bid package prequalification palomar community college

of 23 South Education Center - Prequalification Questionnaire

BID PACKAGE PREQUALIFICATION FOR

Palomar Community College SOUTH EDUCATION CENTER

TO: PROSPECTIVE BIDDERS

Swinerton Builders intends to solicit bids for construction of Palomar College South Education Center (“Project). Swinerton Builders intends to solicit bids for the Project from multiple subcontractors. As a condition of bidding on Palomar Construction Projects, Swinerton Builders requires that prospective bidders submit a completed project specific Bidder's Prequalification Application on the attached forms. These documents will be the basis of rating bidders with respect to the size and scope of projects upon which each bidder is qualified to bid. All questions must be answered. If a question is not applicable, then indicate a response of "N/A" in the space provided. "You" or "Yours" as used herein refers to the prospective bidder's firm and any of its owners, officers and/or principals, including the Responsible Managing Officer/Responsible Managing Employee (RMO/RME). If an explanation and/or additional sheets are required for any of the responses, please provide on attached additional sheets of paper signed by the owner, officer and/or principal (including RMO/RME). Failure to provide any information requested will result in a reduced rating or disqualification from bidding on the Project. Any false statement will result in the prospective bidder’s immediate disqualification from bidding on the Project. If prospective bidders desired to bid more than one bid package, a separate prequalification for each bid package is required. Multiple Bid Packages cannot be combined on this prequalification application. The prospective bidder shall have a duly authorized owner, officer or principal complete the questionnaire and the financial statement who shall verify the truth of the information provided.

Note: In addition to this project specific prequalification the successful bidder for each trade will be responsible for electronically entering into the Swinerton Builders prequalification data base prior to receiving an executed subcontract. It is the intention of Swinerton Builders to prequalify subcontractors for a multi-staged procurement process. To bid on the Project, the prospective bidder must submit a completed bidder’s Prequalification Application (“Application”) on or before July 8, 2016 at 3:00pm. Prequalification applications submitted after this date will not be accepted.

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1. Contents of Application Application consists of the following:

Bidder’s General Information

License Information

Surety Information (including Letter of Bondability)

Insurance Information

Statement of Experience

Safety Information

Quality Information

Business Construction Revenue/Financial Statement

3. Submission of Completed Application Submit the Prequalification Application to:

Swinerton Builders

Attn: Meagan Erickson 16798 West Bernardo Drive San Diego CA 92127 [email protected]

Paper or Electronic submissions will be accepted on or before July 8, 2016 at 3:00pm.

4. Certificate of Accountant

The certificate of an accountant certified by the State of California will be required in all cases. The form of Certificate of Accountant is attached. A reviewed financial statement by an accredited accountant will be acceptable if a certificate is not submitted.

The Certificate of Accountant shall not be made by any individual who is in the regular employ of the individual, partnership, or corporation submitting the financial statement, nor by any individual with more than a ten percent (10%) financial interest therein.

5. Letter of Bondability

The prospective bidder must attach a letter from an admitted surety insurer authorized to issue bonds in the State of California, which states the prospective bidder’s current available bonding capacity. The surety must be an admitted surety in the State of California and have an “A -” or better rating by A.M. Best, Moody’s, or Standard and Poor’s.

6. Insurance

The prospective bidder must provide at least $2,000,000 in Comprehensive General Liability Insurance. The prospective bidder’s insurance company must be authorized to do business in the State of California. The insurance company must have an “A” or better rating by A.M. Best, Moody’s, or Standard and Poor’s.

Subcontractors with design responsibility (deferred approvals) shall provide the following additional coverage: An Architect’s and Engineer’s Professional Liability Policy with Limited Contractual Liability Coverage in favor of Swinerton Builders and Owner and a deductible no greater than $25,000 per claim and a Waiver of Subrogation in favor of Swinerton Builders and Owner. Any SIR must be clearly identified on a Certificate of Insurance and is subject to Swinerton’s approval. This insurance shall be maintained for not less than the duration of the project and five (5) years following completion of construction. Retroactive date of such policy must be on or before the date Subcontract and/or Consultant began

mailto:[email protected]


offering professional services. Limit of liability shall be not less than $1,000,000 Per Claim (specific to this project only).

7. Contractor License .

Each prospective Bid Package Contractor must have a California Contractor’s License current, active and in good standing with the California Contractor’s State License Board for the bid package herein.

