HomeMy WebLinkAbout06-36 - Adopting Prequalification Program; Public Contract Code Sec 10163 for Construction of Police Facilityr
RESOLUTION NO. 06-,_L6
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
COSTA MESA, CALIFORNIA, ADOPTING A
PREQUALIFICATION PROGRAM INCLUDING
PREQUALIFICATION STATEMENT, UNIFORM SYSTEM
OF RATING, AND APPEAL PROCEDURE PURSUANT TO
PUBLIC CONTRACT CODE SECTION 10163 FOR
CONSTRUCTION OF THE POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
THE CITY COUNCIL OF THE CITY OF COSTA MESA DOES HEREBY
RESOLVE AS FOLLOWS:
WHEREAS, the City of Costa Mesa ("City") desires to prequalify potential
bidders for the City's Police Facility Expansion and Renovation Project; and
WHEREAS, Public Contract Code section 20101 authorizes the City to
require prospective bidders to submit a standardized questionnaire and financial
statement prior to bidding on specific construction projects; and
WHEREAS, City staff has developed a standardized questionnaire and
request for financial statement in accordance with Public Contract Code section
20101 (collectively "Statement"). A copy of the Statement is attached hereto as
Exhibit "A" and incorporated herein; and
WHEREAS, Public Contract Code section 20101 also requires the City to
adopt a uniform system of rating bidders based upon the basis of the completed
Statements; and
WHEREAS, City staff has developed an evaluation procedure for the
purpose of applying a uniform system of rating potential bidders based upon the
basis of the completed Statements ("Rating System"). A copy of the Rating
System is attached hereto as Exhibit "B" and incorporated herein; and
WHEREAS, the Statement includes a process for potential bidders to
appeal certain decisions with respect to the prequalification process ("Appeal
Process"); and
WHEREAS, the City desires to adopt the Statement, the Rating System,
and the Appeal Process (collectively, the "Prequalification Program");
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF COSTA
MESA DOES ORDER AND RESOLVE AS FOLLOWS;
1. That the above recitals are true and correct.
2. That the Prequalification Program is approved and adopted pursuant
to Public Contract Code section 20101.
3. That the Director of Public Services, or his designee, is authorized to
implement a prequalification process for the Project consistent with the
Prequalification Program and Public Contract Code section 20101.
4. That the City shall only accept bids for the Project from contractors
that have prequalified to bid on the Project in accordance with the
Prequalification Program.
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PASSED AND ADOPTED this 18TH day of April, 2006.
.ATTEST:
ity C k of the City of Costa Mesa
ir
3
Mayor of the City of Costa Mesa
APPROVED AS TO FORM:
)� - / )J" -q &-z-ej
City Attorney
f dd' r
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) ss
CITY OF COSTA MESA )
I, JULIE FOLCIK, City Clerk of the City of Costa Mesa, DO HEREBY CERTIFY
that foregoing Resolution No. 06-36 was duly passed and adopted by the City Council
of the City of Costa Mesa at a regular meeting held on the 18th day of April, 2006, by
the following roll call vote, to wit:
AYES: COUNCIL MEMBERS: MANSOOR, BEVER, DIXON, AND FOLEY
NOES: COUNCIL MEMBERS: NONE
ABSENT: COUNCIL MEMBERS
MONAHAN
IN WITNESS WHEREOF, I have hereby set my hand and affixed the seal of the
City of Costa Mesa this 19th day of April, 2006.
JU FO , CITY CLERK
(SEAL) -.
I FURTHER HEREBY CERTIFY that this is the original of Resolution No. 06-36 adopted
by the Costa Mesa City Council at the regular meeting held April 18, 2006.
J U'r"'r'FO , CITY CLERK
(SEAL)
4
EXHIBIT "A"
PREQUALIFICATION STATEMENT
, C.
PREQUALIFICATION DOCUMENTS
CITY OF COSTA MESA
POLICE FACILITY EXPANSION AND RENOVATION PROJECT
99 Fair Drive
Costa Mesa, CA 92626
PREQUALIFICATION DOCUMENTS
• NOTICE INVITING PREQUALIFICATION STATEMENTS
1.0 Announcement
2.0 Date of Submittal
3.0 Prequalification Job Walk
4.0 Location of Project
5.0 Project Description
6.0 Contractor Prequalification Procedures
• PREQUALIFICATION
Criteria
1.0 License
2.0 Surety And Bonding
3.0 Insurance
4.0 Construction Experience - Completed Building Construction Projects
5.0 Construction - Current Projects
6.0 Staff Roster/Functions
7.0 Claims, Arbitration and Litigation History
8.0 Prior Disqualification
9.0 Violations of Federal or State Law
Informational
10.0 Financial Condition
11.0 Safety Record
12.0 List Of Owners
• PREQUALIFICATION CHECKLIST
CITY OF COSTA MESA PREQUALIFICATION DOCUMENTS 2 of 2
COSTA MESA POLICE FACILITY EXPANSION
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NOTICE INVITING PREQUALIFICATION STATEMENTS
For
CITY OF COSTA MESA
POLICE FACILITY EXPANSION AND RENOVATION PROJECT
99 Fair Drive
Costa Mesa, CA 92626
TABLE OF CONTENTS
1.0 Announcement
2.0 Date of Submittal
3.0 Prequalification Job Walk
4.0 Location of Project
5.0 Project Description
6.0 Contractor Prequalification Procedures
7.0 Evaluation of Statements
8.0 Appealing a Qualification Finding
CITY OF COSTA MESA 1 of 7
COSTA MESA POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
1.0 ANNOUNCEMENT
NOTICE IS HEREBY GIVEN that, as part of a two-step public bidding procedure,
responses to Contractor Prequalfications Statements (Step One) will be received by the
City of Costa Mesa for qualification to bid (Step Two) on construction of the COSTA
MESA POLICE FACILITY EXPANSION AND RENOVATION PROJECT.
