QUALIFICATIONS AND EXPERIENCE (cont.) C. General Service Agreement for Geotechnical Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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39 PART III QUALIFICATIONS AND EXPERIENCE (cont.) C. General Service Agreement for Geotechnical Services (cont.) 4. Drilling Equipment and Laboratory Testing Firm owns the following drilling rigs/equipment Firm will be utilizing the services of drilling subcontractors 5. Laboratory Services Firm has own laboratory facilities capable of performing the most commonly required geotechnical tests Firm will be utilizing the services of laboratory testing facility

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41 PART III QUALIFICATIONS AND EXPERIENCE (cont.) C. General Service Agreement for Geotechnical Services (cont.) 6. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

42 25 PART III QUALIFICATIONS AND EXPERIENCE (cont.) D. General Service Agreement for Sewer and Channel Design Services (This work typically consists of the preparation of complete construction plans and specifications for small projects which could include sanitary, storm, and combined sewers as well as stormwater channels.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

43 26 PART III QUALIFICATIONS AND EXPERIENCE (cont.) D. General Service Agreement for Sewer and Channel Design Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in sewer and channel design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Roles as Subconsultant or in Joint-Venture:

44 Role as Subconsultant or in Joint-Venture: 27

45 PART III QUALIFICATIONS AND EXPERIENCE (cont.) D. General Service Agreement for Sewer and Channel Design Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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47 PART III QUALIFICATIONS AND EXPERIENCE (cont.) D. General Service Agreement for Sewer and Channel Design Services (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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49 PART III QUALIFICATIONS AND EXPERIENCE (cont.) E. General Service Agreement for Sewer and Process Design Services (This work typically consists of the preparation of complete construction plans and specifications for small projects which could include sanitary, storm, and combined sewers as well as wastewater treatment plant and pump station improvements.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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51 PART III QUALIFICATIONS AND EXPERIENCE (cont.) E. General Service Agreement for Sewer and Process Design Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in sewer and process design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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53 PART III QUALIFICATIONS AND EXPERIENCE (cont.) E. General Service Agreement for Sewer and Process Design Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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55 PART III QUALIFICATIONS AND EXPERIENCE (cont.) E. General Service Agreement for Sewer and Process Design Services (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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57 PART III QUALIFICATIONS AND EXPERIENCE (cont.) F. General Service Agreement for Surveying Services (This work typically consists of providing a variety of surveying services such as GPS surveys, land surveys, property surveys and strip map preparation, easement plat preparation and other miscellaneous surveyrelated work.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

58 34 PART III QUALIFICATIONS AND EXPERIENCE (cont.) F. General Service Agreement for Surveying Services (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Registration/ Certification Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in surveying and GIS services. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

59 Role as Subconsultant or in Joint-Venture: 35

60 PART III QUALIFICATIONS AND EXPERIENCE (cont.) F. General Service Agreement for Surveying Services (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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62 PART III QUALIFICATIONS AND EXPERIENCE (cont.) F. General Service Agreement for Surveying Services (cont.) 4. Number of Survey Crews: 5. Type of Survey Equipment Owned by Firm: PART III QUALIFICATIONS AND EXPERIENCE (cont.) F. General Service Agreement for Surveying Services (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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64 PART III QUALIFICATIONS AND EXPERIENCE (cont.) G. Sanitary Sewer Projects (This work typically consists of preparation of plans and specifications for the construction of sanitary sewer relief projects.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

65 PART III QUALIFICATIONS AND EXPERIENCE (cont.) G. Sanitary Sewer Projects (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). 38 Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in sanitary sewer design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

66 Role as Subconsultant or in Joint-Venture: 39

67 G. Sanitary Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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69 G. Sanitary Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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71 PART III QUALIFICATIONS AND EXPERIENCE (cont.) H. Combined Sewer Projects (This work typically consists of preparation of plans and specifications for the construction of combined sewer relief projects and/or modification or elimination combined sewer interceptors and overflow discharge points.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