8. Notification of Prequalification Results

All Bid Package Contractors which have submitted a Prequalification Questionnaire will be notified in writing of either successfully or not successfully achieving prequalification status.

9. Confidentiality The completed Prequalification Application submitted by prospective bidders are not public records and are not open to public inspection. All information provided will be kept confidential to the extent permitted by law. However, the contents may be disclosed to third parties for purpose of verification, investigation of substantial allegations, or as part of an appeal hearing if applicable.

10. Waiver of Irregularities.

Swinerton Builders reserves the right to waive minor irregularities and omissions in the information contained in the Prequalification Application submitted, to make all final determinations, and to determine at any time that the prequalification procedures will not be applied to a specific project.

11. Late or Incomplete Applications

Swinerton Builders shall refuse to grant prequalification where the requested information and materials are not provided, or not provided by the specified date and time. There is no appeal from a failure to submit a complete application or the submission of a late application, but re-application for a later project is permitted. The closing time for bids will not be changed to accommodate supplementation of an incomplete submission of an Application, or the late submission of an Application.

12. Post-Bid Determination of Responsibility

While it is the intent of this Application to determine a prospective bidder’s responsibility prior to bid and to aid in selecting a responsive, responsible bidder, neither the fact of prequalification nor any prequalification rating will preclude Swinerton Builders from a post-bid consideration and determination of whether a prospective bidder has the quality, fitness, capacity and experience to satisfactorily perform the proposed work, and has demonstrated the requisite trustworthiness.


PROSPECTIVE BIDDER’S GENERAL INFORMATION

Bid Package # & Name __________________________________________ 1. Name of Prospective Bidder:______________________________________ (Name as it Appears on Contractor’s License) 2. Type of Firm (Check One):

Corporation

Partnership

Sole Proprietorship

Joint Venture

Other: (Specify) _________________________ 3. Business Address:

Street:__________________________________________________________ (P.O. Box unacceptable) City, State, Zip:____________________________________________________ 4. Mailing Address: (If different)

Street:___________________________________________________________ City, State, Zip:____________________________________________________ Phone Number: ()____________Fax Number: ( )______________ 5. Firm’s Tax ID Number: ___________________________________________ 6. Date Firm Formed: _____________________________________________ 7. Date and State of incorporation (if a corporation): ____________________ 8. Firm’s Officers – Partners – Proprietor – Owners – RMO/RME - Principals – Key Personnel:

Name Position Years with Firm

% of Ownership


9. Is the firm or its owners, proprietors, partners, officers or key personnel connected with other companies as subsidiary, parent, holding or affiliate? YES______NO________(If yes, explain on separate signed page.)

10. Have any of the above principals held another California State Contractors license against which a complaint

has been filed? YES______NO________ (If yes, explain on separate signed page.)

11. Does your firm have an office within the San Diego County limits? YES______NO________ 12. Provide a count of your firm’s the current employees: ___________ Administrative ___________ Shop/Field labor


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)

(ATTACH NOTARIZATION of REPRESENTATIVE’S SIGNATURE)


2. LICENSE

A. Does your firm hold a California contractor's license for the Bid Package related to this application, which is current, valid, and in good standing with the California Contractor's State License Board?

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 Code(s): ________________________________________________________ 4. License Number: _________________________________________________________

5. Date Issued: ____________________________________________________________

6. Expiration Date: _________________________________________________________

C. Can you truthfully state that your firm's contractor's license has never 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.

D. 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


3. SURETY

Prospective Subcontractor desiring to be prequalified are informed that they will be subject to and must fully comply with all bid conditions, and may be required to provide 100% payment and 100% performance bonds.

Prospective Subcontractor 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.

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 submit a bid bond with their bid?

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. Provide a current bond rate based on the Estimated Value of the prospective bid package. Bond Rate: ______________%


F. Surety Declaration:

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

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])

(Firm Name)

(Address) (City, State, Zip Code)

____________________________________________________________________________________________ Telephone Number) (Facsimile Number)

(Email Address)


4. INSURER

Prospective Subcontractor 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 Subcontractor shall submit the below form, signed by representative of insurer and notarized.

A. Is the prospective Contractor able to obtain insurance in the following limits for each of these construction contracts?

YES NO

General Liability $2 million per occurrence $2 million general aggregate $2 million completed operations aggregate,.

