Administration Office (970) 249-7831 Fax: (970) 249-7745 General Information & Aquatic Center (970) 249-7705 Fax: (970) 249-2750 “For a better quality of Life...MRD.” 2104 South Rio Grande Avenue | P.O. Box 63 |
Montrose, CO 81402 | www.montroserec.com
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NOTICE OF REQUEST
FOR QUALIFICATION PROPOSALS
Architectural plans
and engineering will need to include Phase 2 of the project, which consists
of a 15,000 square foot gymnasium with two
(2) multi-use indoor sports courts, two (2) family changing rooms, and tie in
to the existing aquatic center facility and Phase 1 construction.
Additional parking spaces and landscaping
will be included in the bid proposals with all items required for buildings per
City of Montrose, Colorado building codes, including Phase 1 & 2 of the
Montrose Recreation District Indoor Facility Project.
The multi-purpose programming space shall
include a sound proof wall divider, cabinets, counter space with storage, faucet
and sink area and multi-purpose flooring.
The customer service front desk area shall
include at least three (3) work stations (one which is wheelchair accessible). The counter area shall include storage for
supplies, shelving for computers and printing terminals, wiring for electronic
equipment and phones, and semi-private customer service representative work
stations to reduce noise interference.
Also, a small, private office area shall be constructed behind the
customer service counter which will accommodate bookkeeping and record keeping
functions, a built-in desk, a small safe, computer, phone, and etc.
The lobby area shall include an area for at
least three (3) vending machines, a wall-mounted bulletin board (current 4’ x 8’
bulletin board to be moved from existing lobby), a wall-mounted
registration/information station with counter and supply space and a coffee
station. The lobby area shall be
accessed through an air-lock door system.
In the air lock area, provision shall be made for general information
signage that can be read from the parking lot.
Attached is a preliminary site
drawing of the proposed project.
MONTROSE RECREATION DISTRICT
DESIGN BUILD PRE-QUALIFICATION STATEMENT
1.0
Your Company’s Legal Name.
2.0
Current address, fax, telephone number and website of your
firm. (Also identify
principal office if other than local office
designated.)
___________________________________________________________
___________________________________________________________
___________________________________________________________
2.1 How many years has your firm been in
business?
2.2 How many years has your firm been in
business as a general contractor in the state of Colorado?
2.3
How many years
has your firm been in business under the current
business name?
2.4
List the names
in order of succession under which your firm has
previously operated as a general contractor.
2.5 List other names under which your firm
currently operates as a
general
contractor.
2.6 How many years has your firm been in
operation at your current
address?
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
3.0
Please check the appropriate box to identify the nature of
your firm.
_____
Corporation _____ Joint
Venture
_____
Partnership _____ Other
_____ Individual
3.1
Corporations provide the following information:
Date Firm Incorporated
State where Firm is Incorporated
Name of President
Name of Vice President(s)
Name of Secretary
Name of Treasurer
3.2
Partnership or individual provide the following information:
Date firm established
Name and address of individual/partners
(Indicate partners and whether general or limited partners).
______________________________________________________
3.3
Joint Venture provide the following information:
Name and address of each firm participating
in the joint venture.
Identify name(s) of other projects, project
location, owner, architect and contract amount which are under construction or
have been completed as a joint venture.
Name and addresses of principals.
________________________________________________________________
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
Describe Organization.
________________________________________________________________
3.4
Other types of firms; describe the organization and list the
names
and addresses of principals. (Use additional sheet if necessary).
3.5
In what states is your firm legally qualified to do business?
3.6
In what state is your trade name or partnership filed?
4.0
What type of work and approximately what percentage of work
would be performed by
your own work forces on this project?
5.0
Has your firm failed to accept a contract award or to
complete a contract awarded to you?
5.1
If your response was “yes” to the previous question please
state the project(s), date, owner and reason.
6.0
Has your firm under another or previous name failed to accept
a contract award or to complete a contract award?
6.1
If your response was “yes” to the previous question please
state the project(s), date, owner, name of firm at that time and reason.
7.0
Within the last five years, has any owner, officer or partner
of your organization ever been an owner, officer or partner of another organization
when it failed to complete a construction contract?
7.1
If your response to the previous question was “yes”, please
attach a separate sheet of explanation.
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
8.0
Has your firm ever had a contract terminated?
8.1
If “yes”, state the project(s), date, owner and reason.
