LEVEL 1 - rmp-public.ucsd.edu Bids/Franklin Antonio … · Web viewPREQUALIFICATION QUESTIONNAIRE. For. BID PACKAGE 3: SITE UTILITY. FRANKLIN ANTONIO HALL. UCSD Project No. 5088/A4L-468/962800

FRANKLIN ANTONIO HALL PROJECT NO. 5088/A4L-468/962800UNIVERSITY OF CALIFORNIA, SAN DIEGO

PREQUALIFICATION QUESTIONNAIREFor

BID PACKAGE 3: SITE UTILITY

FRANKLIN ANTONIO HALLUCSD Project No. 5088/A4L-468/962800

SUBMITTED BY:

< please enter your company name here >

UNIVERSITY OF CALIFORNIA, SAN DIEGOCAPITAL PROGRAM MANAGEMENT10280 NORTH TORREY PINES ROAD

LA JOLLA, CA 92037

ISSUE DATE WEDNESDAY, JULY 17 2019MANDATORY PREQUALIFICATION MEETING MONDAY, JULY 22, 2019

MANDATORY MEETING LOCATION CPM LARGE CONFERENCE ROOM (SUITE 466)

SUBMITTALS DUE TUESDAY, JULY 30, 2019

Subcontractor Page 1 of 25 Prequalification QuestionnaireBid Package 3: Site Utility


(Where a time period is given, such as the last ten [10] years, the period is to be measured backwards from the date this prequalification questionnaire is required to be submitted to the University of California at San Diego.)

Note: Submission of an incomplete and/or unclear Prequalification Questionnaire may result in the determination of the prospective Contractor as NON-PREQUALIFIED.

SUBMITTED BY: (Name and Title) Printed or Typed

(Signature)

(Firm Name. If a Joint Venture, state name if JV Entity)

(Contact Name for all notices and correspondence)

(Address)

(City, State, Zip Code)

________________________ ________________________(Telephone Number) (Facsimile Number)

(E-mail Address)

CHECK this box if the entity submitting this prequalification questionnaire is a JOINT VENTURE



Each prospective Contractor must have the following California Contractor’s License: License Classification: General Engineering Contractor, A, and Plumbing C-36, current, active and in good standing with the California Contractor’s State License Board on the date and time of the Prequalification Questionnaire submittal is due. This Prequalification Questionnaire with all portions completed, including required attachments must be submitted.

Each prospective Contractor must answer all of the following questions and provide all requested information, where applicable. Any prospective Contractor failing to do so may be deemed non responsive and not responsible with respect to this Prequalification at the sole discretion of the University. Each prospective Contractor must submit one (1) printed set and one (1) flash drive with complete submittal of the questionnaire. All Contractors that have submitted a Prequalification Questionnaire will be notified in writing of either successfully or not successfully achieving prequalification status. The decision of the University is final and is not appealable within the University of California system.

All information submitted for Prequalification evaluation will be considered official information acquired in confidence, and the University will maintain its confidentiality to the extent permitted by law.

It is critical that the prospective Contractor complete all information required herein accurately, completely, truthfully and to the best of their knowledge. Ambiguous or incomplete information may lead to an unfavorable rating and subsequent status as non-prequalified.

WHERE NECESSARY, COPY THE FORMS IN THIS PACKAGE. USE ONLY THESE FORMS.

1. PREQUALIFICATION DECLARATION

I, ________________________________________________, hereby declare that I am the(Printed Name)

_________________________________ of ____________________________________(Title) (Name of Firm)

submitting this Prequalification Questionnaire; that I am duly authorized to sign this Prequalification Questionnaire on behalf of the above-named firm; and that all information set forth in this Prequalification Questionnaire and all attachments hereto are, to the best of my knowledge, true, accurate and complete as of its submission date.

The undersigned declares under penalty of perjury that all of the prequalification information submitted with this form is true and correct and that this declaration was executed in

________________________________ (County), __________________________, (State)

on ______________________________ (Date).