If not enrolled in Swinerton’s PSI or PLP program, Subcontractor can provide Additional Insured endorsement for ongoing and completed operations on a primary basis

Business Automobile Liability Insurance - Limits of Liability - $1,000,000

Each Accident - Combined Single Limit for Bodily Injury and Property Damage

Workers Compensation - $1,000,000 Employers Liability

Professional Liability - $1,000,000 (If typically act as design build subcontractor, engineer or consultant)

B. How long has the Prospective Contractor been with this/these insurers? General Liability Insurer ( _)years Workers Compensation Insurer ( _)years


C. Insurance Declaration:

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

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])

(Firm Name)

(Address) (City, State, Zip Code)

(Telephone Number) (Facsimile Telephone Number)

(Email Address)


5. 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 State of California relative to your trade. Must be comparable in size, contract value and scope of what is listed for the Bid Package you are prequalifying for.

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

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. A comparable project is defined by the following example building types:

Higher Education Including Community College (DSA)

California State University and OSHPD

K-12 (DSA)

and General Project Description:

Building 1: This scope of work consists of an existing four story 114,000SF building constructed of steel frame with metal deck, glass framed curtain wall system and framed exterior with stone veneer and composite metal accent treatments. The building is currently vacant and shell space on all floors with central core only on each floor. The existing roofing is a built-up roof system that will be reconstructed due to significant demolition of existing mechanical and structural systems currently present. Portions of new roof will be changed to a single ply roof system. The exterior skin is Glazing, Composite Metal, and Stone Veneer Systems. The interior remodel will be a complete remodel of what is now clear shell space and will consist of offices, classrooms, restrooms, storage, laboratory’s , library, conference rooms, faculty areas, Reading Rooms, and other educational support spaces. Major demolition will be include removing interior staircases and patch-back metal decks and slabs, removal of curtain wall systems to facilitate construction of three new stairwell towers on exterior of existing structure. New stairwell tower structures will be constructed of steel and tied into existing steel structure. Stairwell towers will include stainless steel guard rails, metal pan stair system, and be enclosed with a curtain wall system. Building 2: Is an existing four story parking structure. Remodel work includes construction of new Restroom Facilities, Storage rooms, Offices, IDF room, Workroom, Restriping of pavement markings, chainlink fence barriers, and construction of new 4 story stair structure as well as other miscellaneous retrofit work.. Sitework: The project site is approximately 12 acres in size. Significant sitework will be required. Work consists of: Mass earthwork, demolition of site structures, new underground utilities consisting of sewer, storm, water, fire water. New construction to consist of new underground utilities, concrete and masonry retaining walls structures, stone veneer over masonry, landscaping and irrigation, gabion retaining systems, site lighting, site concrete, trash enclosure, flagpole, loop vehicle road, parking lots, erosion control.

and


Specific to each bid packages: Bid Package # Description of Scope Estimated Value Applicable

License(s)

CM-15-16-01-SEC-A SELECTIVE SITE DEMOLITION, SELECTIVE STRUCTURE DEMOLITION. (PREQUAL REQUIRED)

$ 1,250,000.00 C-21, D-06

CM-15-16-01-SEC-B CONCRETE FORMING AND ACCESSORIES, REINFORCING STEEL, FIBER-REINFORCED POLYMER REINFORCING, STRUCTURAL CONCRETE, CONCRETE RETAINING WALLS, AIR AND VAPOR BARRIERS as applies, JOINT SEALANTS as applies (PREQUAL REQUIRED)

$ 1,250,000.00 C-8;C-50

CM-15-16-01-SEC-C CONCRETE UNIT MASONRY,STONE ,MASONRY VENEER, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 250,000.00 C-29

CM-15-16-01-SEC-D SHOP-APPLIED METAL COATINGS as applies, STRUCTURAL STEEL FRAMING, STEEL DECKING, METAL FABRICATIONS, CHAIN LINK PARTITIONS, ROOF TIE-BACK ANCHORS. (PREQUAL REQUIRED)

$ 500,000.00 C-51, C-13, C-23

CM-15-16-01-SEC-E METAL STAIRS (PREQUAL REQUIRED) $ 250,000.00 C-51, C-23, C-61/D24

CM-15-16-01-SEC-F PLASTIC LAMINATED-CLAD ARCHITECTURAL CABINETS, CASEWORK COUNTERTOPS, PLASTIC PANELING, UPHOLSTERED SEATING, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 250,000.00 C-6

