RFP No Attachment No. 1 Company Overview

Similar documents
RFP No Attachment No. 1 Company Overview

Contractor Qualification Statement

Contractor s Statement of Qualifications for (Insert Project Name) (Insert Owners Name Here) (Insert Owners City and State Here)

CONTRACTOR QUALIFICATION FORM

Subcontractor / Vendor / Professional Services PREQUALIFICATION FORM

TULSA DEVELOPMENT AUTHORITY STAFF REPORT

REQUEST FOR QUALIFICATIONS FOR CONSTRUCTION MANAGER-AT-RISK

In addition to completing our Subcontractor Qualification, you will need to submit the following documents:

Shook Subcontractor Prequalification Form

CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE

Subcontractor Prequalification Checklist

Responsibility Determination for General Contractors Who May Desire to Submit Bid Proposals for the Construction of [PROJECT TITLE]

REQUEST FOR QUALIFICATIONS FOR CONSTRUCTION MANAGER-AT-RISK

CONTRACTORS QUESTIONNAIRE

RENEWABLE WATER RESOURCES

CONTRACTOR PRE QUALIFICATION QUESTIONNAIRE

New York Project Specific Application For Insurance

SUBCONTRACTOR S QUALIFICATION SUBMITTAL

INSTRUCTIONS FOR COMPLETION OF CONTRACTOR S APPLICATION FOR QUALIFICATION

PRE-QUALIFICATION REQUIREMENTS FOR BIDDERS Qualification Criteria

HULCHER CONTRACTOR SAFETY MANAGEMENT PROCESS

Subcontractor Prequalification Statement

SUBCONTRACTOR/SUPPLIER QUALIFICATION STATEMENT

Subcontractor / Vendor Prequalification Statement Company Name:

State of North Carolina Prequalification for Single Prime Contractors

LIBERTY HILL INDEPENDENT SCHOOL DISTRICT REQUEST FOR QUALIFICATIONS FOR CONSTRUCTION MANAGER-AT-RISK SERVICES

FOCUS DESIGN BUILDERS CONTRACTOR S QUALIFICATION STATEMENT

FAYETTE COUNTY SCHOOL DISTRICT REQUEST FOR PROPOSAL FOR CONSTRUCTION MANAGEMENT AT RISK SERVICES

SUBCONTRACTOR PREQUALIFICATION APPLICATION GENERAL INFORMATION

Denver Public Schools Facility Management / Purchasing S. Acoma St. Denver, Colorado S. Acoma St. Denver, Colorado 80223

State of North Carolina Prequalification for First Tier Subcontractors under CM at Risk

(City) (State) (Zip) (City) (State) (Zip) Contact : Phone: Cell Phone: Contact Phone: Cell Phone: Contact Phone: Cell Phone:

SUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by to:

SAMPLE STANDARD AGREEMENT BETWEEN OWNER AND CONTRACTOR for The University of Texas System Construction Projects

Subcontractor Questionnaire

APPLICATION FOR AUBURN UNIVERSITY S REGISTERED CONTRACTOR'S LIST For Projects $50,000 and Greater

State of North Carolina Prequalification for Single Prime Contractors

CONTRACTORS POLLUTION LIABILITY APPLICATION

PART 1: COMPANY DETAILS

PART I - GENERAL INFORMATION. 7. Please indicate each category of project your company is applying for pre-qualification as a Prime Contractor:

CONTRACTING OPERATIONS INFORMATION

Rolling Plains Management Corporation 118 North First Street P.O. Box 490 Crowell, Texas REQUEST FOR PROPOSALS FOR

AGREEMENT BETWEEN OWNER AND CONSTRUCTION MANAGER PRE-CONSTRUCTION AND CONSTRUCTION SERVICES

Address: Description:

Date: Subcontractor or Supplier. Shiel Sexton Company, Inc.

Subcontractor Pre-Qualification Form

CONTRACTOR SURETY QUESTIONNAIRE

CONTRACTOR PRE-QUALIFICATION FORM

Letter of Instructions

Mt. Hawley Insurance Company CONTRACTORS SUPPLEMENTAL APPLICATION

SUBCONTRACTOR Pre-Qualification Form

Request for Proposal for Construction Manager-at Risk Responses Due: 3:00 p.m. Thursday, September 10, 2015

Request For Proposal. For Construction Management Services. For The. Benton County Jail and Sheriff s Office

CONTRACTORS SUPPLEMENTAL APPLICATION

SAN DIEGO CONVENTION CENTER CORPORATION

CONTRACTOR SAFETY QUALIFICATION PACKET

Greenville-Spartanburg Airport District 2000 GSP Drive, Suite 1 Greer, SC CONTRACTOR PREQUALIFICATION APPLICATION

