rfq-cp-10-04 design build services for whiteview parkway...

RFQ-CP-10-04 Design Build Services for Whiteview Parkway Multi-Use Path - Phase 2

Required Submittals Packet

RFQ – Due November 3, 2010 1. RFQ submittal that demonstrates your firm’s ability to meet the criteria outlined on pages 21 – 23 of the

front end documents (Exhibit A – Instructions for the Preparation of Qualifications). Please clearly tab each section.

2. The following twenty-four (24) pages (filled out completely). Please submit as Section 6 – Forms. 3. All addenda (signed and dated). Please submit as part of Section 6 – Forms. Only the above mentioned items need to be submitted. Please be sure to include the RFQ name and number, as well as your firm’s name, address and phone number, on the outermost envelope. Failure to provide all of the required submittals may result in the RFQ submittal to be considered non-responsive. Confidential Materials: Any materials that qualify as “trade secrets” shall be segregated and clearly labeled in order not to be considered Public Record.

INSTRUCTIONS TO BIDDERS 00010-18 EEXXHHIIBBIITT AA

Attachment A Qualification Questionnaire

Date:

Business Name:

Business Address:

Phone Number:

PART 1 - Questions to be completed by the Construction Members of the Team. The undersigned

warrants the truth and accuracy of all statements and answers herein contained. Include additional sheets if necessary. (Please provide separate questionnaires for each member of Proposer)

1.01 ORGANIZATION

A How many years has your organization been in business?

B How many permanent employees are currently employed?

C When performing General Contracting Services, what portion of the work do you normally subcontract out? (Describe the type of work and affiliated percentage.)

D Have you ever failed, or been alleged to have failed, to complete work awarded to you? If so, indicate where and why?

E Have you ever failed, or been alleged to have failed, to complete work within the Contract Time? If so, indicate where and why?

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RFQ-CP-10-04 : Whiteview Parkway Multi-Use Path - Phase Two : Project Manual - Page 000025 of 000520


F Have you ever been assessed liquidated damages, or had liquidated damages assessed against you? If so, state amount, where, and why?

G Have you ever had your bonding restricted or limited?

H Have you ever had a bond or letter of credit called by the owner of a project? If so, indicate when?

I Provide copy of Certification of Primary Contractor Team Member showing qualification under Rule 1422, Florida Administrative Code Work Class(s): Drainage & Grading.

J Provide copy of State of Florida Department of Business Professional Regulation and General Contractor license.

1.02 EXPERIENCE

A List your specific experience as a general contractor or construction manager in the following projects:

No. of Projects Largest ($) Project Construction Time of Largest Project

Design-Build Contracts

Sidewalk/Multi-Use Paths

Others

B What has been your annual volume of projects during the past five years, based on construction costs?

$

$

$ 2009 2008 2007

$ $ 2006 2005

C On how many of the projects listed in question A did you go into litigation/arbitration with the owner?

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1.03 CURRENT WORKLOAD

A Express the current workload in Florida of your organization on a project basis, broken down as follows: No. of Projects Dollar Value Pre-construction

$

Under Construction

$

Complete, but not closed out

$

B If the project that is the subject of this inquiry puts your work load above your estimated capacity, how would you sufficiently increase your capacity to handle it properly? Yes No Add staff by direct hire

Subcontract

Both

C Provide the following information on ten (10) of your projects that are similar to the project of this inquiry. (Please attach a separate sheet if needed.) Project Type Location Construction

Cost % of

Involvement Completion

Date

D Attach a copy of the most current balance sheet (assets and liabilities).

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E What equipment do you own that is available for the Work? (Please attach a separate sheet if needed.)

F What equipment will you purchase for the Work? (Please attach a separate sheet if needed.)

G What equipment will you rent for the Work? (Please attach a separate sheet if needed.)