72 PART III QUALIFICATIONS AND EXPERIENCE (cont.) H. Combined Sewer Projects (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). 42 Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in combined sewer design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

73 Role as Subconsultant or in Joint-Venture: 43

74 H. Combined Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

75 44 PART III QUALIFICATIONS AND EXPERIENCE (cont.) H. Combined Sewer Projects (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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77 PART III QUALIFICATIONS AND EXPERIENCE (cont.) I. Large Facility Projects (This work typically consists of preparation of plans and specifications for the construction of new treatment plants and major pump stations or improvements to existing treatment plants and major pump stations.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

78 PART III QUALIFICATIONS AND EXPERIENCE (cont.) I. Large Facility Projects (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). 46 Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in large facility design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

79 Role as Subconsultant or in Joint-Venture: 47

80 I. Large Facility Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

81 I. Large Facility Projects (cont.) 48 PART III QUALIFICATIONS AND EXPERIENCE (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

82 49 PART III QUALIFICATIONS AND EXPERIENCE (cont.) J. Small Pump Station Projects (This work typically consists of preparation of plans and specifications for the construction of new pump stations, or modifications of existing pump stations whose design criteria fall under the District s Pump Station Design Requirements.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role

83 (Use additional sheets as necessary if more than one qualified staff member) 50

84 PART III QUALIFICATIONS AND EXPERIENCE (cont.) J. Small Pump Station Projects (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in pump station design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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86 PART III QUALIFICATIONS AND EXPERIENCE (cont.) J. Small Pump Station Projects (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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88 PART III QUALIFICATIONS AND EXPERIENCE (cont.) J. Small Pump Station Projects (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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90 PART III QUALIFICATIONS AND EXPERIENCE (cont.) K. Sewer Rehabilitation Projects (This work typically consists of preparation of plans and specifications for rehabilitation of small or large sewers and manholes to address structural problems or to reduce inflow and infiltration.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

91 54

92 K. Sewer Rehabilitation Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in pipe and/or manhole rehabilitation projects. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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94 PART III QUALIFICATIONS AND EXPERIENCE (cont.) K. Sewer Rehabilitation Projects (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

95 56

96 PART III QUALIFICATIONS AND EXPERIENCE (cont.) K. Sewer Rehabilitation Projects (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

97 57 PART III QUALIFICATIONS AND EXPERIENCE (cont.) L. Storm Sewer Projects (This work typically consists of preparation of plans and specifications for the construction of storm sewer and concrete channel projects.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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99 L. Storm Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in storm sewer design. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or Joint-Venture:

100 Role as Subconsultant or Joint-Venture: 59

101 L. Storm Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

102 60

103 L. Storm Sewer Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

104 61 PART III QUALIFICATIONS AND EXPERIENCE (cont.) M. Flood Protection Projects (This work typically consists of preparation of plans and specifications for the construction of flood protection measures such as floodproofing of buildings, small berms and detention basins.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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106 M. Flood Protection Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in flood protection and floodproofing projects. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

107 Role as Subconsultant or in Joint-Venture: 63

108 M. Flood Protection Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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110 M. Flood Protection Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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112 PART III QUALIFICATIONS AND EXPERIENCE (cont.) N. Natural Channel Restoration Projects (This work typically consists of preparation of plans and specifications for the stabilization of eroding natural channels through the use of biostablization and hard or soft armoring). 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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114 PART III QUALIFICATIONS AND EXPERIENCE (cont.) N. Natural Channel Restoration Projects (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in natural channel restoration projects. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

115 Role as Subconsultant or in Joint-Venture: PART III QUALIFICATIONS AND EXPERIENCE (cont.) N. Natural Channel Restoration Projects (cont.) 3. Demonstrated Project Experience: (cont.) 67 Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

116 Role as Subconsultant or in Joint-Venture: 68

117 PART III QUALIFICATIONS AND EXPERIENCE (cont.) N. Natural Channel Restoration (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