This first step will be open to all licensed general contractors who wish to be considered
for Prequalification. Step Two of this process (submission of the bid) will be restricted to
only those general contractors who are determined by the Agency to be prequalified as
a result of this process. General contractors who are interested in prequalifying for this
project and want to obtain a Prequalification Packet should call, Ms. Irina Gurovich of
the City at (714) 754-5324. After receipt of the Prequalification Packet, specific
questions should be directed in writing to the City's Construction Manager, Harris &
Associates, Mr. Jim Guerrero at (949) 655-3900, or fax at (949) 655-3995.
2.0 DATE OF SUBMITTAL
Contractor Prequalification Statements will be available _starting April 19, 2006, and
must be returned in a sealed envelope to the. City Clerk's office prior to 5:00 P.M. on
Thursday, -May 18, 2006. No prequalification documents will be accepted after this
time. However, the Agency reserves the right to request, receive and evaluate
supplemental information from contractors and other sources/references as is deemed
necessary to properly evaluate their qualifications. Contractor Prequalification
Statements shall be submitted in sealed envelopes marked on the outside,
"CONTRACTOR PREQUALIFICATION STATEMENT, COSTA MESA POLICE
FACILITY EXPANSION AND RENOVATION".
3.0 PREQUALIFICATION JOB WALK
On Thursday, May 4, 2006 at 2:00 P.M., a non -mandatory Prequalification Job Walk will
be conducted for all interested general contractors at 99 Fair Drive, Costa Mesa, CA.
Bidders will be afforded an opportunity to review existing conditions and the proposed
construction and staging areas.
4.0 LOCATION OF PROJECT
The project is located at 99 Fair Drive, Costa Mesa, California.
CITY OF COSTA MESA 2 of 7
COSTA MESA POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
5.0 PROJECT DESCRIPTION
The Police Facility located at 99 Fair Drive, was built in the 1960's and is approximately
45,143 square feet in area. Due to the increase in size of the City and the Police staff,
the need to expand has become a reality. The first phase of the project includes the
construction of a new 11,000 square foot building adjacent to the existing building. The
existing building itself is planned for renovation, which will be performed as the second
phase of the project. The entire project is estimated at approximately $19.1 million.
Construction is estimated to take 24 months.
Construction is intended to proceed in a phased manner,
ng
facilities to remain in place and occupied until replacement facilities are ittinconstructed mostsand
put into use. It is anticipated that the temporary, on-site relocation of some facilities will
be necessary as part of this project. This will include temporary office facilities, lockers,
showers, and changing -room facilities during the existing building renovation. The
contractor will have the responsibility to comply with the project phasing and the
temporary relocation plan to minimize the impact on
project schedule, and to reduce the disruption to on-going City operations. costs and the project
6.0 CONTRACTOR PREQUALIFICATION PROCEDURES
6.1 Contractor Prequalification Packets will be available at the offices of the:
City of Costa Mesa Public Services Department, 77 Fair Drive, 4t' Floor,
Costa Mesa, California 92626.
The Prequalification Packet can be mailed (faxes not provided) to
prospective bidders unable to obtain them in person by calling Ms. Irina
Gurovich at (714) 754-5329, or by faxing your request to (714) 754-5028
provided requests are received no later than May 12, 2006.
6.2 This evaluation process (Step One) is solely for the purpose of determining
which potential bidders are deemed qualified to provide successful
performance on the type of work included in the Police Facility. The City
shall competitively determine the. low Bidder from the pool of prequalified
general contractors bidding the work on the basis of the lowest responsive
and responsible Lump Sum Base Bid (Step Two). N= Simply being pre-
qualified does not imply that the City has determined that the bidder is
responsive and/or responsible.
6.3 The City reserves the right, after reviewing the Prequalification Statements,
to reject any and all Statements, to waive any informality in the Statements
and to invite those qualified general contractors to submit bids for the project
once it is advertised.
CITY OF COSTA MESA
COSTA MESA POLICE FACILITY EXPANSION 3 of 7
AND RENOVATION PROJECT
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6.4 Contractors that have submitted Statements for review shall receive written
notification of their prequalification status. The City reserves the right to
reject any or all Statements or to waive irregularities in any Statements
received.
6.5 Nonresponsiveness. A Contractor's. Statement shall be deemed
nonresponsive if:
6.5.1 The Statement is not returned on time.
6.5.2 Contractor does not provide all requested information.
6.5.3 The Statement is not signed under penalty of perjury by individuals
who have the authority to bind the Contractor on whose behalf they
are signing.
6.5.4 Information contained in the Statement is not updated under penalty
of perjury when it is no longer accurate.
6.5.5 Any information provided by the Contractor is misleading or
inaccurate in any material manner (e.g., financial resources are
overstated; previous violations of law are not accurately reported).
Even after a Contractor has been determined to be qualified, the City
reserves the right to revoke that determination at any subsequent
time, to terminate any contract awarded, and to cease making
payments if it determines that any information provided by the
Contractor was incomplete, misleading, or inaccurate in any material
manner.
6.6 All information submitted for prequalification evaluation will be considered
public information and the City will maintain its confidentiality to the extent
permitted by law.
6.7 Prequalification of a prospective general contractor will be determined by
responses to the following information to be submitted by the bidders.
Prospective general contractors will be considered eligible to participate in
Step Two of the bid process (bid submittal), only if ALL of the following
criteria applies:
(a) Have a valid class B General -Contractor's license in good standing, and
have never had any license revoked by the State of California
Contractor's License Board; and
(b) Have not had a Surety or Bonding company finish work on any contract.
And Are able to substantiate currently available bonding capacity in
excess of $19,000,000 (Nineteen Million Dollars); and
(c) Are able to obtain the required insurance, as identified in Sections 2.0
and 3.0 of the Prequalification Statement; and
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COSTA MESA POLICE FACILITY EXPANSION
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(d) Contractor to provide evidence meeting the requirements for surety
insurance requirements in Attachment D.
