NOTICE OF ANNUAL PRE-QUALIFICATION OF CONTRACTORS FOR THE INSTALLATION, REPLACEMENT AND/OR RELOCATION OF PUMP STATIONS AND APPURTENANCES

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1 December 28, 2010 NOTICE OF ANNUAL PRE-QUALIFICATION OF CONTRACTORS FOR THE INSTALLATION, REPLACEMENT AND/OR RELOCATION OF PUMP STATIONS AND APPURTENANCES The Gwinnett County Board of Commissioners is soliciting applications from Contractors for annual prequalification to furnish labor, materials and equipment for the installation, replacement and / or relocation of pump stations and appurtenances at various locations throughout Gwinnett County. Special Conditions: The Gwinnett County Department of Water Resources shall comply with O.C.G.A as amended for mandatory pre-qualification of prospective bidders. Therefore, interested applicants should obtain an Annual Pre-Qualification Application for the Installation, Replacement and/or Relocation of Pump Stations and Appurtenances from the Gwinnett County Purchasing Office, 75 Langley Drive, Lawrenceville, Georgia (Telephone ). Applications will be evaluated based on established criteria listed in the application. All qualified and disqualified applicants will be notified in writing. Contractors will be considered "pre-qualified" upon issuance of the notification of pre-qualification. Pre-qualified Contractors will remain "pre-qualified" until the County determines otherwise. One (1) original application must be completed and date stamped into the Gwinnett County Purchasing Office. Although the Purchasing Division will take effort to notify pre-qualified Contractors of bids that are based on the established criteria of the application, it is the Contractor's ultimate responsibility to ensure that they remain abreast of Gwinnett County's solicitations. Depending on the scope and complexity of work to be performed, individual projects may require a project-specific pre-qualification, independent of the annual prequalification process. The review and approval process will require a minimum of three weeks from the date application is received into the Gwinnett County Purchasing Office. Contractors under consideration for pre-qualification may not submit bids for projects that have advertised prior to the contractor's notification of pre-qualification. Questions regarding annual pre-qualification applications should be submitted in writing to Shelley McWhorter, Purchasing Associate III, fax /8731 or Shelley.McWhorter@gwinnettcounty.com. Any firm not pre-qualified may direct concerns to Shelley McWhorter. Applicant shall not attach information in lieu of completion of the application document. All information requested by the County shall be provided within the application document; however, additional pages may be attached if more space is required or as otherwise instructed within the application document. All additional pages should be clearly labeled with the applicant s name, section, name item number and page number. Applicant s qualification will be determined based upon the information presented. All questions must be answered in full, without exception. Failure to do so may result in the applicant being deemed non-responsive and therefore may not be considered for qualification. GWINNETT COUNTY BOARD OF COMMISSIONERS

2 Rev

3 PAGE: PQ 1 Date of Application: APPLICATION FOR PREQUALIFICATION TO BID CONSTRUCTION PROJECT Project Name: Annual Prequalification of Contractors for the Installation, Replacement and/or Relocation of Pump Stations and Appurtenances Type of Project: Description: Pump Stations and Appurtenances Qualify Contractors to furnish labor, materials and equipment for the installation, replacement or rehabilitation of pump stations and appurtenances at various locations in Gwinnett County. Owner Name: Gwinnett County Applicant Name: te: Gwinnett County reserves the right to approve of all personnel provided by the Contractor including but not limited to Project Managers, Project Superintendents and subcontractors for any portion of work resulting from this pre-qualification process. GWINNETT COUNTY DEPARTMENT OF WATER RESOURCES USE ONLY Approved: t Approved: Date: Initials: PQ1 Rev