CM-15-16-01-SEC-G ROOFING RESTORATION, ROOF BOARD INSULATION, ROOF BOARD UNDERLAYMENT, ELASTOMERIC SHEET WATERPROOFING, THERMOPLASTIC MEMBRANE ROOFING, ROOF HATCHES, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 500,000.00 C-39

CM-15-16-01-SEC-H COMPOSITE WALL PANELS, SHEETMETAL FLASHING AND TRIM, EXPANSION JOINT COVER ASSEMBLIES, AIR AND VAPOR BARRIERS as applies, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 500,000.00 C-43

CM-15-16-01-SEC-I HOLLOW METAL DOORS AND FRAMES, FLUSH WOOD DOORS, DOOR HARDWARE as applies, DOOR AND HARDWARE INSTALLATION as applies. (PREQUAL REQUIRED)

$ 500,000.00 C-28


Bid Package # Description of Scope Estimated Value

Applicable License(s)

CM-15-16-01-SEC-J ALUMINUM FRAMES FOR INTERIOR PARTITIONS, SHOP APPLIED COATINGS FOR METAL as applies, ENTRANCES, STOREFRONTS, and CURTAIN WALLS, ALL-GLASS ENTRANCES, AUTOMATIC ENTRANCES, FRAMELESS GLASS PARTITIONS, GLAZED CURTAIN WALLS, DOOR HARDWARE as applies, DOOR AND HARDWARE INSTALLATION, as apllies, GLASS AND GLAZING, FIRE-RESISTANT RATED GLAZING, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$1,000,000.00 C-17

CM-15-16-01-SEC-L ELEVATOR DOOR SMOKE CONTAINMENT SYSTEM. (PREQUAL REQUIRED)

$ 162,500.00 C-61/D28

CM-15-16-01-SEC-M STRUCTURAL METAL STUD FRAMING, NON-STRUCTURAL METAL FRAMING, GLASS-FIBER REINFORCED GYPSUM FABRICATIONS, GYPSUM BOARD, STRUCTURAL METAL STUD FRAMING, ACCESS DOORS AND PANELS as applies, APPLIED FIREPROOFING, FIRESTOPPING, ROUGH CARPENTRY, ACCESS DOORS AND PANELS as applies, THERMAL INSULATION, AIR AND VAPOR BARRIERS as applies, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$2,250,000.00 C-5,C-9,C-35, C-61

CM-15-16-01-SEC-N TILING (PREQUAL REQUIRED) $ 500,000.00 C-54

CM-15-16-01-SEC-O ACOUSTICAL CEILINGS, ACOUSTICAL CEILING SUSPENSION ASSEMBLIES, MODULAR METAL CEILINGS, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 500,000.00 C-2

CM-15-16-01-SEC-P RESILIENT BASE AND ACCESSORIES, RESILIENT SHEET FLOORING, RUBBER FLOORING, TILE CARPETING. (PREQUAL REQUIRED)

$ 500,000.00 C-15

CM-15-16-01-SEC-Q WALL COVERING, PAINTING, HIGH PERFORMANCE COATINGS, ABRASION- RESISTANT COATINGS. (PREQUAL REQUIRED)

$ 500,000.00 C-33, D-29

CM-15-16-01-SEC-T TOILET COMPARTMENTS, TOILET ACCESSORIES, EMERGENCY KEY BOXES, FIRE PROTECTION SPECIALTIES, METAL STORAGE SHELVING, PROJECTION SCREENS. (PREQUAL REQUIRED)

$ 250,000.00 D-34

CM-15-16-01-SEC-V LABORATORY EQUIPMENT, LABORATORY FUME HOODS, LABORATORY FITTINGS AND ACCESSORIES, LABORATORY CASEWORK. (PREQUAL REQUIRED)

$ 250,000.00 D-34

CM-15-16-01-SEC-X ELEVATOR RESTORATION. (PREQUAL REQUIRED)

$ 112,500.00 C-11


Bid Package # Description of Scope Estimated Value Applicable License(s)

CM-15-16-01-SEC-Y AUTOMATIC SPRINKLER AND STANDPIPE. (PREQUAL REQUIRED)