(e) The Contractor by submitting prequalification documents agrees that they
will be bound by the indemnity language included in Attachment D, which
will be incorporated into the final agreement.
(f) Have complete, since
construction projects,
$19,000,000 (Nineteen
following criteria:
January 1, 1996, at least
each having an in-place
Million Dollars) and which
three 3 building
value of at least
satisfy all of the
(1) At least one (1) of the projects must have involved the construction of a
steel -framed building with hard and soft landscaping element; and
(2) At least one (1) of the projects must have been a publicly -bid or
prevailing wage (Davis -Bacon) contract of an institutional building
constructed for a public client (such as a City, County or Public
University); and
(3) All projects must have been built of Construction Type I, II or III One
Hour or Fire Resistive Construction (as defined by the Uniform Building
Code), that is, consisting of structural steel, and/or concrete structural
framing; and
(4) All projects must have been constructed in California, and
(g) Currently working on at least three 3 building construction projects,
each having an in-place value of at least $10,000,000 (Ten Million
Dollars) and which satisfy the following criteria:
(1) At least one (1) of the projects must be a publicly -bid or prevailing
wage (Davis -Bacon) contract of an institutional building constructed for
a public client (such as a City, County or Public University); and
(2) All projects must be within California, and
(h) Proposed Superintendent has acted as superintendent on at least one (1)
project following the same criteria outline in g. and/or h. above, which
must have been completed for the prospective Contractor and Proposed
Project Manager has acted as project manager on at least one (1) project
following the same criteria outlined in g. and/or h. above, which must
have been completed for the prospective Contractor; and
(i) Have not had three (3) or more claims (including demands for Liquidated
Damages) in excess of $50,000 (Fifty Thousand Dollars) filed against
CITY OF COSTA MESA
COSTA MESA POLICE FACILITY EXPANSION 5 of 7
AND RENOVATION PROJECT
AIC
them since January 1, 1996 by Owners for: (1) poor
workmanship/incomplete performance, or (2) unexcused delays in
completion, which were resolved with the result that bidder, its surety or
insurer was required to make a payment to the Owner or was assessed a
deduction in the contract price by Owner in an amount equal to or
exceeding fifty Percent (50%) of the amount claimed by Owner or (3)
termination by Owner for nonperformance; and
(j) Have not asserted three (3) or more claims in excess of $50,000 (Fifty
Thousand Dollars) for extra compensation against Owners since January
1, 1996 which were resolved with the result that bidder, its Surety or
insurer failed to receive a recovery or settlement in an amount equal to or
exceeding fifty percent (50%) of the amount claimed by bidder; and
(k) Are presently not disqualified from performing work for any public Owner
or contracting entity; and
(1) Neither the firm not its officers have been assessed any penalties by any
agency for non-compliance violations of Federal or State labor laws
and/or business or licensing regulations relating to construction projects
since January 1, 2001.
6.6 For informational purposes only, the general contractor shall provide the
following:
(a) Provide a copy of the Contractor's current audited Financial Statement;
and
(b) Provide a notarized statement from Worker's Compensation carrier
specifying bidder's current Experience Modification Rate, as required in
Section 12.0 of the Prequalification Statement.; and
(c) Provided a complete listing of all Owners contracted with on all projects
with a value of $19,000,000 (Nineteen Million Dollars) or more
undertaken since January 1, 1996.
The successful general contractor and major subcontractors may be required to
participate in a 'Partnering" workshop to be conducted by the City, and involving the
City, Architect and Construction Manager.
7.0 EVALUATION OF STATEMENTS
As stated above, each Contractor must satisfy all of the criteria, regardless of
its ranking or ability to meet other criteria, or the Contractor will not prequalify for the
Police Facility Project. The Statement contains questions for which a numerical score
will be given. for specific answer(s). A Contractor must receive a minimum number of
CITY OF COSTA MESA 6 of 7
COSTA MESA POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
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points,
points, regardless of its ability to meet other criteria, or the Contractor will not prequalify
for the Police Facility Project. Even if a Contractor satisfies all of the criteria, and
receives at least the minimum number of points, the City reserves the right to disqualify
it from bidding on other grounds.
8.0 APPEALING A QUALIFICATION FINDING
Contractor shall adhere to these procedures and timelines. Without a proper
and timely appeal, the Contractor waives any and all rights to challenge the decision of
the City, whether by administrative process, judicial process, or any other legal process
or proceeding. These procedures are ann opportunity for Contractor to present
evidence to the City supporting contractor's contention that Contractor meets the City's
qualification criteria.
Step One:
Contractor may appeal the City's decision by submitting, in writing, within
three (3) working days from notification, a request for a meeting with the City Engineer.
Contractor may submit with the request any information that it believes supports a
finding that the City's determination should be changed. After the Contractor's meeting
with the City Engineer, the City Engineer will provide the Contractor with a written
statement in response to that meeting.
Step Two:
Within three (3) working days of Contractor's receipt of written statement
from the City Engineer, the Contractor may submit, in writing, a request for a meeting
with the Director of Public Services. After the Contractor's meeting with the City's
Director of Public Services, The Director of Public Services will provide the Contractor
with a written statement in response to that meeting. The statement from the Director of
Public . Services shall be the final decision of the City.
CITY OF COSTA MESA 7 of 7
COSTA MESA POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
PREQUALIFICATION STATEMENT
For
CITY OF COSTA MESA
POLICE FACILITY EXPANSION AND RENOVATION PROJECT
99 Fair Drive
Costa Mesa, CA 92626
Each prospective bidder must submit six (6) copies of the following information on this form
and where required furnish additional copies of pages provided. If necessary, attach
supplemental information on additional blank sheets.
DECLARATION
I
the
(Printed Name) hereby declare that I am
(Title) of
(Name of Bidder)
and in submitting this Prequalification Statement that I am duly authorized to execute this
Statement on behalf of the above listed Contractor; and that all information set forth in this
Statement and all attachments hereto are, to the best of my knowledge, true, accurate, and
complete as of its submission date.