4 PAGE: PQ 2 I. INSTRUCTIONS A. Applicant SHALL NOT attach information in lieu of completion of the application document. All information requested by the County SHALL be provided within the application document, however, additional pages may be attached if more space is required or as otherwise instructed within the application document. All additional pages SHOULD be clearly labeled with the applicant s name, section, name item number and page number. B. Applicant s qualification WILL be determined based upon the information presented. All questions must be answered in full, without exception. Failure to do so may result in the applicant being deemed nonresponsive and therefore may not be considered for qualification. C. Only complete and accurate information shall be provided by the Applicant. The Applicant hereby warrants that, to the best of its knowledge and belief, the responses contained herein are true, accurate, and complete. The applicant SHALL complete the applicant certification on page PQ14. The Applicant also acknowledges that the Owner is relying on the truth and accuracy of the responses contained herein. If it is later discovered that any material information given in response to a question was provided by the Applicant, knowing it was false, it shall constitute grounds for immediate disqualification and termination or recision by the owner of any subsequent agreement between the Owner and the Applicant. The Owner shall also have and retain any other remedies provided by law. D. If there are any questions concerning the completion of this form, the Applicant is encouraged to contact the Owner s representative, Shelley McWhorter, Purchasing Associate III, at Gwinnett County Purchasing Division, telephone or fax /8731. E. The original completed form must be date stamped into the Gwinnett County Purchasing Office. The envelope should be clearly marked with the title of the pre-qualification. PQ2 Rev

5 PAGE: PQ 3 II. MINIMUM PREQUALIFICATION CRITERIA IMPORTANT MINIMUM PREQUALIFICATION CRITERIA A. Bonding Company must be licensed to do business in Georgia, licensed to do business by the Georgia Secretary of State, authorized to do business in Georgia by the Georgia Insurance Department; listed in the Department of the Treasury s Publication of Companies Holding Certificates of Authority as Acceptable Surety on Federal Bonds and as Acceptable Reinsuring Companies and have A.M. BEST Rating of A-, FSC VI or higher. Applicant must list name of Bond or Surety Company providing bond - not just the name of Bonding Agent. B. Regarding section V Company Experience Similar Projects - The satisfactory completion of at least one (1) pump station project consisting of new construction of a single 7 million gallon per day or larger pump station and appurtenances, or a single pump station and appurtenances of $2,000,000 in value or greater, independent of any treatment plant work, completed within the past (15) fifteen years; And/or, at least three (3) pump station projects consisting of replacement or rehabilitation a single 0.5 million gallon per day or larger pump station and appurtenances, and/or of $200,000 in value or greater, independent of any treatment plant work, completed within the past (15) fifteen years, of which each of these projects would should show coordination with the Owner on shutdown and did not have an overflow or spill associated with the work. Each pump station shall have had the coordination of electrical and instrumentation installation. One (1) of the four (4) projects shall have had rock excavation. Further, the applicant must have been the primary contractor for all of the four (4) projects listed in this section. C. At least 50 percent of the work will be performed by personnel directly employed by the applicant. D. Corporations (including principal/corporate officers), Partners and/or Individuals interested in being considered for prequalification with Gwinnett County shall not be currently under indictment for criminal misconduct involving any local, state or federal government entity. PQ3 Rev

6 PAGE: PQ 4 III. GENERAL BACKGROUND A. Current name and address of Applicant: 1. Applicant Name: Mailing Address: City: State and Zip: Business Address City: State and Zip: Telephone and Fax: Applicant is: Corporation Partnership Individual (Complete appropriate Affidavit on pages PQ11, 12 & 13 of this Application) 3. Applicant is: Licensed to conduct utility business in the State of Georgia? B. Principals/Officers/Individuals authorized to sign contracts: Name and Title: Name and Title: Name and Title: Name and Title: Name and Title: C. What percentage of the work will the Applicant perform with its own employees: % If, Provide State of Georgia Utility Applicants License Number: D. Is applicant currently under indictment for criminal misconduct involving any local, state or federal government entity? Has applicant ever been indicted involving any local, state or federal government entity? If so, what was the disposition of the charges? PQ4 Rev