118 69 PART III QUALIFICATIONS AND EXPERIENCE (cont.) O. Building Projects (This work typically consists of preparation of plans and specifications for the construction of interior improvements or building expansion of existing administration buildings, or construction of new facilities.) 1. Personal History Statement of staff members qualified to serve as Project Manager. (Furnish complete relevant data. In the event spaces provided are not sufficient for entries in this entire questionnaire, add additional sheets with appropriate reference.) Name Education [degree(s), school(s) & year(s)] Professional Registrations (state, license expiration date, registration number): Certifications Years of Experience: St. Louis Office Prior to This Office With Other Firms Number of Years Previous Related Experience (specify projects): Project Name Project Role (Use additional sheets as necessary if more than one qualified staff member)

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120 O. Building Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 2. Qualified Key Project Personnel (Please list St. Louis office personnel only). Name Education Area of Expertise Years of Experience 3. Demonstrated Project Experience: (Provide information about the five (5) most recently completed or currently active projects completed by the firm within the last three years that demonstrates the firm s experience in interior improvements or building expansion of existing administration buildings, or construction of new facilities. If firm acted as a subconsultant or was part of a joint venture, please describe firm s role in project in the Subconsultant or Joint Venture section. Projects do not have to have been in the St. Louis area.) Role as Subconsultant or in Joint-Venture:

121 Role as Subconsultant or in Joint-Venture: 71

122 O. Building Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 3. Demonstrated Project Experience: (cont.) Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture: Role as Subconsultant or in Joint-Venture:

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124 O. Building Projects (cont.) PART III QUALIFICATIONS AND EXPERIENCE (cont.) 4. Please provide any additional information regarding your firm s resources and staffing expertise (located at other corporate offices) that you feel should be considered.

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126 PART IV AGREEMENT TO NOTIFY DISTRICT OF ORGANIZATIONAL GHANGES I/We will from time to time, when significant changes occur in our organization or in the information furnished above, forward such revised data to be incorporated in this statement to keep the record current. NAME OF FIRM OR INDIVIDUAL: Signed by Authorized Member of Firm Title Please return this questionnaire and all supporting documentation to: Richard L. Unverferth, P.E. Director of Engineering Metropolitan St. Louis Sewer District 2350 Market Street St. Louis, MO 63103

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128 NUMBER: H-3 PAGE 1 of 6 ISSUED: 09/01/2011 GENERAL MANAGEMENT POLICY/PROCEDURE APPROVED BY: EXECUTIVE DIRECTOR TOPIC: Conflict of Interest Policy SUPERSEDES PREVIOUS ISSUE DATED September 1, 2010 PURPOSE This Policy is meant to promote an ethical business environment at The Metropolitan St. Louis Sewer District, and to ensure compliance with all state ethics requirements. This Policy supersedes and replaces any prior policies, rules, practices, standards or guidelines to the contrary, whether written or oral. Other District policies, procedures and guidelines shall continue to apply to the extent not inconsistent with this Policy. POLICY To promote an ethical environment of unquestionable integrity and to comply with state requirements, the District requires all employees, as well as Trustees, to refrain from conflicts of interest involving any and all business transactions involving the District. Furthermore, the District expects that all employees and Trustees will use their best judgment in all business dealings with customers, suppliers, contractors, governmental and regulatory agencies, the media and vendors, that they will refrain from unethical actions, and that they will disclose all relevant outside employment and business transactions. This Policy details all such requirements. A conflict of interest occurs when your private interest interferes or appears to interfere in any way with the interests of the District. You are expected to avoid all situations that might lead to a real or apparent material conflict between your self-interest and your duties and responsibilities as an employee, officer or Trustee of the District. Any position or interest, financial or otherwise, which could materially conflict with your performance as an employee, officer or Trustee of the District, or which affects or could reasonably be expected to affect your independence or judgment concerning transactions between the District, its customers or suppliers or otherwise reflects negatively on the District would be considered a conflict of interest and should be avoided. A conflict of interest should be properly disclosed by the affected Trustee or District employee at the earliest opportunity. PROCEDURE 1. Conflict of Interest 75