I understand that if information is discovered by the Agency regarding any project or
reference as listed herein which contradicts or discredits the statements set forth in this
Prequalification Statement, such information can be considered as grounds for
disqualification.
I declare, under penalty of perjury, that the foregoing is true and correct and that this
declaration was subscribed at
County of
on
State of
(Date).
Signature
(Location and City),
(NOTE: If signed by other than the sole proprietor, a general partner, or corporate officer
attach original notarized power of attorney or corporate resolution.)
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 1 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
TABLE OF CONTENTS
CRITERIA
1.0 License
2.0 Surety And Bonding
3.0 Insurance
4.0 Construction Experience - Completed Building Construction Projects
5.0 Construction - Current Projects
6.0 Staff Roster/Functions
7.0 Claims, Arbitration and Litigation History
8.0 Prior Disqualification
9.0 Violations of Federal or State Law
INFORMATIONAL
10.0 'Financial Condition
11.0 Safety Record
12.0 List of Owners
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 2 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
CRITERIA
D
Prequalification of a prospective general contractor will be determined by
responses to the following information to be submitted by the bidders.
Prospective general contractors will be considered eligible to participate in Step
Two of the bid process (bid submittal), only if ALL of the following criteria
applies:
1.0 LICENSE
1.1 Bidder must be licensed in the State of California as a Class "B" General
Contractor. This license must be current, valid and in good standing with the
State of California Contractor's License Board. Complete of information
requested below.
License Number Class
Date Issued Expiration Date
1.2 Has this license or any other license owned or used by the bidder or any
principal of the bidder, ever been suspended or revoked by the State of
California Contractor's License Board?
If yes, explain.
2.0 SURETY AND BONDING
2.1 Indicate the names of all Surety companies utilized by bidder since January 1,
1996 and list number of times Surety had to complete work on any project. As
required, use additional copies of this sheet.
Surety Name and City
Period Covered Projects Completed by Surety
Surety Name and City Period Covered Projects Completed by Surety
Surety Name and City
Period Covered Projects Completed by Surety
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 3 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
2.2 Attach a -notarized statement from Surety(ies), (Bonding Company or Agent)
proposed to be utilized on the POLICE FACILITY EXPANSION AND
RENOVATION PROJECT, total bonding capacity and certify that:
(a) Currently available bonding capacity exceeds $19,000,000 (Nineteen
Million Dollars); and
(b) Surety(ies) will provide binding of the CITY OF COSTA MESA in the event
that bidder is awarded project. Binding requirements are: 10% Bid Bond,
100% Labor & Materials Payment Bond, and 100% Faithful Performance
Bond.
NOTE: Surety companies used by general contractor for Payment and
Performance Bonds shall be on the date the Contract is signed by
Owner, listed in the latest published United States Treasury
Department list of "companies Holding Certificates of Authority as
Acceptable Sureties of Federal Bonds and as Acceptable Reinsuring
Companies" ("Treasury List"). The Surety Company issuing the Bid
Bond shall be listed in the Treasury List current at the bid Deadline.
3.0 INSURANCE
3.1 Provide a notarized statement or letter from the general contractor's insurance
carrier verifying the general contractor's ability to provide the following insurance
requirements:
❑ Comprehensive General Liability:
❑ Automotive Liability:
❑ Builder's Risk:
$4,000,000 (Four Million Dollars)
$1,000,000 (One Million Dollars)
Amount equal to Contractor's Bid
(Future Contract Sum)
❑ Special Endorsement of the City of Costa Mesa - Agree to Compliance
(NOTE: Included as Attachment "A")
CITY OF COSTA MESA
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
PREQUALIFICATION STATEMENT 4 of 21
4.0 CONSTRUCTION EXPERIENCE -
COMPLETED BUILDING CONSTRUCTION PROJECTS
4.1 Furnish the information requested on the forms provided in Attachment "B" for at
lest three (3), but no more than six (6), building construction projects completed
since January 1, 1996, each having an in-place value of at least $19,000,000
(Nineteen Million Dollars) and which satisfy the following criteria:
(a) One 1 of the projects must have involved the construction of a steel -
framed building with hard and soft landscaping element; and
(b) One 1 of the projects must have been a publicly -bid or prevailing wage
contract of an institutional building constructed for a public client (such as
City, County or Public University); and
(c) All projects must have been built of Construction Type I, II or III One Hour
or fire Resistive (as defined by the Uniform Building Code), that is,
consisting of structural steel, and/or concrete framing; and
(d) All projects must have been constructed in California.
5.0 CONSTRUCTION - CURRENT PROJECTS
5.1 On the forms provided in Attachment "C', provide a list of construction projects
currently in progress for which construction costs exceed $10,000,000 (Ten
Million Dollars) for at least three (3), but no more than six (6) projects and which
satisfy the following criteria:
(a) One 1 of the projects must have been a publicly -bid or prevailing wage
(Davis -Bacon) contract of an institutional building constructed for a public
client (such as City, County or Public University); and
(b) All projects must be within California
6.0 STAFF ROSTER/FUNCTIONS
6.1 Furnish a proposed organization chart includes all positions and names of
personnel anticipated to be assigned to the Project and indicate whether full or
part time.
6.2 List key members of your staff that will be assigned to or responsible for work as
a team member on this project and provide the following information for each
individual.
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 5 of 21
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AND RENOVATION PROJECT
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 6 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
Project Executive
Project Superintendent
Project Manager
Name
Title or Function
Years With Company/
Years in Construction
Years in Position
Projects Completed
For Company (Names)
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 6 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
7.0 CLAIMS, ARBITRATION AND LITIGATION HISTORY
7.1 OWNER VS. CONTRACTOR
List all Owner or Performance/Payment Bond Surety claims against the
Contractor on any project since January 1, 1996 in excess of $50,000 (Fifty
Thousand Dollars) or more for (a) poor workmanship/ incomplete performance
or (b) unexcused delays in completion which were resolved with the result that
bidder, its surety or insurer was required to make a payment to the Owner or
was assessed a deduction in the contract price by Owner in an amount equal to
or exceeding fifty percent (50%) of the amount claimed by Owner for
nonperformance. Also list pending claims. As required, use additional copies of
this sheet.
