APPLICATION FOR PRE-QUALIFICATION
CONSTRUCTION CONTRACTORS
Including:
General
Mechanical
Electrical
Roofing
Fire Protection
Asbestos
Issue: February 2016
Page 1 of 26
CONTENTS
1.
2.
3.
4.
5.
Purpose
Submission Instructions
Evaluation Process
Confidentiality
Terms and Conditions
Page
3
4
4
4
5
ATTACHMENTS
A. Authorization
B. Categories of Work and Project Value
C. General Information
C.1
Corporate Information
C.2
Primary Contact Person
C.3
Company Background
C.4
Company Owners / Officers / Partners / Principals
C.5
Company Staff Compliment
C.6
Declaration of Potential Conflict of Interest
C.7
Declaration of Dispute or Pending Dispute
D. Subcontracting
E. Experience
F. Recent Major Construction Projects
F.1
Recent Projects Not at the University of Manitoba
F.2
Recent University of Manitoba Projects (If applicable)
G. References
G.1
Past Projects List
G.2
Survey Questionnaire
H. Bonding
I. Insurance
J. Workplace Safety and Health COR Certification
K. Financial Information
L. Billing Rates
Page 2 of 26
1. PURPOSE
The pre-qualification application process is the method by which licensed contractors can be
pre-qualified to bid on construction projects that are tendered by the University of Manitoba
(hereinafter referred to as “University”).
Upon receipt of a complete and accurate application form, the University shall undertake a
process of due diligence to confirm the accuracy of the information submitted, and evaluate
each contractor’s past performance (both with the University and with other clients), to
determine if the applicant should be added to the University’s list of pre-qualified contractors.
For the duration of the pre-qualification term, only contractors that have successfully completed
the pre-qualification process shall be eligible to submit tenders for any University construction
projects.
For projects with an estimated total cost of more than $1,000,000, the University may require
contractors to complete a project-specific pre-qualification, if it is deemed to be in the
University’s best interest to do so.
Contractors will only be permitted to participate in the tendering process for those categories of
work – and project values – for which they have been pre-qualified.
In the event that subcontractors are required on a specific project, and that category of work is
one for which the University carries out a pre-qualification process, the primary contractor may
only use subcontractors which are on the University’s pre-qualified contractor list.
The University maintains a public listing of all pre-qualified contractors on its website:
http://umanitoba.ca/admin/financial_services/purch/suppliers.html
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2. SUBMISSION INSTRUCTIONS
1) NEW APPLICATION for Pre-qualification Status
Completed application forms must be submitted – via e-mail only – to:
Mr. Andrew Cramer
Purchasing Consultant
Email: andrew.cramer@umanitoba.ca
With copy to:
Mr Olusegun Daodu
Purchasing Consultant
E-mail: olusegun.daodu@umanitoba.ca
NOTE: Any application that is incomplete may be rejected at the University’s discretion.
3. EVALUATION PROCESS
It is the responsibility of each applicant to ensure that this application is completed in full, and
any additional documentation required (i.e. COR certificate) is included with the submitted
application form.
The University will consider each application individually, and will evaluate each applicant on the
same criteria, which may include, but is not limited to:
 Completeness of application
 Qualifications of key individuals
 Recent related construction experience
 References
 Bonding/Financial capabilities
 Insurance coverage
 Certification status
 Billing rates
4. CONFIDENTIALITY
The University is subject to the rules and regulations of the Freedom of Information and
Protection of Privacy Act. Any information provided by applicants is collected solely for the
purpose of pre-qualifying contractors who wish to do business with the University.
Personal information supplied within an application is protected by the Freedom of Information
and Protection of Privacy Act. Applicants are encouraged to identify any non-personal
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information that is confidential and specify what harm could reasonably be expected from its
possible disclosure.
Any questions regarding this should be submitted to the University’s FIPPA Coordinator's Office:
University of Manitoba Archives & Special Collections
331 Dafoe Library
Winnipeg MB R3T 2N2
Phone: (204) 474-8339
5. TERMS AND CONDITIONS
1.
Receipt by the University of an application for Pre-qualification in no way constitutes a
commitment by the University to award contracts to any applicant, or to pay any costs
incurred by any applicant in preparing a response, or otherwise in relation, to this
application.
2. The University reserves the right to refuse any application that includes errors, omissions,
and/or deviations from the information requested, deviations from the format of the
information requested and/or the terms and conditions of the application.
3. An application, including any accompanying documentation, once submitted by an
applicant, becomes the property of the University and will not be returned.
4. The applicant is obligated to inform the University, in a reasonably timely manner, of any
changes to key personnel, ownership, bonding capability, financial position, or any other
information, which may affect its pre-qualification status. The University considers this an
ongoing requirement for the entire term of pre-qualification.
5. The University reserves the right to contact owners, owner’s representatives, and/or
consultants, on construction projects that have been identified, as well as the references
provided, in this application.
6. The University, at its discretion, may require an applicant to provide additional information
that may not be specifically requested by this application.
7. The University may request clarification where the information provided by an applicant is
unclear, or may waive or request amendment where, in the opinion of the University, there
is a minor irregularity or omission in the information that is submitted.
8. The University reserves the right to conduct project-specific pre-qualification processes, if it
is deemed to be in the University’s best interest to do so.
9. All contractors that achieve pre-qualified status as a result of this application shall retain
that status unless revoked by the University, or until the University creates a new prequalification process by which contractor will become pre-qualified, or otherwise altered
during the pre-qualification term at the University’s sole discretion.
10. The University shall in no event be liable for any claims by the applicant in respect of its
decision to pre-qualify or not pre-qualify the applicant. The University shall not be liable for
any failure to consider, or omission in considering an application or for any delay in
considering an application, including (without limitation) any failure of an applicant to obtain
eligibility for a particular competitive bidding process at the University.
11. The University, in its sole discretion, reserves the right to reject an application, or suspend,
revoke or terminate the contractor’s pre-qualification status in whole or in part, based on
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the University’s determination of one or more of the following:
1) non-performance, defective or substandard performance of any past contracts with
the University;
2) where an applicant has launched legal action against the University;
3) failure of an applicant to update information that is required as part of the on-going
obligations of an applicant;
4) provision of false, misleading or incorrect information.
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Attachment A – Authorization
The signature below confirms the following:
1. The applicant certifies that all statements and information presented in this
application form are current, complete, and accurate;
2. The applicant certifies that the individual signing this document, and any other
document provided in conjunction with this application, is authorized to sign such
documents on behalf of the applicant; and
3. This application form is being made available by electronic means. The applicant
acknowledges and accepts full responsibility to insure that no changes are made to
the application form. In the event of conflict between a version of the application
form submitted by the applicant and the version maintained by the University, the
version maintained by the University shall govern.
Company
Signature
Name
Title
Date
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Attachment B – Categories of Work and Project Value
Indicate the category (or categories) of work, and the range of project value(s) within each
selected category, for which the applicant wishes to be considered for pre-qualification.
Check all disciplines and project value ranges that apply.
Estimated Total Project Cost
Less than
$60,000
$60,000 –
$250,000
$250,000 –
$500,000
$500,000 –
$1,000,000
Over
$1,000,000
General Contractor
Mechanical Contractor
Electrical Contractor
AMP Certified
Electrical Contractor
Roofing Contractor
Fire Protection
Contractor
Asbestos Contractor
NOTE: projects valued at more than $60,000 may require bid bonding.
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Attachment C – General Information
C.1
Corporate Information
Full Legal Company Name
Operating Name (if different from above)
Street Address
Mailing Address (including postal code)
Website
GST Registration Number
Number of Years in Business
Type of Business
C.2
Sole Proprietorship
Corporation
Partnership
Other:
Primary Contact Person
Name
Title
Phone Number
E-Mail Address
C.3
Company Background
Identify if the applicant has operated under another name in the past. If it has, provide any and
all past names, as well as time periods when each name was used.
Describe the ownership structure of the applicant with respect to any parent and/or subsidiary
companies.
Identify if the applicant is party to any pending litigation, or was party to any litigation within the
past five years.
No
Yes
If the response is ‘Yes’, applicant must provide detail of all such litigation below.
Has a delay claim been filed on your behalf on any project you have been the Prime Contractor
or subcontractor.
No
Yes
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C.4
Company Owners / Officers / Partners / Principals
Owner / Officer / Partner / Principal 1
Name:
Title:
Owner / Officer / Partner / Principal 2
Name:
Title:
Owner / Officer / Partner / Principal 3
Name:
Title:
Owner / Officer / Partner / Principal 4
Name:
Title:
Owner / Officer / Partner / Principal 5
Name:
Title:
Owner / Officer / Partner / Principal 6
Name:
Title:
Owner / Officer / Partner / Principal 7
Name:
Title:
Owner / Officer / Partner / Principal 8
Name:
Title:
Owner / Officer / Partner / Principal 9
Name:
Title:
Owner / Officer / Partner / Principal 10
Name:
Title:
Owner / Officer / Partner / Principal 11
Name:
Title:
Owner / Officer / Partner / Principal 12
Name:
Title:
Owner / Officer / Partner / Principal 13
Name:
Title:
Owner / Officer / Partner / Principal 14
Name:
Title:
Owner / Officer / Partner / Principal 15
Name:
Title:
Attach additional sheets if necessary.
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C.5
Company Staff Compliment
Identify the current number of Project Managers and Site Supervisors on staff that could be
assigned to a University of Manitoba project (it is understood that this number may change
during the course of the year). Any changes during time of tender may require additional
information and pre-qualification for alternate personnel.
The University reserves the right to request curriculum vitae on any or all of the individuals
listed.
This information will be used in the assessment of the Contractor’s capability to perform the
work at the dollar level requested for pre-qualification.
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Page 11 of 26
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Project Manager / Site Supervisor
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Name:
Title:
Years of Experience:
Years with Company:
Attach additional sheets if necessary.
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C.6
Declaration of Potential Conflict of Interest
Applicants must identify if any owners, officers, partners, or principals of the company are
related to a University employee. This information is collected to identify potential conflict of
interest situations, but will not preclude the applicant’s participation in a University tendering
process.
NOTE: Failure to declare any potential conflict of interest may result in the applicant being
removed from the list of pre-qualified contractors.
Declaration 1
Name of Owner / Officer / Partner / Principal:
Name of related University employee:
Relationship:
Declaration 2
Name of Owner / Officer / Partner / Principal:
Name of related University employee:
Relationship:
Declaration 3
Name of Owner / Officer / Partner / Principal:
Name of related University employee:
Relationship:
Declaration 4
Name of Owner / Officer / Partner / Principal:
Name of related University employee:
Relationship:
Declaration 5
Name of Owner / Officer / Partner / Principal:
Name of related University employee:
Relationship:
Attach additional sheets if necessary.
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C.7
Declaration of Dispute or Pending Dispute
Applicants must make the following Declaration.
The University reserves the right to disqualify any applicant where the University determines in
its sole discretion that the applicant or any other entity with principals in common with the
applicant has a dispute or any pending dispute with the University or entities associated with the
University.
Does the applicant, or any other entity with principals in common with the applicant, have any
dispute or pending dispute involving the University or entities associated with the University?
No
Yes
If the response is ‘Yes’, applicant must provide detail of all such litigation below (append
details of the matter if additional space is required).
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Attachment D – Subcontracting
Identify and describe all categories of work for which the applicant usually retains the services of
a subcontractor.
Type of Work
Description/Notes
Attach additional sheets if necessary.
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Attachment E – Experience
Identify the number of years of related construction experience of the principals and other key
individuals within the company.
Name
Current Title
Years of Experience
Applicants are required to attach current statements of experience for each individual listed
above.
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Attachment F – Recent Major Construction Projects
Provide the following information regarding major construction projects other than at the
University of Manitoba – within the past five years – for which the applicant acted as the prime
contractor or as a subcontractor.
Project values, and types of work, should be in line with the project values, and categories,
selected in Attachment B.
F.1
Recent Projects Not at the University of Manitoba
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
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Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
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Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
Owner
Contact Person:
Phone Number:
Consultant
Consultant Name:
Contact Person:
Phone Number:
(i.e. architect, engineer)
* if applicant acted as a subcontractor on the project.
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F.2
Recent University of Manitoba Projects (If applicable)
Provide information for projects completed specifically at the University of Manitoba within the
last 5 years – for which the applicant acted as the prime contractor or as a subcontractor.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
University Project
Coordinator
Project Coordinator:
* if applicant acted as a subcontractor on the project.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
University Project
Coordinator
Project Coordinator:
* if applicant acted as a subcontractor on the project.
Project Name
Location
Description
Total Project Value
Value of Applicant’s Work*
Date Completed
University Project
Coordinator
Project Coordinator:
* if applicant acted as a subcontractor on the project.
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Attachment G – References and Past Performance Survey
Provide a minimum of three relevant client references. The clients listed should be able to
provide references that are appropriate for the project values and categories identified in
Attachment B.
NOTE: Do not include any references that are within the University.
G.1 Past Projects List
No
Project Name
Point of Contact
Phone
Date
Implemented
Awarded
Cost
Final Cost
1
2
3
4
5
Page 21 of 26
SURVEY QUESTIONNAIRE
UNIVERSITY OF MANITOBA
To:
(Name of person completing survey (representing the Client)
Phone:
Fax:
Subject: Past Performance Survey of:
(Name of the Contractor/Company that is being rated)
(Name of Project Manager/Site Superintendent for Company)
The University of Manitoba is implementing a process that collects past performance information on
applicants for pre-qualification status. The applicant listed above has listed you as a client for which it has
previously performed work. The University greatly appreciates your time in completing this survey. Rate
each of the criteria on a scale of 1 to 10, with 10 representing that you were very satisfied and 1
representing that you were very unsatisfied. Please rate each of the criteria to the best of your
knowledge. If you do not have sufficient knowledge in a particular area, please leave it blank.
Client Name:
Project Name:
Date Implemented:
NO
CRITERIA
UNIT
1
How satisfied were you with the workmanship
(1-10)
2
How satisfied were you with the ability to maintain project schedule
(1-10)
3
How satisfied were you with the Site Superintendent
(1-10)
4
How satisfied were you with the warranty responses
(1-10)
5
Overall customer satisfaction
(1-10)
6
Were any liens filed against the project
Yes/No
7
Would you use this contractor again
Yes/No
RESPONSE
Please identify the greatest risks/problems/challenges that were faced or encountered during the delivery
of the project, and those faced after the project was complete:
Printed Name (of Evaluator)
Signature (of Evaluator)
Thank you for assisting the University of Manitoba in this important endeavour.
Please fax the completed survey to: [<<Enter Applicant’s Fax Number>>]
Page 22 of 26
Attachment H – Bonding
Provide the following information regarding the applicant’s bonding status.
Name of Bonding Company
Contact Person
Name:
Phone Number:
Total Bonding Capacity
$
Identify any and all instances of the bonding company completing the work of the applicant.
Provide a description of the project and associated circumstances.
Attachment I – Insurance
The University requires that all pre-qualified contractors provide the insurance policies listed
below as a minimum coverage. Please note that each project may require specific insurance
coverage over and above the minimum requested in this document.
If the applicant’s insurance policy expires during the term of the pre-qualification period, it is the
applicant’s responsibility to provide the University with updated proof of insurance before the
expiry date.
Failure to provide such proof may result in the applicant being removed from the list of prequalified contractors.
General Liability Insurance
Automobile Liability
Insurance
- General liability insurance shall be with limits of not less than
$2,000,000 per occurrence.
- An aggregate limit of not less than $2,000,000 within any
policy year with respect to completed operations,
- A deductible not exceeding $5,000.
- Automobile liability insurance in respect of vehicles that are
required by law to be insured under a contract by a Motor
Vehicle Liability Policy, shall have limits of not less than
$2,000,000 inclusive per occurrence for bodily injury, death and
damage to property, covering all vehicles owned or
leased by the Contractor.
NOTE: The applicant must provide the University with a copy of the policies requested above.
Page 23 of 26
Attachment J – Workplace Safety and Health COR Certification
The University requires that all pre-qualified contractors maintain COR Certification (as
administered by the Construction Safety Association of Manitoba) throughout the term of the
pre-qualification period.
If the applicant’s COR Certification expires during the term of the pre-qualification period, it is
the applicant’s responsibility to provide the University with updated proof of re-certification
before the expiry date.
Failure to provide such proof may result in the applicant being removed from the list of prequalified contractors.
Provide the following information regarding the applicant’s COR Certification status.
COR Certification Number
Certification Expiry Date
NOTE: The applicant must provide the University with a copy of its current COR certificate.
Page 24 of 26
Attachment K – Financial Information
Provide the following information for financial institutions that can furnish the University with
credit information about the applicant.
Name of Financial Institution
Contact Person
Name:
Phone Number:
Name of Financial Institution
Contact Person
Name:
Phone Number:
Name of Financial Institution
Contact Person
Name:
Phone Number:
Name of Financial Institution
Contact Person
Name:
Phone Number:
Indicate if the University may contact any of the above financial institutions to obtain relevant
credit information.
Yes
No
If the response is ‘No’, applicant must provide an explanation as to why the University
cannot make such contact.
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Attachment L – Billing Rates
Applicants must provide the rates that will be charged to the University during the term of this
pre-qualification period. Each applicant must provide charge out rates for all positions listed
below that it regularly charges out to its clients.
The charge out rates identified below shall be the basis for calculating the actual charges
related to a change order during the course of any construction project. Applicants may request
adjustment of the base salary rates during the term of this pre-qualification, in the event of
industry-wide changes to base labour rates.
The University may, at its discretion, use the charge out rates below as a criterion for evaluation
of applicants who participate in a tender or RFP award during the term of this pre-qualification.
Position
Base Salary Rate
Charge Out Rate
Project Manager
$
per hour
$
per hour
Site Supervisor
$
per hour
$
per hour
Journeyman
$
per hour
$
per hour
Apprentice
$
per hour
$
per hour
General Labourer
$
per hour
$
per hour
Other:
$
per hour
$
per hour
Other:
$
per hour
$
per hour
Other:
$
per hour
$
per hour
Other:
$
per hour
$
per hour
Notes
--- End of Attachment L ----- End of Construction Contractors Application For Pre-Qualification Form ---
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