7 PAGE: PQ 5 IV. BONDING A. Bonding Capacities: 1. What is the Applicant s current total bonding capacity with a contract surety company? $ Maximum 2. What is the Applicant s current single contract bonding capacity with a contract surety company? $ Single B. Please identify the Applicant s surety company and the current line of bonding credit that company has extended to the Applicant. 1. Bond Surety Company (Bid) Name: Mailing Address: City: State and Zip: Telephone and Fax: Address: Bonding Credit: 2. Bond Surety Company (Payment and Performance) Name: Mailing Address: City: State and Zip: Telephone and Fax: Address: Bonding Credit: C. Please give the name, address, and telephone number of your current surety agent or underwriting contact: Name: Mailing Address: City: State and Zip: Telephone and Fax: Address: PQ5 Rev

8 PAGE: PQ 6 V. COMPANY EXPERIENCE SIMILAR PROJECTS Beginning on the following pages PQ 7 through PQ 10, list at least one (1) pump station project consisting of new construction of a single 7 million gallon per day or larger pump station and appurtenances, or a single pump station and appurtenances of $2,000,000 in value or greater, independent of any treatment plant work, completed within the past (15) fifteen years; And/or, at least three (3) pump station projects consisting of replacement or rehabilitation a single 0.5 million gallon per day or larger pump station and appurtenances, and/or of $200,000 in value or greater, independent of any treatment plant work, completed within the past (15) fifteen years, of which each of these projects would should show coordination with the Owner on shutdown and did not have an overflow or spill associated with the work. Each pump station shall have had the coordination of electrical and instrumentation installation. One (1) of the four (4) projects shall have had rock excavation. Further, the applicant must have been the primary contractor for all of the four (4) projects listed in this section. Further, list projects for which the applicant was the primary contractor most closely resemble the work proposed under the description on PQ1. Describe projects in terms of degree of difficulty, problems encountered, etc., or any pertinent information that might be used to evaluate your request for prequalification. PQ6 Rev

9 PAGE: PQ 7 A. Project. 1 Project Name: Location: Project Owner: Address: Contact Person Telephone: Contact Person Project Engineer: Address: Contact Person Telephone: Contact Person Contract Bid Amount: $ Final Contract Amount: $ Contract Completion Time: Established Days: Actual Completion Days: Contract Dates: tice to Proceed: Final Completion Date: Project Description (select from the categories of pumps stations below): Water Pump Station: : : Size (MGD): Cost: Sewage Pump Station: : : Size (MGD): Cost: Did this contract require the contractor to utilize bypass pumping on a continuously operated pump station? Were you the primary contractor on this contract? Did this contract require the contractor to coordinate with the Owner on pump station shutdown? Did this project have submersible pump installations? Did this project include the installation of SCADA control, telemetry and instrumentation? Did this project include the pouring of concrete walls, floors and ceilings? Did this project have erosion control? Did this project have rock excavation and blasting? Explain what the shutdown coordination consisted of: At any time during this contract, did an overflow or spill occur? Comments: PQ7

10 PAGE: PQ 8 Project. 2 Project Name: Location: Project Owner: Address: Contact Person Telephone: Contact Person Project Engineer: Address: Contact Person Telephone: Contact Person Contract Bid Amount: $ Final Contract Amount: $ Contract Completion Time: Established Days: Actual Completion Days: Contract Dates: tice to Proceed: Final Completion Date: Project Description (select from the categories of pumps stations below): Water Pump Station: : : Size (MGD): Cost: Sewage Pump Station: : : Size (MGD): Cost: Did this contract require the contractor to utilize bypass pumping on a continuously operated pump station? Were you the primary contractor on this contract? Did this contract require the contractor to coordinate with the Owner on pump station shutdown? Did this project have submersible pump installations? Did this project include the installation of SCADA control, telemetry and instrumentation? Did this project include the pouring of concrete walls, floors and ceilings? Did this project have erosion control? Did this project have rock excavation and blasting? Explain what the shutdown coordination consisted of: At any time during this contract, did an overflow or spill occur? Comments: PQ8

