SCHEDULE B – FORM OF SUBMISSION
RESPONDENT’S REQUEST FOR EXPRESSIONS OF INTEREST AND STATEMENTS OF
QUALIFICATIONS (RFEOI/SOQ)
This document is intended to provide information on the capacity, skill, and experience of the
Contractor. Respondent may supplement information requested with additional sheets if
required.
Project Title: RCMP H/Q CELL BLOCK RENOVATIONS (GENERAL CONTRACTOR)
Type of Pre-Qualification: Renovation/Construction Services
Reference No.: 1220-050-2012-035
A. SUBMITTED BY FIRM NAME:
1.
Full Legal Name of Firm
2.
Business Address
3
Phone No.
4
Email:
Fax No.
B. LEGAL STRUCTURE OF COMPANY:
5.
Corporation
__________
Partnership
__________
Individual
____________
6.
If Corporation/Partnership, year incorporated/organized: ___________________________.
7.
Names and addresses of authorized signatories:
C. FINANCIAL REFERENCES:
8.
Bank Name:
Location:
Contact Person(s):
Phone No.:
Fax No.
Email:
RFEOI/SOQ #1220-050-2012-035
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9.
Bonding Firms Name:
Address:
Contact Person(s):
Phone No.:
Fax No.
Email:
10. Insurance:
Insurance Company:
CGL Policy Limit:
$
E&O Policy Limit
$
Contact Person(s):
Phone No.:
Fax No.
11. Annual value of construction work for the past five years:
20__________
$
20__________
$
20__________
$
20__________
$
20__________
$
12.
Principal projects completed in the past five years. Listed in Appendix “A”. (As attached)
13.
Similar projects completed in the past five years. Listed in Appendix “B”. (As attached)
14.
Major construction projects underway this date. Listed in Appendix “C”. (As attached)
15.
Experiences of Field Personnel (e.g. Project Manager, Site Superintendent, etc.):
.1
Provide a list of key field personnel that will be assigned to the project; and
.2
Provide a list of projects that were completed by the identified field personnel in
the last five (5) years.
16.
Experiences of Office Personnel (e.g. Estimator):
.1
Provide a list of key office personnel that will be assigned to the project; and
.2
Provide a list of projects that were completed by the identified field personnel in
the last five (5) years.
17.
Has your firm or any predecessor firm defaulted on a contract or had work terminated for
non-performance within the last five (5) years? If so, on a separate sheet describe the
project, owner, date and circumstances/reasons.
18.
Local Trades and Suppliers:
The City of Surrey encourages the use of local trades and suppliers in the renovation &
construction of the project. Explain your company’s familiarity and experience in dealing
with local trades. Include names of any local trades or suppliers which your company has
dealt with in the past and identify the relevant project.
RFEOI/SOQ #1220-050-2012-035
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19.
Good management by the general contractor and all sub contractors is considered vital to
the success of this project. Summarize how you manage the following activities:
a) Selection of key sub contractors and suppliers;
b) Renovation/Construction coordination ;
c) Schedule;
d) Avoidance of delays;
e) Site security;
f) Processing shop drawings;
g) Processing changes, and
h) Inspection of work, deficiency clean-up
20.
Submit a written procedure for pro-actively managing and dealing with interferences
during renovation/construction.
21.
Submit a written description of how you manage a project with scheduling issues, and in
particular, meeting fast track project schedules.
22.
Submit confirmation that you have the staff and resources necessary to commit to the
project immediately upon notification.
Additional Information:
What other information is not requested here but which you think the City should
consider in evaluating your company?
Comments
I/We confirm that this Submission is accurate and true to best of my/our knowledge.
This Submission is submitted this __________ day of _________, 2012.
I/We have the authority to bind the Respondent.
___________________________________
______________________________________
(Name of Respondent)
(Name of Respondent)
___________________________________
______________________________________
(Signature of Authorized Signatory)
(Signature of Authorized Signatory)
___________________________________
______________________________________
(Print Name and Position of Authorized
Signatory)
(Print Name and Position of Authorized
Signatory)
RFEOI/SOQ #1220-050-2012-035
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APPENDIX A
PRINCIPAL PROJECTS COMPLETED IN THE PAST FIVE YEARS:
General Contractor for Renovation/Construction, Indicate experience with at least three projects
(list below, attaching additional pages as necessary)
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
RFEOI/SOQ #1220-050-2012-035
Fax: ________________________
Fax: ________________________
Fax: ________________________
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APPENDIX B
SIMILAR PROJECTS COMPLETED IN THE PAST FIVE YEARS:
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope:
________________________________________________________________
Contract Value ($):
________________________________________________________________
Completion Date :
________________________________________________________________
Role (i.e.: Gen Con, Sub, etc..)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope:
________________________________________________________________
Contract Value ($):
________________________________________________________________
Completion Date :
________________________________________________________________
Role (i.e.: Gen Con, Sub, etc..)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope:
________________________________________________________________
Contract Value ($):
________________________________________________________________
Completion Date :
________________________________________________________________
Role (i.e.: Gen Con, Sub, etc..)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
RFEOI/SOQ #1220-050-2012-035
Fax: ________________________
Fax: ________________________
Fax: ________________________
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APPENDIX C
MAJOR CONSTRUCTION PROJECTS UNDERWAY THIS DATE:
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
Project Title:
________________________________________________________________
Project Location:
________________________________________________________________
Project Scope
________________________________________________________________
Contract Value ($):
________________________________________________________________
Start and Completion Dates:
_______________________________________________________________
Role (i.e.: Gen Con, Sub, etc.)
________________________________________________________________
Name of Owner (or Consultant)
________________________________________________________________
Refer To:
________________________________________________________________
Telephone/Fax Numbers:
Phone: _______________________
E-Mail of Project Reference:
________________________________________________________________
RFEOI/SOQ #1220-050-2012-035
Fax: ________________________
Fax: ________________________
Fax: ________________________
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