CONTRACTOR/SUPPLIER QUALIFICATION STATEMENT

Venture General Contracting, LLC Pre-Qualification Form

SUBCONTRACTOR QUALIFICATION STATEMENT

ROOFING CONTRACTOR QUESTIONNAIRE Ed. 9-09

Qualifications Statement Prime Contractor Subcontractor. Cover Sheet DGS Project Name DGS Project Number

INSTRUCTIONS TO BIDDERS

PRIME CONTRACTOR PREQUALIFICATION APPLICATION

Request for Qualifications Construction Manager at Risk

REQUEST FOR PROPOSALS (RFP) No. LHFC_RT2017_0818_3 BUILDING DEMOLITION SERVICES REQUEST FOR PROPOSALS FOR DEMOLITION SERVICES

PROPOSALS MUST BE RECEIVED BY: 10:00 AM (CST) ON FRIDAY, FEBRUARY 1, 2019

S-VAC VACANCY REHABILITATION CONTRACTOR SERVICES FOR THE WATERBURY HOUSING AUTHORITY PRE-APPROVAL APPLICATION GENERAL INFORMATION

Academic Building Replacement (Capers Hall) The Citadel H PG. Request for Qualifications. For. Construction Management at-risk Services

Request for Qualifications

GENERAL CONTRACTORS APPLICATION

AIA Document A101 TM 2017 Exhibit A

CITY OF AZLE REQUEST FOR QUALIFICATIONS CONSTRUCTION MANAGER AT RISK NEW JOINT CITY HALL & POLICE ADMINISTRATION & JAIL FACILITY

REQUEST FOR QUALIFICATIONS CONSTRUCTION MANAGER-AT-RISK, TWO-STEP PROCESS

General Conditions for Construction GCC201. Contract Type: Document No. for the following PROJECT: (Name and location or address) EXAMPLE

MASSACHUSETTS PORT AUTHORITY TERMINAL C ENHANCEMENT PROJECTS LOGAN INTERNATIONAL AIRPORT, EAST BOSTON, MASSACHUSETTS

ADDENDUM #1 TO THE REQUEST FOR QUALIFICATIONS

For Annual Policies:

PREQUALIFICATION OF PROSPECTIVE BIDDERS

THE TEXAS A&M UNIVERSITY SYSTEM Uniform General and Supplementary Conditions Table of Contents

SUBCONTRACTOR/SUPPLIER PREQUALIFICATION QUESTIONNAIRE Please submit form by Fax or to:

Incomplete submissions will be declined

HILLSBOROUGH CITY SCHOOL DISTRICT REQUEST FOR STATEMENT OF QUALIFICATIONS AND REQUEST FOR PROPOSAL

Document A Exhibit A Insurance and Bonds

** completed qualification form to City: State: Zip: Telephone: Fax:

Safety Program 1. Is there a formal written Safety Program in effect? 2. Are Regular safety meetings conducted? How Often? 3. Is there a Safety Commit

August RFQ 963A

New England Excess Exchange, Ltd. P O Box 219 ~ Montpelier, VT ~ Fax:

REQUEST FOR STATEMENTS OF INTEREST AND QUALIFICATIONS TO PRE-QUALIFY TO BID GENERAL CONTRACTOR SERVICES

TEXAS A&M UNIVERSITY FACILITIES SERVICES SUPPLEMENTAL GENERAL CONDITIONS

LOS ANGELES UNIFIED SCHOOL DISTRICT FACILITIES CONSTRUCTION CONTRACTS

Subcontractor Qualification Statement

ROWLAND UNIFIED SCHOOL DISTRICT

REQUEST FOR PROPOSAL (RFP) OWNER S REPRESENTATION/PROJECT MANAGER. New Combined Court Facility In Montezuma County

SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICT

AECOM - SUBPORT Prequalification Questionnaire. General Information. Organization and Experience. Type of Services:

CASTAIC LAKE WATER AGENCY STANDARD CONTRACT RISK TRANSFER PROVISIONS, GENERAL CONDITIONS and REQUIRED INSURANCE for

SUBCONTRACTOR INFORMATION SHEET

OFFEROR S STATEMENT OF QUALIFICATIONS

CHARLOTTE PUBLIC SCHOOLS CONSTRUCTION MANAGEMENT SERVICES REQUEST FOR PROPOSALS ("RFP")

Transcription:

00 01 21-1 REQUEST FOR COMPETITIVE SEALED PROPOSALS The University of Texas Medical Branch at Galveston Project Name: Alumni Field House Roof Coating RFP No.: 19-002 1a. CONTRACTOR LEGAL NAME/BUSINESS ADDRESS: 1. b. Submittal is for: Parent Company Branch or Subsidiary Office 1. c. Contractor is a State of Texas Certified Historically Underutilized Business: 1.d. Yes No Contact Name: Telephone Number: 3. Is your Company currently for sale or involved in any transaction to expand or become acquired by another business entity? If yes, explain the impact both in organization and company direction. 4. Does any Relationship Exist by Relative, business associate, capital funding agreement, or any other such kinship between your Company and any Owner employee, Officer or Regent? If yes, please explain. 1.e. 1.f. 1.g. Year Established: *Total Bonding Capacity Available Bonding Capacity 5. Claims and Suits: (If the answer to any of the questions below is yes, please attach details.) Has your organization ever failed to complete any work awarded to it? 1.h. Current Backlog * Attach a letter from your surety indicating your ability to be bonded as required in this RFP. 2.a. Type of Ownership: Individual Partnership or LLP LLC Corporation Type Joint Venture Sole Proprietorship Assumed Names Other (Specify Below) 2.b. If a Corporation: Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five years? 6. Is your Firm currently in default on any loan agreement or financing agreement with any bank, financial institution, or other entity? If yes, specify date(s), details, circumstances, and prospects for resolution. State of Incorporation: Years of Incorporation: Charter Number: 2.c. DUNS Number: (10/13/17)

00 01 21-2 7.a. Name of Affiliated Companies (Parent, Subsidiary, Divisions). 7.b. Former Company Name(s) and years established, if any. 8.a. Provide listing of your Company's offices to include: City/State/Telephone/Number of Personnel in each office. 8.b.. Total Personnel: 9. Indicate Personnel by Discipline (count each person only once, by primary function) Administrative Contract Administrator Estimator Project Manager Superintendent Proj. Safety Coordinator Other TOTAL 10. Related services performed by your own forces: (Check all that apply) Asbestos Abatement Carpentry Concrete Demolition Drywall Electrical Finishes HVAC Mechanical Plumbing Painting other (please describe) (10/13/17)

00 01 21-3 11. GC KEY PERSONNEL, PAST EXPERIENCE AND REFERENCES: 11.1 Respondents shall complete a Key Personnel and Reference Sheet (ref. Attachment 2) identifying the Key Personnel of whom will be directly involved in the Project with special emphasis on projects of similar scope and size. At a minimum, Key Personnel shall include the Project Manager, Superintendent and Project Safety Coordinator. This form shall include up to five (5) projects of similar size and nature as UTMB, relevant to the scope of work of this Project in which the Key Personnel specified were involved. Please include Owner s Name, Address, Contact Name Telephone #, Project Size, Project Cost, Year Completed and a description for each project listed. 11.2 Resumes shall be provided for the Personnel identified on Attachment 2 Key Personnel and Reference Sheet. 11.3 Identified Key Personnel may not be changed without prior written approval from UTMB. 11.4 At a minimum, resumes shall include, the number of years employed with the Respondent, their city of residence, past projects most relevant to the Project of submittal, his/her job title, applicable certifications and current status. Relevant projects shall be defined as projects of similar size and complexity at institutions (including UTMB) with similar missions and requirements. 12. SUBCONTRACTORS PAST EXPERIENCE AND REFERENCES: 12.1 The following items are to be submitted as a supplement to the Historically Underutilized Business Plan, which is due within twenty-four hours (one business day) after the proposal receipt deadline (ref. RFP Subsection 1.5, Submission of Proposals): 12.1.1 Identify the general trade that will be used by Respondent for the work identified in this proposal. 12.1.2 Provide Subcontractor s Company Name, Address, Telephone number and HUB Status. 12.1.3 Provide Subcontractor s past experience for up to five (5) projects of similar size, nature and relevancy to the scope of work of this Project. Include project name, location and description and Client s name, address, contact name and telephone number. UTMB may contact references during any part of the evaluation process. 12.2 Maximum of two (2) pages per Subcontractor may be used for this Section. These pages do not count as a part of the Fifteen (15) Page Technical Response submittal requirements. 13. PROJECT MANAGEMENT: 13.1 Identify all projects your company has had under contract which were terminated prior to completion, if any. Include the circumstances surrounding such early termination. 13.2 Describe your company s demonstrated technical competence and management qualifications with projects of a similar size and nature of UTMB, relevant to the scope of work of this Project. 13.3 Describe four (4) critical steps required for a successful this Project. 13.4 Describe your approach to assuring timely completion of this project, including methods for schedule recovery, if necessary. From any three (3) of the projects listed in response to Item 11.1 above, provide examples of how these techniques were used, including specific scheduling challenges/requirements and actual solutions. 13.5 Describe the anticipated steps necessary to maintain operation of the occupied building during construction. 13.6 Provide a milestone schedule for this project. (This is not included in the page count.) 13.7 Provide an emergency preparedness plan for this project. (This is not included in the page count.) 00 01 21 RFP Attachment 1 Comp Overview Page 3 of 5