11 PAGE: PQ 9 Project. 3 Project Name: Location: Project Owner: Address: Contact Person Telephone: Contact Person Project Engineer: Address: Contact Person Telephone: Contact Person Contract Bid Amount: $ Final Contract Amount: $ Contract Completion Time: Established Days: Actual Completion Days: Contract Dates: tice to Proceed: Final Completion Date: Project Description (select from the categories of pumps stations below): Water Pump Station: : : Size (MGD): Cost: Sewage Pump Station: : : Size (MGD): Cost: Did this contract require the contractor to utilize bypass pumping on a continuously operated pump station? Were you the primary contractor on this contract? Did this contract require the contractor to coordinate with the Owner on pump station shutdown? Did this project have submersible pump installations? Did this project include the installation of SCADA control, telemetry and instrumentation? Did this project include the pouring of concrete walls, floors and ceilings? Did this project have erosion control? Did this project have rock excavation and blasting? Explain what the shutdown coordination consisted of: At any time during this contract, did an overflow or spill occur? Comments: PQ9

12 PAGE: PQ 10 Project. 4 Project Name: Location: Project Owner: Address: Contact Person Telephone: Contact Person Project Engineer: Address: Contact Person Telephone: Contact Person Contract Bid Amount: $ Final Contract Amount: $ Contract Completion Time: Established Days: Actual Completion Days: Contract Dates: tice to Proceed: Final Completion Date: Project Description (select from the categories of pumps stations below): Water Pump Station: : : Size (MGD): Cost: Sewage Pump Station: : : Size (MGD): Cost: Did this contract require the contractor to utilize bypass pumping on a continuously operated pump station? Were you the primary contractor on this contract? Did this contract require the contractor to coordinate with the Owner on pump station shutdown? Did this project have submersible pump installations? Did this project include the installation of SCADA control, telemetry and instrumentation? Did this project include the pouring of concrete walls, floors and ceilings? Did this project have erosion control? Did this project have rock excavation and blasting? Explain what the shutdown coordination consisted of: At any time during this contract, did an overflow or spill occur? Comments: PQ10

13 PAGE: PQ 11 AFFIDAVIT FOR CORPORATION STATE OF ) SS. County of ) that he/she is Title of, Name ), being duly sworn, deposes and says: Company the corporation submitting the attached Application for Prequalification, that he/she has read the same, that he/she has personal knowledge of the facts and statements made therein and that he/she certifies that the facts and statements made therein are true and correct. Sworn to before me this day of 200. Officer must sign here Sworn to and subscribed before me this day of 201. My Commission Expires: tary Public Seal PQ11

14 PAGE: PQ 12 AFFIDAVIT FOR PARTNERSHIP STATE OF ) SS. County of ) that he/she is Title of, Name ), being duly sworn, deposes and says: Company the partnership submitting the attached Application for Prequalification, that he/she has read the same and that the same is true and correct. Sworn to before me this day of 201. General Partner must sign here Sworn to and subscribed before me this day of 201. My Commission Expires: tary Public Seal PQ12

15 PAGE: PQ 13 AFFIDAVIT FOR INDIVIDUAL STATE OF ) SS. County of ) that he/she is Title of, Name Applicant ), being duly sworn, deposes and says: the applicant submitting the attached Application for Prequalification, that he/she has read the same and that the same is true and correct. Sworn to before me this day of 201. Applicant must sign here Sworn to and subscribed before me this day of 201. My Commission Expires: tary Public Seal PQ13

16 PAGE: PQ 14 APPLICANT CERTIFICATION I certify to the Owner that the information and responses provided on this application for Prequalification are true, accurate and complete. The Owner, or its designated representative, may contact any entity or reference listed in this Application. Each entity or reference may make any information concerning the Applicant available to the Owner or its designated representative. Sworn to before me this day of 201. APPLICANT: By: Title: Sworn to and subscribed before me this day of 201. My Commission Expires: tary Public Seal PQ14

17 PAGE: PQ 15 FOR GWINNETT COUNTY DEPARTMENT OF WATER RESOURCES USE ONLY #1 Project Name: Telephone: Date Contacted: Comments: #2 Project Name: Telephone: Date Contacted: Comments: #3 Project Name: Telephone: Date Contacted: Comments: #4 Project Name: Telephone: Date Contacted: Comments: End of Application PQ15

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