$ 500,000.00 C-16

CM-15-16-01-SEC-Z EXPANSION FITTINGS AND LOOPS FOR PLUMBING PIPING, SLEEVES ABD SLEEVE SEALS FOR PLUMBING PIPING, ESCUTCHEONS FOR PLUMBING PIPING, METERS AND GAGES FOR PLUMBING PIPING, GENERAL DUTY VALVES FOR PLUMBING PIPING, HANGERS AND SUPPORTS FOR PLUMBING PIPING AND EQUIPMENT, VIBRATION AND SEISMIC CONTROLS FOR PLUMBING PIPING AND EQUIPMENT, IDENTIFICATION FOR PLUMBING PIPING AND EQUIPMENT, PLUMBING INSULATION, DOMESTIC WATER PIPING, DOMESTIC WATER PIPING, DOMESTIC WATER PUMPS, SANITARY WASTE AND VENT PIPING, SANITARY WASTE PIPING SPECIALTIES, FACILITY STORM DRAINAGE PIPING, STORM DRAINAGE PIPING SPECIALTIES, DOMESTIC -WATER HEATERS, PLUMBING FIXTURES, CHEMICAL-WASTE SYSTEMS FOR LABRATORY FACILITIES, ACCESS DOORS AND PANELS as applies, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$2,000,000.00 C-36

CM-15-16-01-SEC-AA COMMON WORK RESULTS FOR HVAC, COMMON MOTOR REQUIREMENTS FOR HVAC PIPING, SLEEVES AND SLEEVE SEALS FOR HVAC PIPING, ESCUTCHEONS FOR HVAC PIPING, METERS AND GAGES FOR HVAC PIPING, HANGERS AND SUPPORTS FOR HVAC PIPING AND EQUIPMENT, VIBRATION AND SEISMIC CONTROLS FOR HVAC PIPING AND EQUIPMENT, IDENTIFICATION FOR HVAC PIPING AND EQUIPMENT, TESTING, ADJUSTING, AND BALANCING FOR HVAC, HVAC INSULATION, INSTRUMENTATION AND CONTROL FOR HVAC, HYDRONIC PIPING, METAL DUCTS, AIR DUCT ACCESSORIES, HVAC POWER VENTILATORS, AIR TERMINAL UNITS, DIFFUSERS, REGISTERS, AND GRILLES, PARTICULATE AIR FILTRATION, PACKAGED, OUTDOOR AIR CONDITIONING UNITS, SPLIT-SYSTEM AIR- CONDITIONERS, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$3,000,000.00 C-20


Bid Package # Description of Scope Estimated Value Applicable License(s)

CM-15-16-01-SEC-BB GENERAL ELECTRICAL REQUIREMENTS, LOW VOLTAGE ELECTRICAL POWER CONDUCTORS AND CABLES, GROUNDING AND BONDING, HANGERS AND SUPPORTS FOR ELECTRICAL SYSTEMS, RACEWAY AND BOXES FOR ELECTRICAL SYSTEMS, ELECTRICAL CABINETS AND ENCLOSURES, UNDERGROUND DUCTS AND RACEWAYS FOR ELECTRICAL SYSTEMS, VIBRATION AND SEISMIC CONTROLS FOR ELECTRICAL SYSTEMS, IDENTIFICATION FOR ELECTRICAL SYSTEMS, OVERCURRENT PROTECTIVE DEVICES, NETWORK LIGHTING CONTROLS, ELECTRICAL SYSTEMS COMMISSIONING, LOW VOLTAGE TRANSFORMERS, SWITCHBOARDS, PANELBOARDS, ELECTRICITY METERING, WIRING DEVICES, ENCLOSED SWITCHES AND CIRCUIT BREAKERS, STATIC UNITERRUPTIBLE SUPRESSION FOR LOW VOLTAGE ELECTRICAL POWER CIRCUITS, LIGHTING, EXTERIOR LIGHTING, STRUCTURED CABELING SYSTEM (SCS), ACCESS CONTROL/SECURITY ALARM SYSTEM, CLOSED CIRCUIT TV (CCTV) SYSTEM, FIRE ALARM SYSTEM, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$3,750,000.00 C-10

CM-15-16-01-SEC-CC EARTH MOVING, LANDSCAPE GRADING. (PREQUAL REQUIRED)

$1,750,000.00 C-12

CM-15-16-01-SEC-DD LANDSCAPE MAINTENANCE, DECOMPOSED GRANITE SURFACING, PLANT IRRIGATION, PLANTING, SEGMENTAL RETAINING WALLS, GABION RETAINING WALLS, COMPOSITE LUMBER DECKING, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$2,000,000.00 C-27