____________________________________



(Signature)



2. ATTENDANCE AT MANDATORY PREQUALIFICATION CONFERENCE

Did a representative of your firm attend the Mandatory Prequalification Conference at the University of California, San Diego, La Jolla?

YES NO

Name/names of those attending: _________________________________________

Date of Meeting Attended:____________________________________________

3. LICENSE AND REGISTRATION

A. Does your firm hold the following California contractor's licenses, which is current, valid, and in good standing with the California Contractor's State License Board?

License Classification: General Engineering Contractor, A

YES NO

License Classification: Plumbing, C-36

YES NO

B. Provide the following information about your firm's contractor's license:

1. Name of license holder exactly as on file with the California Contractor's State License Board:__________________________________________________________________

2. License Classification: _______________________________________________

3. License Number: _____________________________________________________

4. Date Issued: _______________________________________________________

5. Expiration Date: ____________________________________________________

C. Is your firm currently registered with the California Department of Industrial Relations pursuant to California Labor Code Section 1725.5 and 1771.1?

YES NO



If Yes, provide Public Works Contractor Registration Number: ______________________

If currently not registered, it will be required that Contractor and all Subcontractors, regardless of tier be registered at time of bid.

D. Can you truthfully state that your firm's contractor's license hasn’t been suspended or revoked by the California Contractor's State License Board within the last five (5) years?

YES NO

If answer is “No,” explain on attached additional sheets.

E. Has a complaint ever been filed with the Contractor’s State License Board against your company that required a formal hearing or inquiry?

YES NO

F. Does your firm have experience utilizing CPM logic, Primavera Project Planner scheduling software on your projects and would you utilize this experience on this project?

YES NO

If “No,” name the software application(s) used or the software application you would propose for use on this project for scheduling.

G. Did your firm complete and submit the UC San Diego Capital Program Management Company Registration form located on our website (http://rmp-web.ucsd.edu/CompanyEvaluation)?

YES NO

4. SURETY

Prospective Contractor desiring to be prequalified is informed that they will be subject to and must fully comply with all bid conditions including 100% payment and 100% performance bonds.

Prospective Contractor shall submit the below form, signed by representative of surety and notarized. If firm has used current surety for less than ten years, list surety(ies) previously used and indicate number of years used to demonstrate ten (10) complete years of surety history.


http://rmp-web.ucsd.edu/CompanyEvaluation


A. Is the surety to be used listed in the latest published State of California Department of Insurance list of Insurance Organizations Authorized by the Insurance Commissioner to Transact Business of Insurance in the State of California?

YES NO

B. Is the prospective Contractor able to obtain bonding up to and including the cost for this construction contract estimated at $1,000,000 of which no more than 50% is currently committed to other projects?

YES NO

C. Is it true that the surety has not paid out any monies for the construction activities of the prospective Contractor whatsoever within the last ten (10) years?

YES NO

D. How long has the Prospective Contractor been with this surety? years



E. Surety Declaration:

Provide this Declaration of your surety(ies) for completion. Do not have the surety submit this information directly to the University.

The undersigned declares under penalty of perjury that all of the above surety information is true and correct and that this declaration was executed in

County, California, on (date).

(Signature)

(Name and Title - Printed or Typed)

(Representing [Surety Name])

(Surety License Number)

(Firm Name)

(Address) (City, State, Zip Code)

________________________________________________________________________________________________________(Telephone Number) (Facsimile Number)

(Email Address)

(ATTACH NOTARIZATION of SURETY REPRESENTATIVE’S SIGNATURE)


5. INSURER

For this project, the University will obtain University Controlled Insurance Program (UCIP). A summary of the coverage will be further detailed in the Bid documents. The successful Contractor will be required to furnish certificates over and above the UCIP provisions.

Prospective Contractor desiring to be prequalified are informed that they will be subject to and must fully comply with all bid conditions including the following insurance coverage and associated limits.