Project Name and Location:
Owner Name and Phone Number:
Contract Amount: Contract Time:
Nature of Claim:
Initiator of Claim:
Amount of Claim: $ and/or Days
Status of Claim: Pending/Current:
Final Resolution: $
Provide Any Supplemental Statement Here:
and/or
Resolved:
Days
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 7 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
{
7.2 CONTRACTOR VS. OWNER
List all claims of $50,000 (Fifty Thousand Dollars) or more for extra
compensation against Owners since January 1, 1996 which were resolved with
he result that bidder, its Surety or insurer failed to receive a recovery or
settlement in an amount equal to or exceeding fifty percent (50%) of the amount
claimed by bidder. _Also list pending claims. As required, use additional copies
of this sheet.
Project Name and Location:
Owner Name and Phone Number:
Contract Amount:
Nature of Claim:
Initiator of Claim:
Contract Time:
Amount of Claim: $ and/or
Status of Claim: Pending/Current: Resolved:
Final Resolution: $ and/or
Provide Any Supplemental Statement Here:
8.0 PRIOR DISQUALIFICATION
Days
Days
8.1 Is your firm presently disqualified from performing work for any City, County,
.Public or Private? As required, use additional copies of this sheet.
Date: Entity:
Location:
Reason:
Provide any supplemental statement here (including status):
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 8 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
M
I
VIOLATIONS OF FEDERAL OR STATE LAW
9.1 Has your firm or its officers been assessed any penalties by any agency for
non-compliance violations of Federal or State labor laws and/or business
licensing regulations since January 1, 2001, relating to your Construction
projects?
Yes/No
Federal/State
Have Penalties Been Paid? Yes/No
If "Yes" Identify and Describe (including status):
INFORMATIONAL
For informational purposes only, the general contractor shall provide the following:
10.0 FINANCIAL CONDITION
10.1 Provide a copy of your company's most recent (less than one year old)
audited Financial Statement.
11.0 SAFETY RECORD
11.1 Provide a notarized statement from the Worker's Compensation carrier
specifying bidder's current EXPERIENCE MODIFICATION RATE FOR
WORKER'S COMPENSATION for the State of California. Provide a list of
above reference ratings (expressed numerically) for the last three (3) years:
2004:
2005:
2006:
11.2 Does your firm have a written Safety Program? Yes No
If yes, provide one (1) copy.
11.3 Does your firm have personnel permanently assigned to review and establish
safety policies/procedures?
CITY OF COSTA MESA
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
PREQUALIFICATION STATEMENT 9 of 21
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11.4 Furnish information on all projects completed by general contractor since
January 1, 1996, which have any work related deaths or major injuries (a
major injury is defined as an injury which results in hospitalization of one day
or more, or loss of five or more workdays). Check whether person .was a
member of the general public, employed ' by this general contractor or by
subcontractor. As required, use additional copies of this sheet.
#1 Project Name:
Number(s) and Type(s) of Casualty:
General Public: Employee of This Contractor:
Employee of Subcontractor:
#2 Project Name:
Number(s) and Type(s) of Casualty:
General Public: Employee of This Contractor:
Employee of Subcontractor:
#3 Project Name:
Number(s) and Type(s) of Casualty:
General Public: Employee of This Contractor:
Employee of Subcontractor:
#4 Project Name:
Number(s) and Type(s) of Casualty:
General Public: Employee of This Contractor:
Employee of Subcontractor:
#5 Project Name:
Number(s) and Type(s) of Casualty:
General Public: Employee of This Contractor:
Employee of Subcontractor:
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 10 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
12.0 LIST OF OWNERS
Provide a listing of all Owners contracted with on all projects with a value
$10,000,000 (Ten Million Dollars) or more undertaken by your firm (or subsidiary
firm, whether acting as a General Contractor or any tier Subcontractor) since
January 1, 2001 regardless of size, building type, or work provided. Furnish
requested information on this form. Substitute forms may be used as long as the
minimum information corresponds with that requested below. As required, use
additional copies of this sheet.
CONTRACT or
WORK START PROJECT NAME OWNER/CONTACT PHONE
MONTHNEAR NUMBER
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 11 of 21
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
ATTACHMENT "A"
SPECIAL ENDORSEMENT
CITY OF COSTA MESA
Notwithstanding any inconsistent expression in the policy to which this endorsement is attached, or in any other
endorsement now or hereafter attached thereto, or made a part thereof, it is agreed that the policy shall and does:
1. Include the the City of Costa Mesa and its elected and appointed boards, officers, agents, and employees as
well as the Architect, the Construction Manager and other project -related consultants as additional insureds in
the policies described on the attached Certificate of Insurance as they may be held liable for injuries, death or
damage to property arising out of or in connection with the contract, executed by the named insured and the
City of Costa Mesa. It is further agreed, this policy shall be primary and noncontributing with any other
insurance or self insurance program available to the City of Costa Mesa, and includes a severability of interest
clause; and
2. Provide any general aggregate limit shall apply separately to the above subject contract; and
3. Provide the naming of the additional insureds as herein provided shall not affect any recovery to which such
additional insureds would be entitled under this policy if not named as such additional insureds; and
4. Provide the additional insureds named herein shall not be held liable for any premium or expense of any
nature on this policy or any extension thereof; and
5. Provide the additional insureds named herein shall not by any reason of being so named be considered a
member of any mutual insurance company for any purpose whatsoever; and
6. Provide the provisions of the policy shall not be charged, canceled or otherwise terminated as to the interest of
the additional insureds named herein without first giving thirty (30) days written notice thereof to the City of
Costa Mesa by certified mail, return receipt requested, and addressed as follows:
City of Costa Mesa
Attention: Susan Santoro
P.O. Box 1200
Costa Mesa, California 92628-1200
This endorsement is effective when signed below by and Authorized
representative of , and when issued to Agency shall be valid
and form part of Policy(ies) No. insuring
expiring on and shall be in the same amount for the same coverage as the Policy(ies) to which it
is attached.