CM-15-16-01-SEC-EE CONCRETE PAVING, LANDSCAPE CONCRETE, JOINT SEALANTS as applies. (PREQUAL REQUIRED)

$ 750,000.00 C-8

CM-15-16-01-SEC-FF WATER UTILITIES, FIRE SUPPRESSION UTILITY WATER DISTRIBUTION, SANITARY SEWERAGE UTILITIES, STORM DRAINAGE UTILITIES, UTILITY TRENCH DRAINS, FOUNDATION DRAINAGE. (PREQUAL REQUIRED)

$1,250,000.00 CLASS A, C-42, C-34

CM-15-16-01-SEC-GG ASPHALT PAVING, PARKING BUMPERS, PAVEMENT MARKINGS. (PREQUAL REQUIRED)

$ 750,000.00 C-12, C-32

CM-15-16-01-SEC-HH

FINAL CLEAN $22,500 D-63

CM-15-16-01-SEC-II

STRUCTURED CABELING SYSTEM (SCS), ACCESS CONTROL/SECURITY ALARM SYSTEM, CLOSED CIRCUIT TV (CCTV) SYSTEM. (PREQUAL REQUIRED)

$ 375,000.00

C-7

CM-15-16-01-SEC-JJ

EROSION CONTROL $150,000 C27 or Class A


STATEMENT OF EXPERIANCE 1. What construction work/trade categories does your firm propose to perform on the project(s) with your firms

own labor forces? ______________________________________________________________________________________________________________________________________________________

2. Has there been any recent change (last four years) in your firm's owners, officers and/or principals (including

the RMO/RME)? YES______NO________(If yes, explain on separate signed page.) 3. Has a claim or other demand ever been made against your firm’s California Contractors License Bond?

Yes______No________ (If yes, explain on separate signed page.) 4. Has a complaint ever been filed against your firm’s California Contractors License with the California

Contractors State License Board? Yes______No________ (If yes, explain on separate signed page.) 5. Has your firm ever been unable to obtain a bond or been denied a bond for a contract?

Yes______No________ (If yes, explain on separate signed page.) 6. Has your firm ever failed to complete a construction contract? Yes______No________ (If yes, explain on

separate signed page.) 7. Has your firm ever been declared in default of a construction contract? Yes______No________ (If yes,

explain on separate signed page.) 8. Has your firm ever been assessed liquidated damages under a construction contract with either a public or

private owner? Yes______No________ (If yes, explain on separate signed page.) 9. Has any claim against your firm concerning your firm's work on a construction project ever been filed in court

or been submitted to arbitration or mediation by either a public or private owner? Yes______No________ If yes, on how many occasions?____________ (If yes, explain on separate signed page.)

10. Has your firm ever made any claim against a public or private owner concerning work or payment on a

construction project and filed that claim in court or submitted the claim to arbitration or mediation? Yes______No________ If yes, on how many occasions? (If yes, explain on separate signed page.)

11. Has your firm or any owner, officer and/or principal (including RMO/RME) of your firm ever been found guilty of violating any federal, state or local law, rule or regulation regarding a construction contract? Yes______No________ (If yes, explain on separate signed page.)

12. Has any surety made any payments on your firm's behalf to satisfy any claims made against a payment or

performance bond issued on your firm's behalf in connection with a public or private construction project? Yes______No________ If yes, on how many occasions? (If yes, explain on separate signed page.)

13. Has any insurance carrier, for any form of insurance, refused to renew an insurance policy for your firm?

Yes______No________ If yes, on how many occasions?___________ (If yes, explain on separate signed page.)


14. Within the last five years, has there ever been a period when your firm had employees but was without workers’ compensation insurance or state-approved self-insurance? Yes______No________ (If yes, explain on separate signed page.)

15. Has there been an occasion in which your firm was required to pay either back wages or penalties for your

own firm's failure to comply with California's prevailing wage laws? (Note: This question refers only to your own firm’s violation of prevailing wage laws, not to violations of the prevailing wage laws by a subcontractor.) Yes______No________ (If yes, explain on separate signed page.)

16. Has your firm ever performed work on the Palomar College campus. Yes______No________ (If yes, please complete Project Data Sheet attached as well as provide:

a. Palomar College references and contact information. 17. Has your firm ever performed work on any college campus within San Diego County that was permitted by

DSA? Yes______No________ If yes, please include information on attached Project Data Sheet. Also provide name of college reference and contact information if known.