Prospective Contractor shall submit the below form, signed by representative of insurer and notarized. If firm has used current insurer for less than ten years, list insurer(s) previously used and indicate number of years used to demonstrate ten (10) complete years of insurer history.

A. Is the insurer to be used listed with a minimum rating of A.M. Best as A+ or better and a financial classification of XII or better (or an equivalent rating by Standard & Poor’s or Moody's)?

YES NO

Indicate Best Rating:

Indicate Best Financial Classification:

B. Is the prospective Contractor able to obtain insurance in the following limits for this construction contract?

YES NO

MinimumComprehensive or Commercial Form General Liability Insur ance - Limits of Liability RequirementEach Occurrence - Combined Single Limit for Bodily Injury and Property Damage $1,000,000Products - Completed Operations Aggregate

$2,000,000Personal and Advertising Injury $1,000,000General Aggregate - Not Applicable to Comprehensive Form $2,000,000

Business Automobile Liability Insurance - Limits of Liabil ity Each Accident - Combined Single Limit for Bodily Injury and Property Damage

$1,000,000

C. How long has the Prospective Contractor been with this insurer? years

D. Insurance Declaration:

Provide this Declaration to your insurance carrier for completion. Do not have the carrier submit this information to the University.

The undersigned declares under penalty of perjury that all of the above insurer information is true and correct and that this declaration was executed in

County, California, on (date).

(Signature)

(Name and Title - Printed or Typed)

(Representing [Insurer Name])

(Insurer’s License Number)

(Firm Name)

(Address) (City, State, Zip Code)

(Telephone Number) (Facsimile Telephone Number)

(Email Address)

(ATTACH NOTARIZATION of INSURER REPRESENTATIVE’S SIGNATURE)

6. CONSTRUCTION EXPERIENCE

Submit Project Data on a minimum of three (3) and a maximum of five (5) comparable projects successfully completed within the last ten (10) years constructed in the United States of America, one of which was constructed in the State of California.

A comparable site utility project is defined as having a construction cost at the bid date of at least $1,000,000 or a total of $3,000,000 for the projects submitted, and the following example types:

Commercial or institutional research laboratory Educational Facilities Administrative Facilities combined with one of the above Other facilities that contain a high degree of technical complexity and

Such projects should have possessed the following construction challenges:

Urban site within an active and robust campus with limited construction and staging areas

Construction site adjacent to residential facilities requiring noise and vibration sensitivities.

Project complexity requiring critical path construction scheduling to complete on time.

Multiple construction phasing plan development and execution Construction Site adjacent to environmentally sensitive habitat and

Such projects should include these specific components:

Installation and extension of utilities systems, including Sanitary and Storm Sewer, Domestic Water, Reclaimed Water, and Gas Services.

Phased construction with early site/utility work commencement.

A. If the entity submitting this prequalification questionnaire is a Joint Venture, the Joint Venture entity itself must demonstrate adequate previous construction experience. Joint Venture teams newly-formed to pursue this prequalification opportunity are not eligible for prequalification.

B. Listed projects must have been managed and constructed under the business name submitted for prequalification. Projects completed by employees for former employers are not acceptable.

C. Submit the following Project Data Sheets for each project submitted as evidence of your firm's Contractor expertise.

PROJECT DATA SHEET (A separate sheet must be prepared for each project submitted.)

1. Project Name:

2. Project Location:

3. Project Description:

4. Contract Delivery Method:

5. Size (gross square feet):

6. What was your company’s role on this project?

Prime (General) Contractor Subcontractor to GC 2nd Tier Subcontractor 3rd Tier Subcontractor Prime Subcontractor to Owner Other: _________

List the Business Entity (name) your company used to perform work for this project:

7. How is this project comparable to the Franklin Antonio Hall project? ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

8. Was the project completed within budget?

Cost At Bid: $

Cost At Completion: $

Explanation: ____________________________________________________________________

9. For any differing amount between cost at completion and cost at bid, distribute the sources and/or causes of these changes into the following categories:

Document Problems: $ Unforeseen Conditions: $ Owner Generated Scope: $ Regulatory Agency: $ Other: $

10. Was construction begun and completed within the last ten (10) years?

YES NO

11. Was the project completed within the original contract time or the adjusted contract time?

YES NO

If completion did not occur within the original or the adjusted contract time, indicate elapsed time in whole calendar days between original or adjusted contract time and actual final completion. For projects that have not reached final completion, indicate current status with respect to contract time:_________________________________________________________________________________

12. Was work performed within and adjacent to occupied facilities?

YES NO

If answer is “Yes,” describe: ______________________________________________________________________________

13. What communications strategies were used by your firm to assist the project team in mitigating the impacts of construction on the occupied facilities? ______________________________________________________________________________

14. Was the project for a university or public institution?

YES NO

15. What strategic decisions did your firm contribute to the project which supported the project’s success (e.g. value engineering, phasing, innovation, new technology, etc.)? ______________________________________________________________________________

16. Did the project include adherence to critical path scheduling?

YES NO

17. Did the project include a quality control/quality assurance program?

YES NO

If “Yes,” explain: _______________________________________________________________

18. Did the project include the installation of extensive underground utilities?

YES NO

If “Yes,” provide brief details: _______________________________________________________________

19. Did the project include tie-ins to active utilities?

YES NO


20. Did the project include tie-ins at active main streets and require traffic and coordination?

YES NO


21. Did the Owner assess any back-charges?

YES NO

If answer is “Yes,” explain: __________________________________________________________

22. Did the Owner assess any liquidated damages?

YES NO

If answer is “Yes,” explain: _________________________________________________________

23. Name of Project Executive:_____________________________________

Qualifications of this Project Executive:________________________________________________________________________________________________________

24. Name of Project Manager: ___________________________________________________

Qualifications of this Project Manager: _______________________________________________________________________________________________________________________

25. Name of Project Superintendent: ___________________________________________________

Qualifications of this Project Superintendent: _______________________________________________________________________________________________________________________

26. Name of Project Engineer: ________________________________________________________

Qualifications of this Project Engineer: ____________________________________________________________________________________________________________________________

27. Did your firm self-perform any of the work?

YES NO

If “Yes,” please specify the trades you self-performed or have the capability to self-perform:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Client Firm Name:

Client Contact: Title:

Client Address: City, State Zip

Client Phone: Client Fax:Client E-mail Address:Architect/Engineer/Consultants:Architect/EngineerContact Name: Phone:Architect/EngineerE-mail Address:

(Attach additional pages with other pertinent project information as necessary.)

7. STAFF EXPERIENCE AND PROJECT SAFETY

It is preferred that the Project Manager and Project Superintendent have successfully completed one or more of the comparable projects.

A. Contractor hereby commits as a minimum to assignment of the specific field staff as outlined below. Contractor to submit a complete staffing chart as part of this package.

One Project Executive (part-time) during construction

The Project Executive will be on site part-time during construction and on site for construction meetings.

One Project Manager (full-time on site) during construction

Contractor shall assign one Project Manager to oversee, manage and coordinate the project. The magnitude and complexity of the project will necessitate that this position manage the entire construction process. This position will need to be involved with all aspects of the project including but not limited to all scheduling and budgeting meetings, overall construction process development and execution, multi-staff operation management and coordination. The project manager will take the lead position in all Architect and University issues including overall contract administration, RFI, RFP and contract change order negotiations, campus and community relations. The project manager will be the main contact on behalf of the contractor and will be responsible for guiding the construction development process to successful completion. The project manager will be responsible for budget, quality and schedule.

One Project Superintendent (full-time on site) during construction

The Contractor will assign one Project Superintendent to manage, coordinate, and facilitate the field supervision staff for each of the various components of the project construction process. The major function of this position will be in addition to the normal superintendent’s daily workload, subcontractor interaction and production, and various field related coordination issues.

One Project Engineer (full-time on site) during construction

The Contractor will assign one Project Engineer to perform Quality Control duties, submittals, shop drawings and MEP coordination.