Insurer:
By:
Name:
Title:
(or Name of Agent or Broker)
Address:
By:
(Signature of Authorized Representative)
(If signed by other than insurer, proof of authority to bind insurer
must accompany this form)
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 12 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
ATTACHMENT "B"
CONSTRUCTION EXPERIENCE - COMPLETED BUILDING CONSTRUCTION
PROJECT # 1 - Completed Building Construction
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person: Phone:
Original Contract: Approved Change Orders:
(dollars) (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_ "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
(yes/no)
Name of CM on Project: Contract Completion Date:
PROJECT # 2 - Completed Building Construction
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person: Phone:
Original Contract: Approved Change Orders:
(dollars) (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_'Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted:_ _ Use of Cost and/or Resource Loaded CPM Schedule:
Name of CM on Project:
Contract Completion Date:
(yes/no)
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 13 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
PROJECT # 3 - Completed Building Construction ---]
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person: Phone:
Original Contract: Approved Change Orders:
(dollars)
(dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:. "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no)
(amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
(yes/no)
Name of CM on Project: Contract Completion Date:
PROJECT # 4 - Completed Building Construction
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person: Phone:
Original Contract: Approved Change Orders:
(dollars) � (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_ "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no)
(amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM -Schedule:
(yes/no)
Name of CM on Project: Contract Completion Date:
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 14 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
ATTACHMENT "C'
CONSTRUCTION EXPERIENCE - CURRENT PROJECTS
PROJECT # 1 - Current Projects
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person:
Architect (Firm and Location):
Contact Person:
Original Contract:
(dollars)
Phone:
Phone:
Approved Change Orders:
(dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_'Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
(yes/no)
Name of CM on Project: Contract Completion Date:
PROJECT # 2 - Current Projects
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person:
Phone:
Original Contract: Approved Change Orders:
(dollars) (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_ "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
(yes/no)
Name of CM on Project: Contract Completion Date:
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 15 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
t
11
PROJECT # 3 - Current Projects
Project Name and Location:
Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person:
Architect (Firm and Location
Contact Person:
Phone:
Phone:
Original Contract: Approved Change Orders:
(dollars) (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:. "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
Name of CM on Project: Contract Completion Date: (yes/no)
PROJECT # 4 - Current Projects
Project Name and Location:
1 Description (type of construction, levels, etc.):
Owner (Entity and Location):
Contact Person: Phone:
Architect (Firm and Location):
Contact Person: Phone:
Original Contract: Approved Change Orders:
(dollars) (dollars)
Original Schedule: Approved Time Extension: Total Contract Duration:
(calendar days) (calendar days) (calendar days)
Prevailing Wages: Public Bid:_ "Partnering": Liquidated Damages Clause:
(yes/no) (yes/no) (amount)
% of Contract Subcontracted: Use of Cost and/or Resource Loaded CPM Schedule:
)
Name of CM on Project: Contract Completion Date: (yes/no
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 16 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
ATTACHMENT "D"
CONTRACT SECURITY AND GUARANTEE.
Unless previously provided by CONTRACTOR to CITY, CONTRACTOR shall fiirnish,
concurrently with the execution of this Agreement, the following: (1) a surety bond in an amount equal to
one hundred percent (100%) of the contract price as security for the faithful performance of this Agreement,
and (2) a separate surety bond in an amount equal to at least one hundred percent (100%) of the contract
price as security for the payment of all persons furnishing labor or materials in coruiection with the Work
under this Agreement. Sureties for each of the bonds and the forms thereof shall be satisfactory to CITY. In
addition, such sureties must be authorized to issue bonds in California; sureties must be listed on the latest
revision to the U.S. Department of the Treasury Circular 570; and must be shown to have sufficient bonding
capacity to provide the bonds required by the Contract Documents.
CONTRACTOR shall provide a certified copy of the certificate of authority of the surety issued
iby the Insurance Commissioner; a certificate from the clerk of the county in which the court or officer is
located that the certificate of authority of the surety has not been surrendered, revoked, canceled, annulled, or
suspended or, in the event that it has, that renewed authority has been granted; and copies of the surety's
most recent annual statement and quarterly statement filed with the Department of Insurance pursuant to
Article 10 (commencing with Section 900) of Chapter 1 of Part 2 of Division 1 of the Insurance Code.
CONTRACTOR guarantees that all materials used in the Work and all labor performed shall be
in conformity with the Contract Documents including, but not limited to, the standards and specifications set
forth in the most current edition of Standard Specifications for Public Works Construction, published by
Building News, Inc., Los Angeles, California, more commonly known as "The Green Book."
CONTRACTOR shall, at his own expense, make any and all repairs and replacements that shall become
necessary as the result of any failure of the Work to conform to the aforementioned Contract Documents, and
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 17 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
standard specifications; provided, ho« -ever, that CONTRACTOR shall be obligated under- this provision only
to the extent of those failures or defects of which he is given notice within a period of twelve (12) months
frorn the date that the Notice of Completion is recorded.
The rights and remedies available to CITY pursuant to this provision shall be cumulative with
all rights and remedies available to CITY pursuant to statutory and common law, which rights and remedies
are hereby expressly reserved, and neither the foregoing guarantee by CONTRACTOR nor his furnishing of
the Bonds, nor acceptance thereof by CITY, shall constitute a waiver of any rights or remedies available to
CITY against CONTRACTOR.
INDEMNIFICATION.