18. This question is directed to the following Bid Packages ONLY:

CM-15-16-01-SEC-CC “Earth Moving; Landscape Grading” CM-15-16-01-SEC-FF “Water Utilities; Fire Suppression Utility Water Distribution; Sanitary Sewerage Utilities; Storm Drainage Utilities, Utility Trench Drains; and Foundation Drainage. The Project Soils Report indicates there is a possibility of rock or material so dense that blasting may be required to obtain subgrade and/or over-excavation in the case of earthwork or bottom of trench depth in the case of site utilities. Please indicate the following: a. Has your firm had experience with rock blasting internally or subcontracted to a 2

nd tier

subcontractor to perform blasting in such conditions? Yes______No________ b. If yes, please explain project circumstances and scope of

blasting:___________________________________________________________________________________________________________________________________________________________________________________________________________________________


PROJECT DATA SHEET (A separate sheet must be prepared for each project submitted.) 1. Project Name: ______________________________________________________________________ 2. Project Location: _______________________________________________________________ 3. Project Description: _______________________________________________________________ 4. Constr. Type: 5. Contract Value: 6. Construction Start & End Date: 7. Percentage of work self-performed: 8. Specific Scope of Work performed on this project:

_____________________________________________________________________________

_____________________________________________________________________________

9. How is this project comparable to the South Education Center? __________________________________________________________________________________ __________________________________________________________________________________

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

YES NO 12. Does this project qualify as a Higher Education/DSA project?

YES NO General Contractor Firm Name: General Contractor Contact: Title: General Contractor Address: General Contractor City: State: _____Zip: ________ General Contractor Phone: ( ) Fax: ( ) General Contractor E-mail Address:

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


8. SAFETY PROGRAM 1. 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: _________________________________________________________

2. Does your firm have a written safety program that meets CAL/OSHA requirements? YES NO 3. Will your firm have personnel permanently assigned and dedicated to Safety on this project? YES NO 4. 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.)

5. 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. ________________________________________________________________________ ________________________________________________________________________


6. What was your company’s Experience Modification Rate (EMR) for the following years:

Year Incident Rate

2015

2014

2013

2012

Provide EMR verification from State of California or insurance company for the most recent calendar year.

7. Has CAL OSHA cited and assessed penalties against your firm for any "serious," "willful" or "repeat"

violations of its safety or health regulations in the past five years? (Note: If you have filed an appeal of a citation and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.) YES______NO________NUMBER OF OCCASIONS___________ (If yes, explain on separate signed page.)

8. Has the federal Occupational Safety and Health Administration cited and assessed penalties against

your firm in the past five years? (Note: If you have filed an appeal of a citation and the appropriate appeals Board has not yet ruled on your appeal, you need not include information about it.)

YES______NO________NUMBER OF OCCASIONS___________ (If yes, explain on separate signed page.)

9. Has the EPA or any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either your firm or the owner of a project on which your firm was the contractor in the past five years? (Note: If you have filed an appeal of a citation and the appropriate appeals Board has not yet ruled on your appeal, you need not include information about it.) YES______NO________NUMBER OF OCCASIONS___________ (If yes, explain on separate signed paper.)

10. QUALITY CONTROL/QUALITY ASSURANCE PROGRAM (QC/QA) A. Does your firm have a written quality control/quality assurance program? YES NO


11. BUSINESS CONSTRUCTION REVENUE

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

A. List average yearly volume of work for each of the past 5 years. Revenue and amount of

reinvestment income. YEAR REVENUE/VOLUME REINVESTED INCOME ____________ __________________________ ________________________ ____________ __________________________ ________________________ ____________ __________________________ ________________________ ____________ __________________________ ________________________ ___________ __________________________ ________________________ ___________ __________________________ ________________________ B. List value of work currently on backlog, with percent complete, as appropriate. WORK VALUE % COMPLETE ____________________________________ ____________ ____________ ____________________________________ ____________ ____________ ____________________________________ ____________ ____________ ____________________________________ ____________ ____________ ____________________________________ ____________ ____________ ____________________________________ ____________ ____________ C. Attach a financial statement, preferably audited, including your organization’s latest

balance sheet and income statement.

bid package prequalification palomar community college

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