B. At the time of bid, the successful Contractor will be required to reconfirm staff assignments to the project based on this submittal. If any of the named staff submitted

are no longer employed by the firm at the time the project starts, or are otherwise unavailable, the firm's bid may be considered non-responsive. Substitution of other individuals with equivalent experience may be considered by the University, however resumes, comparable project history and other relevant information must be submitted to the University prior to the determination of the bid results.

C. Project Management -- This project may or may not require a project manager on site full time, but does require site visits and meetings as requested by the University Project Manager.

The Contractor shall keep on the job throughout its duration a competent Project Manager and Project Superintendent, all of whom must be satisfactory to the University. The Project Manager and Project Superintendent shall be the same individuals proposed by the Contractor during the procurement process for this project. The Project Manager shall represent the Contractor, and all communication given to the Project Manager shall be as binding as if given to the Contractor. The Contractor shall not change either the Project Manager or the Project Superintendent on the project from those originally proposed for the project without the prior written consent of the University. The University will only grant written consent for such change in the case of undue hardship on the individual or if the Project Manager and Project Superintendent shall leave the employ of the Contractor.

By submitting a proposal for this project, the Contractor agrees to pay a training fee of $5,000 should they change Project Executive, Project Manager, or Project Superintendent without the written consent of the University.

D. Safety Program

The safety of the Contractor employees, employees of the University and other visitors to the Project are of the utmost importance to the University. The Contractor shall take whatever steps are necessary to maintain a clean and safe work environment for their employees, the employees of their Subcontractors and vendors, and any other visitors to the project.

E. Part-Time Project Executive: Franklin Antonio Hall Project.

1. The name of the specific Project Executive to be committed to this project part-time and continuously retained throughout this project is:

(Attach resume)

2. Total years of experience: years

3. Years at this position: years

4. Years with this firm: years

5. The Project Executive named above was assigned to the following comparable projects for which data sheets have been included in this questionnaire:

Project: Construction Cost:

a.

b.

c.

6. The Project Executive named above worked on the following similar projects that are described in the attached resume:

a.

b.

c.

F. Full-Time Project Manager: Franklin Antonio Hall Project.

1. The name of the specific Project Manager to be committed to this project on a full-time basis and continuously retained throughout this project is:

(Attach resume)


3. Years at this position: ______years


5. The Project Manager named above was assigned to the following comparable projects for which data sheets have been included in this questionnaire:


a.

b.

c.

6. The Project Manager named above worked on the following similar projects that are described in the attached resume:

a.

b.

c.

G. Full-Time Project Superintendent: Franklin Antonio Hall Project.

1. The name of the specific Project Superintendent to be committed to this project on a full-time basis and continuously retained throughout this project is:

(Attach resume)


3. Years at this position: years


5. The Project Superintendent named above was assigned to the following comparable projects for which data sheets have been included in this questionnaire:


a.

b.

c.

6. The Project Superintendent named above worked on the following similar projects that are described in the attached resume:

a.

b.

c.

H. Full-Time Project Engineer: Franklin Antonio Hall Project.

1. The name of the specific Project Engineer to be committed to this project on a full-time basis and continuously retained throughout this project is:

(Attach resume)


3. Years in this position: years


5. The Project Engineer named above was assigned to the following comparable projects for which data sheets have been included in this questionnaire:


a.

b.

c.

6. The Project Engineer named above worked on the following similar projects that are described in the attached resume:

a.

b.

c.

8. ADDITIONAL CONTRACTOR REQUIREMENTS

A. If fully prequalified and a successful fee bidder, the Subcontractor will be required to use the following computer software programs: Microsoft Word Processing, Microsoft Excel Cost Analysis, Primavera Project Planner Project Scheduling, e-Builder Project Management and Control, Outlook Email, and Internet Explorer Web Browser.

9. SAFETY PROGRAM

A. Does your firm have a written Injury and Illness Prevention Program (IIPP) that complies with California Code of Regulations, Title 8, Sections 1509 and 3203?