00 01 21-4 14. SAFETY PROGRAM: 14.1 Identify the proposed Project Safety Coordinator and Assistant(s) for Construction Phase services. Provide details to support time spent in safety positions, primary duties, formal education and continuing education as they relate to construction safety. Provided information shall demonstrate compliance with the Project Safety specification (01 35 23) for each position. 14.2 Provide details of your corporate safety organizational structure including individuals, titles and corresponding duties and safety resources your firm will bring to the project. 14.3 Describe the methodology, including any technology or other resources that your firm intends to use for prevention and/or control of incidents and insurance claims on this Project. Include details regarding your firms approach to safety pre-planning, training, implementation, monitoring of results and actions taken to correct process deficiencies. Provide examples of unique safety strategies your firm has used with success on other projects. 14.4 Provide examples of how the firm rewards project team members for identifying hazards on projects and your response to those issues. Describe how your firm recognizes and rewards excellent safety performance including subcontractors. 14.5 Describe in detail how your firm would provide unique project specific safety orientation training for UTMB projects. Provide examples and details. 14.6 Briefly describe the firm s approach for anticipating, recognizing and controlling safety risks and note the safety resources that the firm provides for each project s Safety program. 14.8 Describe the level of importance for Enforcement and Support of Project Safety that the firm includes in performance evaluations for Superintendents and Project Managers. 14.9 Describe the Safety and Insurance/Claims History information and weighting that the firm includes in the submission and award process for best value Subcontracts. 14.10 For all projects that the firm has managed (or co-managed) in the past five (5) years, list and describe all events or incidents that have reached any of the following levels of severity: Any occupational illness or injury that resulted in death or total and permanent disability Three occupational illnesses or injuries that resulted in hospital admittances Explosion, fire or water damage that claimed 5% of the project s construction value Failure, collapse, or overturning of a scaffold, excavation, crane or motorized mobile equipment when workers were present at the project 14.12 Does the firm or any other company within the same holding group of companies self-perform any work? 14.13 Identify the firm s Experience Modification Rate (EMR) for the five (5) most recent annual insuranceyear ratings. 14.14 Identify the firm s annual OSHA Recordable Incident Rates (RIR) for all work performed during the past five (5) calendar years. 14.15 Identify the firm s annual OSHA Lost Workday Case Incident Rates (LWCIR) for all work performed during the past five (5) calendar years. 14.16 Provide a proposed safety program for this project. (This is not included in the page count and you may submit it as a separate document.) 15. QUALITY CONTROL AND COMMISSIONING PROGRAM: 15.1 Describe your quality control program. Explain the methods used to ensure quality control during the Construction phase of a project. Provide specific examples of how these techniques or procedures were used from any of three (3) projects listed in response to Item 11.1 above. 00 01 21 RFP Attachment 1 Comp Overview Page 4 of 5

00 01 21-5 15.2 Describe how your quality control team will measure the quality of construction and commissioning performed by trade Subcontractors as required by UTMB Specifications on this Project, and how will you address non-conforming work. 15.3 Describe how you have maintained security during the construction of an occupied facility listed in Item 11.1 above. 15.4 Provide examples of records, reports, monitoring systems, and information management systems you will use on this Project. 15.5 Describe your plans for infection control in an occupied, fully functional hospital facility. 16. OTHER CONSIDERATION: 16.1 Describe your warranty service support philosophy and warranty service implementation plan for this Project. 16.2 Provide any additional information; advantages/benefits, that you believe would assist UTMB in evaluating your Company for this Project. 17. ADDENDA: Acknowledge receipt of Addenda posted for this RFP. No. through No. 18. INSURANCE ACKNOWLEDGMENT 18.1 Respondent must provide acknowledgment of the UTMB insurance requirements stated in Attachment No. 3, Sample Agreement between Owner and Contractor, Article 10, Bonds and Insurance ; Exhibit B, Uniform General and Supplementary General Conditions, Article 5; and, Exhibit C Owner s Special Conditions, Item 1.21.4. 18.2 Acknowledgment must be in the form of an insurance certificate or letter on Contractor s letterhead with Contractor s agreement to provide worker s compensation, general liability, and auto insurance in accordance with the UTMB stipulated amounts. 00 01 21 RFP Attachment 1 Comp Overview Page 5 of 5