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H REFERENCES

I Provide the following information on owners that have used your services more than once. (Please attach a separate sheet if needed.) Owner’s Name:

Owner’s Address:

Owner’s Phone Number:

Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

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J List the following information for five of the ten projects listed in question C of section 1.03. (Please attach a separate sheet if needed.) Project Involved:

Owner’s Name:

Owner’s Address:


Project’s Architect/Engineer

A/E’s Address:

A/E’s Phone Number:

Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


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Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


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K Provide the following information on engineers that you worked with on more than one project for the same or different owners. (Please attach a separate sheet if needed.) A/E’s Name:

A/E’s Address:


Project Involved:

A/E’s Name:

A/E’s Address:


Project Involved:

A/E’s Name:

A/E’s Address:


Project Involved:

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1.04 CERTIFICATION OF INFORMATION PROVIDED

A All the information provided herein is to the best of my knowledge complete and accurate, and can be accepted by the solicitor as a valid response to the questions asked. State the true and exact, correct, and complete name under which you do business. Construction Company Name:

Signed:

Name & Title:

Date:

Seal:

Sworn and subscribed to before me this ______ day of , 2010, in the State of , County of . Notary Public My Commission Expires:

B Attach the corporate information sheet from the Florida Department of State, Division of Corporation’s, web site.

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Date:

Business Name:

Business Address:

Phone Number:

PART 2 - Questions to be completed by Civil Engineer, Structural Engineer, Geotechnical, Survey, and

Environmental Team Members. The undersigned warrants the truth and accuracy of all statements and answers herein contained. Include additional sheets if necessary. (Please provide separate questionnaires for each member of the Professional Design Team)

2.01 ORGANIZATION

A How many years has your organization been in business as a General Contractor?

B How many permanent employees are currently employed?

C Designate the titles, licenses, and technical level of all personnel, by category that will be assigned to this project.

D Provide copy of Certification of Primary Professional Team Member showing qualification under Rule 1475, Florida Administrative Code Work Class: 3.1 Minor Highway Design.

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2.02 EXPERIENCE

A List your specific experience as a Architect/Engineer in the following projects:

No. of Projects Largest ($) Project Construction Time of Largest Project

Design-Build Contracts

Sidewalk/Multi-Use Paths

Others

B What has been your annual volume of projects during the past five years, based on construction costs?

$

$

$ 2009 2008 2007

$ $ 2006 2005

C On how many of the projects listed in question A did you go into litigation/arbitration with the owner?

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2.03 CURRENT WORKLOAD

A Express the current workload in Florida of your organization on a project basis, broken down as follows: No. of Projects Dollar Value Feasibility/Planning

$

Schematics/Preliminary Design

$

Design Development / Final Design

$

Construction Documents

$

Out for Bids

$

Contract Administration

$

B If the project that is the subject of this inquiry puts your work load above your estimated capacity, how would you sufficiently increase your capacity to handle it properly? Yes No Add staff by direct hire

Subcontract

Both

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C Provide the following information on ten (10) of your projects that are similar to the project of this inquiry. (Please attach a separate sheet if needed.) Project Type Location Design Fee % of

Involvement Completion

Date

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2.04 REFERENCES

A Provide the following information on owners that have used your services more than once. (Please attach a separate sheet if needed.) Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:


Project Involved:

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B List the following information for five of the ten projects listed in question C of section 2.03. (Please attach a separate sheet if needed.) Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


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Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


Project Involved:

Owner’s Name:

Owner’s Address:



A/E’s Address:


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C Provide the following information on general contractors or construction managers that you worked with on more than one project for the same or different owners. (Please attach a separate sheet if needed.) GC/CM’s Name:

GC/CM’s Address:

GC/CM’s Phone Number:

Project Involved:

GC/CM’s Name:

GC/CM’s Address:


Project Involved:

GC/CM’s Name:

GC/CM’s Address:


Project Involved:

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2.05 CERTIFICATION OF INFORMATION PROVIDED

A All the information provided herein is to the best of my knowledge complete and accurate, and can be accepted by the solicitor as a valid response to the questions asked. State the true and exact, correct, and complete name under which you do business. Consultant Name:

Signed:

Name & Title:

Date:

Seal:

Sworn and subscribed to before me this ______ day of , 2010, in the State of , County of . Notary Public My Commission Expires:

B Attach the corporate information sheet from the Florida Department of State, Division of Corporation’s, web site.