CONTRACTOR agrees to protect, defend, indemnify and hold hannless CITY and its elected
and appointed boards, officers, agents, and employees fiorn any and all claims, liabilities, expenses, or
damages of any nature, including attorney fees, for injury to or death of any person, and for injury or damage
to any property, including consequential damages of any nature resulting therefrom, arising out of or in any
way connected with the performance of this Agreement, except that the indemnity obligation of
CONTRACTOR shall be reduced by an amount proportional to the active negligence of CITY, if any.
CONTRACTOR shall comply with all of the provisions of the Workers' Compensation
insurance laws and Safety in Employment laws of the State of Califoriia, including the applicable provisions
of Divisions 4 and 5 of the California Labor Code and all amendments thereto and regulations promulgated
pursuant thereto, and all similar State, Federal or local laws applicable; and CONTRACTOR shall indemnify
and hold harmless CITY from and against all claims, liabilities, expenses, damages, suits, actions,
proceedings and judgments, of every nature and description, including attorney fees, that may be presented,
brought or recovered against CITY for or on account of any liability under or failure to comply with any of
said laws which may be incurred by reason of any Work performed under this Agreement by
CONTRACTOR or any subcontractor or others performing on behalf of CONTRACTOR.
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 18 of 21
POLICE FACILITY EXPANSION
AND.RENVOATION PROJECT
CITY does not, and shall not, waive any rights against CONTRACTOR wluch it may have by
reason of the above hold hannless agreements, because of the acceptance by CITY or the deposit with CITY
by CONTRACTOR of any or all of the insurance policies described in Paragraph 19 of this Agreement.
The hold harmless agreements by CONTRACTOR shall apply to all liabilities, expenses,
claims, and damages of every kind (including but not limited to attorney fees) incurred or alleged to have.
been incurred, by reason of the operations of CONTRACTOR or any subcontractor or others performing on
behalf of CONTRACTOR, whether or not such insurance policies are applicable. CONTRACTOR shall
require any and all tiers of subcontractors to afford the same degree of indemnification to the CITY OF
COSTA MESA and its elected and appointed boards, officers, agents, and employees that is required of
CONTRACTOR and shall incorporate identical indemnity provisions in all contracts between
CONTRACTOR and all tiers of his subcontractors.
In the event that CONTRACTOR and CITY are sued by a third party for damages caused or
allegedly caused by negligent or other wrongful conduct of CONTRACTOR, or by a dangerous condition of
CITY'S property created by CONTRACTOR or existing while the property was under the control of
CONTRACTOR, CONTRACTOR shall not be relieved of its indemnity obligation to CITY by any
settlement with any such third party unless that settlement includes a full release and dismissal of all claims
by the third party against the CITY.
INSURANCE.
CONTRACTOR shall not commence Work under this Agreement until he has obtained all
insurance required under this section and CITY has approved the insurance as to form, amount, and carrier,
nor shall CONTRACTOR allow any subcontractor to commence any Work until all similar insurance
required of the subcontractor has been obtained and approved.
Neither the failure of CONTRACTOR to supply specified insurance policies and coverage, nor
the failure of CITY to approve same shall alter or invalidate the provisions of Paragraph 18 of this
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 19 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
Agreement.
A. Workers' Compensation Insurance.
CONTRACTOR shall obtain and maintain during the life of this Agreement workers'
compensation insurance and, if any Work is sublet, CONTRACTOR shall require all tiers of subcontractors
to obtain workers' compensation insurance.
All workers' compensation insurance policies shall provide that the insurance may not be
canceled without thirty (30) days' advance written notice of such cancellation to CITY.
B. Liability Insurance Coverage.
CONTRACTOR shall obtain and maintain during the life of this Agreement the following
insurance coverage:
(1) Comprehensive General Liability, including coverage for premises -operations,
products/completed operations hazard, blanket contractual, broad form property damage, and
independent contractors. In addition, CONTRACTOR shall obtain and maintain during the life of this
Agreement each of the following insurance coverage which are not stricken out and initialed by the
Project Manager: Explosion and collapse hazard, underground hazard; personal injury, and
automobile liability, including owned, hired, and non -owned vehicles. All insurance coverage shall
have limits of not less than $4,000,000.00 combined single limit, per occurrence and aggregate.
(2) Endorsements to the policies providing the above insurance shall be obtained by
CONTRACTOR, adding the following three provisions:
(i) Additional Insured:
"The CITY OF COSTA MESA and its elected and appointed boards, officers,
agents, and employees are additional insured with respect to the subject Project and Agreement."
(ii) Notice:
"Said policy shall not terminate, nor shall it be canceled nor the coverage reduced,
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 20 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
until thirty (30) days after written notice is given to CITY."
(iii) Other Insurance:
"Any other insurance maintained by the CITY OF COSTA MESA shall be excess
and not contributing withthe insurance provided by this policy."
CITY OF COSTA MESA PREQUALIFICATION STATEMENT 21 of 21
POLICE FACILITY EXPANSION
AND RENVOATION PROJECT
PREQUALIFICATION CHECKLIST
For
CITY OF COSTA MESA
POLICE FACILITY EXPANSION AND RENOVATION PROJECT
PREPARER SHALL FILL OUT, SIGN AND RETURN THIS CHECKLIST WITH PREQUALIFICATION SUBMITTALS.
NOT
:1NCLUDED INCLUDED
CRITERIA
Prequalification Statement six [6] copies, completely filled out with information
1 only in form requested).
Notarized statement from Surety stating total bonding capacity and certifying that
2. available binding capacity exceeds $19 million and that Surety will provide
binding if bidder is awarded project.
Notarized statement from Insurance carrier stating that they will meet he
3• specified insurance requirements.
4 Listing of all qualifying building construction projects completed by bidder since
January 1, 1996 for which the construction cost of each project exceeded
Nineteen million Dollars ($19,000,000).
5. Listing of all qualifying current projects for which the construction cost of each
project exceeds Ten Million Dollars ($10,000,000).
6. 1 Copy of proposed organizational chart.