YES NO

Brief Description: _________________________________________________________

B. Does your firm have a written safety program that meets CAL/OSHA requirements?

YES NO

C. Will your firm have personnel permanently assigned and dedicated to Safety on this project?

YES NO

D. If “Yes,” state the names of all such personnel who will be assigned and individually list their specific duties:

Name, Title Specific Duties___________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ___________________________________

Attach resumes (include certification and safety related training received.)

E. Have you had accidents, which resulted in a construction fatality on any of your projects over the last 2 years?

YES NO

If the answer is “Yes,” please explain.________________________________________________________________________________________________________________________________________________

F. Is your firm’s current Workers Compensation Experience Modification Rate (EMR) equal to 1.15 or less?

YES NO

Provide your California Workers Compensation Modifier for each of the last three (3) years.

G. Provide EMR verification (regardless of whether EMR is under or over 1.15) from State of California or from insurance company for the most recently completed year.

H. Has your firm been cited by OSHA in the past 5 years?

YES NO


I. Does your firm have a Small Business/Underutilized Business Outreach Program?

YES NO

If “Yes,” please include a summary of your efforts (up to one [1] page).

10. QUALITY CONTROL/QUALITY ASSURANCE PROGRAM (QC/QA)

A. Does your firm have a written quality control/quality assurance program?

YES NO

B. Will your firm have personnel permanently assigned and dedicated to QC/QA on this project?

YES NO

C. If “Yes,” state the names of all such personnel who will be assigned and individually list their specific duties:

Name, Title Specific Duties___________________________________ ______________________________________________________________________ ______________________________________________________________________ ___________________________________

D. Provide brief description of your Quality Control/Quality Assurance Program:______________________________________________________________________________________________________________________________________________

E. Describe how your Program will be applied to this project:______________________________________________________________________________________________________________________________________________

11. BUSINESS CONSTRUCTION REVENUE

For the purposes of this prequalification questionnaire, "business construction revenue" shall be defined as payments to prospective Contractor for construction services as a Subcontractor.

A. Can you truthfully state that your firm has had an average annual business construction revenue of at least $3,000,000 (excluding any and all legal awards) over the last five (5) consecutive years?

YES NO

B. Can you provide audited financial statements (if requested) for the last ten (10) years?

YES NO

If answer is “No,” what type of statements will you provide?_______________________

DO NOT INCLUDE FINANCIAL STATEMENTS WITH THIS PREQUALIFICATION QUESTIONNAIRE.

C. List average yearly volume of work for each of the past 5 years (revenue and amount of reinvestment income).

YEAR REVENUE/VOLUME REINVESTED INCOME______________ __________________________ ______________________________________ __________________________ ________________________

______________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ __________________________________________________

D. List value of work currently on backlog, with percent complete, as appropriate.

WORK VALUE %COMPLETE

____________________________________ ____________________________________________________________ ________________________

____________________________________ ____________________________________________________________ ____________________________________________________________ ________________________

12. DISCIPLINARY MEASURES HISTORY

A. Can you truthfully state that your firm has not been disqualified or barred from doing business with a public agency (e.g., federal, state, county, city, University of California System, California State University System, etc.) within the last fifteen (15) years?

YES NO

13. MISCELLANEOUS REQUIREMENTS

A. Has your Firm ever refused to perform change order or warranty work requested by an Owner?

YES NO


B. What is your Firm’s procedure for answering an Owner’s request to perform warranty work?

Please describe:________________________________________________________________________________________________________________________________________________

C. Describe your firm's claim-avoidance strategy and/or philosophy:________________________________________________________________________________________________________________________________________________

Documents

LEVEL 1 - rmp-public.ucsd.edu Bids/Franklin Antonio … · Web viewPREQUALIFICATION QUESTIONNAIRE. For. BID PACKAGE 3: SITE UTILITY. FRANKLIN ANTONIO HALL. UCSD Project No. 5088/A4L-468/962800