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Attachment B Qualification

PROJECT: Whiteview Parkway Multi-Use Path – Phase Two City CONTRACT NO. RFQ-CP-10-04 Name of Proposer: Mailing Address: Street Address: City/State/Zip: Phone Number: (_______) FAX Number: (________) Pursuant to and in compliance with the Request for Qualifications, Instructions to Proposers, and the other documents relating thereto, the undersigned Proposer, having familiarized himself with the RFQ, including Addenda Nos. _____________ through_____________, on file at the Purchasing & Contracts Management Division. The undersigned, as Proposer, declares that the only persons or parties interested in this RFQ as principals are those named herein; that this RFQ is made without collusion with any person, firm or corporation; and he proposes and agrees, if the qualification is accepted, that he is aware that failure to properly comply with the requirements set out in the "Instructions to Proposers" and elsewhere in the Contract Documents may result in a finding that the Proposer is non-responsive. IN WITNESS WHEREOF, PROPOSER has hereunto executed this FORM this _________ day of ______________, 20_____. ______________________________ _____________________________ (Name of PROPOSER) (Signature of person signing FORM) ___________________________________ (Printed name of person signing FORM) ___________________________________ (Title of person signing FORM)

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Attachment C Proposer's Certification

I have carefully examined the Request for Qualifications, Instructions to Proposers, General and/or Special Conditions, Vendor's Notes, Specifications, proposed agreement and any other documents accompanying or made a part of this RFQ. I agree to all conditions of this RFQ and understand that a background investigation may be conducted by the City of Palm Coast Purchasing & Contracts Management Division prior to award. I certify that all information contained in this RFQ is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this RFQ on behalf of the vendor/contractor as its act and deed and that the vendor/contractor is ready, willing and able to submit s for future Invitation to s. I further certify, under oath, that this RFQ is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a qualification for the same product or service; no officer, employee or agent of the City of Palm Coast or of any other Proposer interested in said RFQ; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. Name of Business Sworn to and subscribed before me By: This day of Signature 20 Name & Title, Typed or Printed Signature of Notary Notary Public, State of Mailing Address Personally Known -OR- City, State, Zip Code Produced Identification ( ) Type: Telephone Number

THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR QUALIFICATION

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Attachment D Conflict of Interest Statement

STATE OF FLORIDA ) ) ss City OF ____________________ )

Before me, the undersigned authority, personally appeared __________________________________________, who was duly sworn, deposes, and states: 1. I am the ___________________________ of __________________________________ with a local office in ______________________ and principal office in ________________________________. 2. The above named entity is submitting an Expression of Interest for the City of Palm Coast project described as RFQ-CP-10-04 3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 4. The Affiant states that only one submittal for the above project is being submitted and that the above named entity has no financial interest in other entities submitting qualifications for the same project. 5. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in connection with the entity's submittal for the above project. This statement restricts the discussion of pricing data until the completion of negotiations and execution of the Agreement for this project. 6. Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participating in contract lettings by any local, state, or federal agency. 7. Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 8. I certify that no member of the entity's ownership, management, or staff has a vested interest in any aspect of or Department of the City of Palm Coast. 9. I certify that no member of the entity's ownership or management is presently applying for an employee position or actively seeking an elected position with the City of Palm Coast. 10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Palm Coast in writing. DATED this ___________________ day of ________________________________, 20______. _________________________________________________ Typed Name of Affiant ___________________________________________ Title

Sworn to and subscribed before me this ___________ day of ______________________, 20______.

Personally known_____________________________ __________________________________________

OR Produced identification______________________ Notary Public - State of ______________________

___________________________________________ My commission expires_______________________ (Type of identification) __________________________________________ (Printed typed or stamped commissioned name of notary public)


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Attachment E Compliance with the Public Records Law

Upon selection as a pre-qualified contractor (vendor) or ten (10) days after receiving, submittals become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes. Proposers must invoke the exemptions to disclosure provided by law in the response to the solicitation, and must identify the data or other materials to be protected, and must state the reasons why such exclusion from public disclosure is necessary. The submission of a qualification authorizes release of your firm’s credit data to the City of Palm Coast. If the company submits information exempt from public disclosure, the company must identify with specificity which pages/paragraphs of their /qualification package are exempt from the Public Records Act, identifying the specific exemption section that applies to each. The protected information must be submitted to the City in a separate envelope marked accordingly. By submitting a response to this solicitation, the company agrees to defend the City in the event we are forced to litigate the public records status of the company’s documents. Company Name: _______________________________________________________ Authorized representative (printed): ________________________________________ Authorized representative (signature): ______________________________________ Date: ______________________________ Project Number: RFQ-CP-10-04 Whiteview Parkway Multi-Use Path – Phase Two


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Attachment F Drug-Free Work Place Form

The undersigned vendor in accordance with Florida statute 287.087 hereby certifies that _______________________ does: (Name of Business) 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are proposed a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under qualification, the employee will propose by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contender to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.


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Attachment G Request for Taxpayer Identification Number and Certification

(W-9 Form)


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