______________________________________________________________
9.0 State
the name of your bonding company.
9.1
State the name and address of bonding company agent.
9.2
State the maximum dollar value for which your firm can be
bonded and the dollar amount your firm currently has bonded.
Maximum Bonding Value –
Current Value of Bonded Projects –
10.0Has your bonding
company ever been required to perform under a bid bond, labor and
material payment bond or performance bond issued on your firm’s behalf?
10.1If “yes”, state the
project(s), date, owner and reason.
_______________________________________________________________
11.0Within the last
five years has your current firm or any predecessor organization been
involved as a party in any bankruptcy, litigation or arbitration
proceedings?
11.1If your response to
the previous question was “yes”, please attach a separate
sheet of explanation.
12.0On a separate page
list the projects your firm currently has under construction stating
the name of the owner and telephone number,
the name of the architect and telephone number, location of project, name of
project, original contract amount, current contract amount, percentage of
completion and scheduled completion date.
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
13.0On a separate page
list the projects your firm has completed during the past five years
stating the name of the owner and telephone
number, name of the architect and telephone number, location of project,
original contract amount, final contract amount, original contract completion
date, actual contract completion date and percentage of work completed with
your own forces.
14.0Provide on separate
sheets of paper, resumes/experience for key management staff in
your firm including project manager,
estimators and superintendents.
14.1List the project
manager, superintendent and architect that you anticipate
assigning to each project if you are the successful bidder (the
superintendent
must be assigned to the project
full time).
Project Manager –
Superintendent –
Architect –
14.2List the projects
on which the three people listed in 14.1 have worked together
and in what capacity.
14.3Outline on a
separate sheet of paper the proposed organizational plan for your
management team for each project.
14.4List other projects
already assigned to the project manager listed in 14.1.
14.5Current address,
fax, telephone number and website of your architect firm. (Also
Identify principal office if other than
local office designated.)
14.6How many years has
your architect firm been in business?
14.7On a separate page
list the projects your architect firm has completed during the
past five years stating the name of the
owner and telephone number, name of the contractor and telephone number,
location of project, original contract amount, final contract amount, original
contract completion date, and actual contract completion date.
14.8List principal architect
you plan to use on this project along with qualifications,
certifications and years of architectural
experience.
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
15.0Does your firm have
a company wide safety program?
15.1Is a copy of the
safety program available to the Montrose Recreation District for
examination?
15.2Does your firm have
a safety officer? ______ If so, attach a resume.
16.0What is your
current experience modification rate for Workman’s Compensation?
17.0Does your firm provide
a bona fide health benefit and retirement plan for your
employees?
17.1What percentage of
your current employees are covered by your plan? _____
17.2Is a copy of your
health benefit and retirement plan available to the Montrose
Recreation District for examination?
18.0Does your firm have
a pre-hire drug testing program?
18.1Does your firm
require that subcontractors working on your project have a
pre-hire drug testing program? _____
18.2Does your firm have
a policy to insure a drug free work place? _____
18.3Is a copy of the
procedure to enforce this policy available to the Montrose
Recreation District for examination? _____
19.0Does your firm
participate in an affirmative action program? _____
19.1Is a copy of the
affirmative action program available to the Montrose Recreation
District for examination? _____
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
20.0Attach a financial
statement, preferably an audited statement, including your firm’s
latest balance sheet and income statement
showing the following items:
Current Assets
Net Fixed Assets
Other Assets
Current Liabilities
Other Liabilities
Name of firm preparing financial statement
and date prepared.
Explain any difference between firm for
which financial statement was prepared and firm
listed in section 2.0 of this statement
(e.g., parent, subsidiary, joint venture, etc.)
20.1Bank References
20.2Trade References
MONTROSE RECREATION DISTRICT
DESIGN
BUILD PRE-QUALIFICATION STATEMENT
I hereby certify
that the information provided in this statement is true and correct.
___________________________________________________________
Name
of Firm
___________________________________________________________
Authorized
Representative Printed Name
___________________________________________________________
Authorized
Representative Signature
___________________________________________________________
Authorized
Representative Title
___________________________________________________________
Date
Signed
State of Colorado
County of
__________________________________
The foregoing
statement was acknowledged before me this _____ day of __________________,
20____, by
________________________________ as _________________________________
of ______________________________________________.
My commission
expires ____________________________________.
Witness by hand and
official seal ________________________________________
Notary
________________________________________
Address