LFOR INFORMATIONAL PURPOSES ONLY
7. Current audited Financial Statement (less than one year old).
Notarized statement from Worker's Compensation carrier specifying Experience
$• Modification Rate.
9. I Copy of Contractor's written safety program.
10. 1List of Owners for all projects since January 1, 1996, over Nineteen Million
Dollars ($19,000,000).
NOTE: This checklist contains summaries of information
required to be submitted for evaluation. For a
full description of all items and information
required, refer to the Prequalification Statement.
Failure to submit all information requested in the
Prequalification Statement, and in the form
requested, may render your Prequalification
non -conforming and unable to be evaluated.
Signed:
CITY OF COSTA MESA
POLICE FACILITY EXPANSION
AND RENOVATION PROJECT
(Corporate Officer or Partner)
(Typed Name)
(Title)
(City and Telephone Number)
PREQUALIFICATION CHECKLIST 1 of 1
EXHIBIT "B"
RATING SYSTEM
1 : [per
FREQITAI �FICATION ANALYSIS FORM
COSTA MESA POLICE FACILITY EXPANSION ANIS RENOVATION PROJECT
Please complete the following by assigning the appropriate number of points for Items 1-11
based on information provided by the prospective bidder. Discontinue further ratings at any point
where provided information results in a disqualification. Tabulate results and provide any
comments on Page 5.
FIRM: RATER:
1. License
A. State of California Class B license.
Yes.............................................
No..............................................
Comments
B. Number of names or license numbers.
1 .............................................
2 .............................................
3 or more ..... ........................................ .
Comments
C. License revocation.
0 .............................................
1 .............................................
2 or more .............................................
Comments
POINT ASSIGNER
VALUE POINTS
10
DISQUALIFIED
(check)
10
5
0
10
5
DISQUALIFIED
(check)
2. Surety
A. Sureties have completed any part of contracts.
No............................................. 10
Yes ............................................. DISQUALIFIED
(check)
Comments
City of Cosa Mesa
CONTRACTOR PREQUALIFICATION ANALYSIS
Page 2
B. Total bonding capacity (millions).
Over$19 ............................................. 10
Less than $19 .............................................
(check)
Comments
3. Insurance
A. Meets minimum $ requirements per notarized statement.
Meets or exceeds minimum for each requirement
Meets or exceeds minimum for at least G.L.
Does not meet minimum for G.L.
Comments
B. Agree to compliance with Special Endoresment
Yes............................................
No............................................
4. Completed Construction Experience
A. Number of construction projects exceeding $19 million
completed in the past ten years.
5-6 ..............................................
3=4 ..............................................
Lessthan 3 ..............................................
Comments
DISQUALIFIED
10
5
DISQUALIFIED
(check)
10
DISQUALIFIED
(check)
10
5
DISQUALIFIED
(check)
5. Current Construction Experience =
A. Number of projects currently in progress.
3 or more .............................................. 10
1-2 ............................................. 5
0 .............................................. 0
Comments
i
City of Coba Mesa '
CONTRACTOR PREQUALIFICATION ANALYSIS
Page 3.
B. Largest, single construction project completed (millions).
Over$19 ............................................. 10
$15- $19 ............................................. 5
$10- $14 ...... ............................ ...:...... 1
Under$10 ............................................. 0
Comments
C. Project(s) listed in 5A which include municipal facilities.
Over3 ..........•................................... 10
1-3 .............................................. 5
0 .............................................. 0
Comments
6. Staff and Roster Functions
A. Average number of years staff have been with firm.
Over5 ................................................ 10
Under5 ................................................ 5
Comments
B. Average number of years of staff construction experience.
Over10 ................................................. 10
Under10 ................................................. 5
Comments
7. Arbitration and Litigation History
A. Number of claims paid for poor workmanship, incomplete performance or unexcused
delays in the past 10 years.
0 ............................................. 10
1 or more ............................................. 0
Comments
City of Costa Mesa
CONTRACTOR PREQUALIFICATION ANALYSIS
Page 4
B. Number of claims against owner in past ten years.
0 ..............................................
1-2 .............................................
3 or more .............................................
Comments
10
5
0
C. Number of claims resolved against firm.
0 .............................................. 10
1 .............................................. 5
2 or more ................. • ............................ 0
Comments
8. Prior Disqualification
Contractor is disqualified / and or disbarred from working on Public projects.
Yes ............................................. DISQUALIFIED
No
Comments
..... ......................................... 10
9. Violations of Federal or State Law
A. Penalties for non-compliance violations of Federal or State labor laws and/or business
licensing regulations since January 1, 2001, relating to your Construction projects.
Yes.............................................................. 0
No.............................................................. 10
B. Liable in a civil suit or found guilty in a criminal action for making any false claim or
material misrepresentation to any public agency or entity.
Yes.............................................................. 0
No.............................................................. 10
C. Convicted of a crime involving any federal, state, or local law related to construction.
Yes.............................................................. 0
No.............................................................. 10
D. Convicted of a federal or state crime of fraud, theft, or any other act of dishonesty.
Yes.............................................................. 0
No.............................................................. 10
City of Costa Mesa • „ ,.
CONTRACTOR PREQUALIFICATION ANALYSIS
Page 5
10. Financial
Financial statement or current Dunn & Bradstreet report
submitted.
Yes................................................. 5
No................................................. 0
Financial Comments (City Finance):
.$1
11. Safety Record
A. Experience Modification Rate for Worker's Compensation for the last three (3) years.
0-75 .............................................. 10
76-110 .............................................. 5
over110 .............................................. 0
B. Written Safety Program.
Yes.............................................. 10
No:............................................. 0
C. Safety Personnel.
Yes................................................ 5
No.................:.............................. 0
D. Projects involving deaths or major injuries.
0 ................................................10
1-2 ....................................•........... 0
3 or more ................................................ DISQUALIFIED
(check)
TOTAL POINTS:
DISQUALIFIED (check box if applicable):
General Comments: