BOARD OF WATER COMMISSIONERS
1600 WEST 12TH AVENUE
DENVER, COLORADO 80204
REQUEST FOR QUALIFICATION
Application for Contractor Qualification
for
HVAC Modifications at Marston Treatment Plant and
Recycling Plant
D General Contractor
D Plumbing Subcontractor
D HVAC Sheet Metal Subcontractor
D Electrical Subcontractor
Contractor's Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Business Address: _ _ _ _ _ _ _ _ _ _ _ _ _Phone No.: _ _ _ __
E-Mail Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _Fax No.: _ _ _ __
Request is hereby made for qualification to perform the stated contract work for the Board of the Water
Commissioners
By: _ _ _ _ _ _ _ _ _ _ _ _ __
Title: _ _ _ _ _ _ _ _ _ _ _ _ __
Date: - - - - - - - - - - - - - l2244A
INSTRUCTION FOR FILING APPLICATION
STATEMENT OF EXPERIENCE, FINANCIAL CONDITION, AND EOUIPMENT
I.
The qualification form must be completely filled out and returned to the Denver Water
Department, 1600 West 12th Avenue, Denver, CO 80204, Attn: Terrie Steele, by
October 15,2009. Those firms prequalified to bid will be notified within one (I) week of
receipt of application by the Board.
2.
A financial statement - is required which must be prepared by a certified public accountant
as of a date no earlier than fifteen (15) months prior to bid opening. The Board may require
that the certified financial statement be updated at any time prior to bid opening.
3.
Questions concerning the qualification form should be referred to Terrie Steele, telephone
(303) 628-6604.
2
MECHANICAL SHEET METAL CONTRACTOR
Prequalification Requirements
Prequalification of Mechanical Sheet Metal Contractors will be required. Mechanical Sheet
Metal Contractors who wish to work on the HVAC Modifications at Marston Treatment Plant
and the Recycling Plant proj ect shall submit a prequalification request and required information.
ENGINEER reserves the right to accept or reject the prequalification request based on OWNERestablished criteria including, but not limited to:
Be in good standings with previous work performed for Denver Water.
Mechanical Sheet Metal Contractor: Minimum of 5 years experience working on industrial or
utility grade projects in the Rocky Mountain Region of a similar scope and size as this Project.
Mechanical Sheet Metal Contractor's Site Representative: Minimum of 5 years' experience
working on industrial or utility proj ects of a similar scope and size as this Proj ect.
Mechanical Sheet Metal Contractor(s) Required Evidence of Qualifications:
Statement of Experience: List of at least five projects comparable to the HV AC Modifications at
Marston Treatment Plant and the Recycling Plant project which have been completed by the
prospective Mechanical Sheet Metal Contractor. Provide Owner's name, address, telephone
number and contact name.
Organization Chart: Showing organization structure for the Company and this Project. Identify
key personnel who will be assigned to do this Pro; ect.
Qualification of Personnel:
Provide resumes giving management and technical qualifications of project manager,
superintendent, project foreman and all other key personnel shown on organization chart.
Project mechanical HV AC work shall be performed or supervised by a foreman who is a
Colorado Licensed HVAC Technician. The foreman on the project shall not be replaced except
under extraordinary circumstances with written notice to the ENGINEER.
Submit current copies of the Colorado HVAC Licenses, including Heating and Ventilating Class
A Licenses, and registration information/license, for all others that are proposed to work on the
HVAC Modifications at Marston Treatment Plant and the Recycling Plant project.
PLUMBING CONTRACTOR
Prequalification Requirements
Prequalification of Plumbing Contractors will be required. Plumbing Contractors who wish to
work on the HVAC Modifications at Marston Treatment Plant and the Recycling Plant project
shall submit a prequalification request and required information. ENGINEER reserves the right
to accept or reject the prequalification request based on OWNER-established criteria including.
but not limited to:
Be in good standings with previous work performed for Denver Water.
Plumbing Contractor: Minimum of 5 years experience working on industrial or utility grade
projects in the Rocky Mountain Region of a similar scope and size as this Project.
Plumbing Contractor's Site Representative: Minimum of 5 years' experience working on
industrial or utility proj ects of a similar scope and size as this Proj ect.
Plumbing Contractor(s) Required Evidence of Qualifications:
Statement of Experience: List of at least five projects comparable to the HVAC Modifications at
Marston Treatment Plant and the Recycling Plant project which have been completed by the
prospective Plumbing Contractor. Provide Owner's name, address, telephone number and
contact name.
Organization Chart: Showing orgauization structure for the Company and this Project. Identify
key personnel who will be assigned to do this Project.
Qualification of Personnel:
Provide resumes giving management and technical qualifications of project manager,
superintendent, proj ect foreman and all other key personnel shown on organization chart.
Project plumbing work shall be performed or supervised by a foreman who is a Colorado
Licensed Master Plumber. The foreman on the proj ect shall not be replaced except under
extraordinary circumstances with written notice to the ENGINEER.
Submit current copies of the Colorado Master Plumbing License, along with Jourueyman or
Apprentice registration information/license, for all others that are proposed to work on this
Project.
ELECTRICAL CONTRACTOR PREQUALIFICATION REQUIREMENTS
A.
Prequalification of
Electrical
Contractors
will
be
required. Electrical Contractors who wish to work on the
HVAC Modifications at Marston Treatment Plant and The
Recycling Plant projects shall submit a prequalification
request and required information.
ENGINEER reserves the
right to accept or rej ect the prequalification request
based on OWNER-established criteria including, but not
limited to:
1.
Be in good standing with previous work performed
2.
Electrical
for Denver Water.
Contractor:
Minimum
of
5 years
experience in projects of a similar scope and size
3.
as the HVAC Modifications at Marston Treatment
Plant and Recycling Plant projects.
Electrical
Contractor's
Site
Representative:
Minimum of
4.
5 years experience working on proj ects
of
a
similar
scope
and
size
as
the
HVAC
Modifications at Marston Treatment Plant and The
Recycling Plant projects.
Electrical
Contractor (s)
Required
Evidence
of
Qualifications:
Statement of Experience: List of at least five
proj ects comparable to the HVAC Modifications at
Marston Treatment Plant and The Recycling Plant
projects which have been furnished and placed into
operation by prospective Electrical Contractor. For
each system, provide following information:
a.
b.
Project
Engineer
c.
Owner's name,
d.
Include a Owner contact and telephone number.
Description of electrical system including
e.
major equipment items.
Description of control system including major
address,
and telephone number.
equipment items.
f.
Contract amount
g.
S.
Dates when Contract was signed, project was
completed and was accepted by OWNER.
The
I&C Contractor
is
responsible
for
ECPs,
Controls, and Metasys integration and programming.
The I&C Contractor shall be a Subcontractor to the
Electrical Contractor.
The Electrical Contractor
shall be responsible for selecting and managing an
I&C Subcontractor that has the experience and
capabilities to meet the requirements of the
Contract Documents.
6.
An audited or a reviewed financial statement-NOT A
COMPILED
STATEMENT-is
required which
must
be
prepared by a certified public accountant as of a
date no earlier than 15 months prior to Bid
Opening. The Board may require that the financial
statement
Opening.
7.
8.
be
updated
Organization Chart:
at
any
time
prior
to
Bid
Showing organization structure
for the Company and this Project. Identify key
personnel who will be assigned to do this Project.
Qualification of Personnel:
a.
Resumes
giving
management
and
technical
qualifications of project manager, project
foreman and all key personnel shown on
organization chart.
b.
Project electrical work shall be performed or
supervised by an electrical foreman who is a
Colorado
Licensed
Journeyman
or
Master
Electrician.
The
ratio
of
electrical
apprentices to Colorado licensed journeymen
(or masters) shall be no greater than 2:1.
1)
Submit
current
copies
of
Colorado
Journeyman Electricians License, Master
Electricians
License
or
Apprentice
registration
information/license,
for
all
foreman,
electricians
and
apprentices, which are proposed to work
on the HVAC Modifications at Marston
Treatment Plant and The Recycling Plant
projects.
QUALIFICATION INFORMATION
OFFICIAL COMPANY NAME: _ _ _ _ _ _ _ _ _ _~----
~A
Corporation)
~A Partnership)
~An Individual )
BUSINESSADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
1. If a corporation:
When incorporated?
In what state?
President's name?
Vice-President's name?
Treasurer's name?
2. If a partnership:
Date of organization?
State whether partnership is
general, limited or other
association.
3. How many years has your organization been in business as a construction company under your
present business name? ___________________________________________
4. How many years has the construction company been in continuous operation doing this type of work?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract?
. If so, state name of
individual, other organization, and give fun details:
6. Has any officer or partner of your organization ever failed to complete a construction contract
handled in his own name?
If so, state name of individual, and give fun details: _________________________________
~--~~~~~~----------
3
OUALIFICATION INFORMATION
(Cont.)
7. Have you ever failed to complete any work awarded to you? _ _ _ _ _ _ _ _ _ _ _ __
If so, explain: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. What percentage of the work does your firm perform with own employees?
9.
What type of work do you normally subcontract? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
10. Have you ever been refused surety, bond, or liability insurance? _ _ _ _ _ _ _ _ _ _ __
If so, explain:
11. Company bonding capacity information: Attach letter from Bond Company stating company
single/aggregate construction project bonding capacity.
12. Company insurance information: Attach Certificate ofInsurance which states insurance limits for:
General Liability (Aggregrate)
Products/Completed Operations (Aggrcgratc)
Automobile Liability
ExcesslUmbrella Liability
Builder's Risk - All Projects
Worker's Compensation
13. In what other business does your company actively participate? _ _ _ _ _ _ _ _ _ _ __
14. Describe major projects of a similar nature your organization has completed during the last five (5)
years.
15. Resumes are required and should include all applicable experiences for all foreman,
superintendents, and principals of the company. Also submit a copy of your company's Table of
Organization.
16. For which governmental agencies have you performed work? _ _ _ _ _ _ _ _ _ _ _ __
4
OUALIFICATION INFORMATION
(Cont.)
17. Do you maintain a permanent safety program within your company? Ifnot state why. _ _ __
18. List the major equipment you own:
19. List the major items of equipment, which you normally lease.
5
AFFIDAVIT FOR CORPORATION
STATEOF _______________________
ss.
Coun~of _________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _" being duly sworn, deposes and says:
that he is ___________________ofthe _____________________
____________-', the corporation submitting the attached statement of experience and fmancial
condition; that he has read the same, and that the same is true and correct.
Sworn to before me this _ _ _ _ _ _ _day of _ _ _ _ _ _ _ _, 20 ______
Officer must sign here
Notary Public
Address:
AFFIDAVIT FOR PARTNERSHIP
STATEOF _ _ _ _ _ _ _ _ _ _ ___
ss.
Coun~
of ___________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, being duly sworn, deposes and says:
that he is a general partner of the partnership of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
that said partnership submitted the attached statement of experience and financial condition; that he has
read the same, and that the same is (rue and correct.
Sworn to before me this _ _ _ _ _ _ _day of _ _ _ _ _ _ _ _, 20 _____
General Partner must sign here
Notary Public
Address:
6
AFFIDAVIT FOR INDIVIDUAL
STATEOF ______________________
ss.
County of _ _ _ _ _ _ _ _ _ _ _ ___
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, being duly sworn, deposes and says:
that he is the person submitting the attached statement of experience and financial condition; that he read
the same, and that the same is trne and correct.
Sworn to before me this ____________day of _ _ _ _ _ _ _ _ _, 20 _ _ __
Applicant must sign here
Notary Public
Address:
7