Fillable Massachusetts Department of Transport Application for Contractor Prequalification

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Massachusetts Department of Transport Application for Contractor Prequalification

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APPLICATION for CONTRACTOR PREQUALIFICATION
In accordance with Massachusetts General Laws Chapter 81, §8B, the undersigned offers the following information as
evidence of the applicant’s qualifications to perform the work to be bid upon according to all the requirements of the
plans and specifications of the MassDOT – Highway Division.
Contractor Prequalification Application Checklist
Th
e Application is in Adobe fill-in format. Form fields, drop-downs and check boxes are included in the form to make the document user
friendly to assist in preserving the original format. Use the tab or arrow keys to scroll through the form. Information can be typed directly into
“Text Form” fields. Single click in the “Drop-down” Select One box to open the field to make your selection. Single click in the “Check Box”
field to make selection(s).
O
ne (1): Complete a W9 form if your Firm does not have a Vendor Code
Two (2): Welding, Cutting, & Other Hot Works (NEW ITEM) – Pages 16 & 17
Applicants must provide evidence of training completion per 527 CMR 1.00; must be current and submitted with application.
*Note* Anyone that performs, supervises or delegates Hot Work must be trained.
Three (3): Electrical Contractors Only
Applicants requesting ITS, Electrical all types & maintenance, Highway Lighting or Traffic Signals must have a current Massachusetts
master electricians license & be a
corporate officer. The name on the license must include the business name.
Four (4): Hazardous Waste Removal & Remediation
Current Hazwoper Certificates and or Hazmat Transport License must be attached and current.
Five (5): Painting Contractors Only
The category of Painting-Structural requires that the contractors for this Class of Work must be certified by the Society
For Protective Coatings (SSPC), Painting Contractor Certification Program (PCCP), QP-1 and QP-2 must be attached and current.
Six (6): Contractor Information / Request for Classes of Work — Page 3
Applicants MUST provide the company’s full name, the state where the entity is registered, a mailing and shipping address, the Federal
Employer Identification Number (FEIN), Vendor Code and check box to each class of work for which the company are experienced and are
requesting consideration for Prequalification. The name on the application MUST correspond with the name imprinted on your
corporate seal (if a registered corporation) and the name that will appear on bids.
Seven (7): Business Organization / Corporate Members or Managers — Pages 4 & 5
Applicants MUST provide type of business organization and full names & title of all corporate officers
Certificate of Good Standing (if applicable)
Eight (8): Surety Company Letter and Bonding Capacity — Page 6
Attach an original commitment letter from a Surety Company licensed in the Commonwealth of Massachusetts and whose name appears on
the United States Treasury Department Circular 570, stating the Contractor’s Aggregate Bonding Capacity and Single Contract Limit. A
Power-of-Attorney or Attorney-in-Fact must be attached to the letter.
Nine (9) – a-d: Past Performance Information — Page 7
Ten (10): Legal or Administrative Proceedings — Pages 8 & 9
Question 9 (If you answer yes to any question, on a separate page provide a complete explanation of each proceeding or action and any
judgment, decision, fine or other sanction or result).
Eleven (11): Class of Work – Completed Projects (within the past 10 years only) — Pages 10, 11
& 12
List three completed projects for each of the requested Class of Work (example attached).
CSD 090 – REV 12/2018
Page
1
APPLICATION for CONTRACTOR PREQUALIFICATION
Twelve (12): Equipment List — Page 13
Complete this question and provide information in the format shown.
If the firm leases equipment, please provide the owner’s name and copies of all lease agreements.
Please note that equipment lease agreements should be for a period of one year.
Thirteen (13): Subsidiaries List — Page 14
Provide name, address and telephone number of all subsidiaries.
Fourteen (14): Confirm that there is NO Inaccurate or Falsified Information — Page 14
Fifteen (15): Acknowledge that the Prequalification Committee has the Right to Request Additional Information, AT ANY TIME,
Per 720 CMR 5.0 — Page 14
Sixteen (16): Company Name and Original Signature Required — Page 15
The full name of the company and the original signature and title of the signing authority is required and date on this page.
Seventeen (17): Supplemental Information Attached — Beyond Page 17
The applicant may also provide additional information such as resumes of principals or key personnel, company
organization chart, letters of recommendation, any other information demonstrative of the applicant’s experience,
skill, ability and integrity.
Additional projects & equipment may be listed separately as long as the format mirrors the application.
Please mail the checklist with your completed application to:
MassDOT – Highway Division
Construction Prequalification / Records & Procedures Office
10 Park Plaza, Room 6260
Boston, MA 02116
ATTN: Director of Construction Prequalification
Questions? Call (857) 368-8660
CSD 090 – REV 12/2018
Page
2
APPLICATION for CONTRACTOR PREQUALIFICATION
Six (6): Contractor Information / Request for Classes of Work
6.1 Name of Applicant:
Business Address:
City: State: Zip:
Telephone No.: Fax No.:
Company Email Address:
6.2 Massachusetts Vendor Code: Tax ID No.:
6.3 Number of years applicant has been in business under present name:
6.4 Please place a check mark next to each class of work to indicate what categories your firm is requesting
consideration for Prequalification.
CLASSES OF WORK
Bridge – Construction Highway – Bike Paths Salt Marsh and Wetland
Restoration
Bridge – Culverts Highway-Construction Sewer and Water
Bridge – Deck Repairs Highway-Lighting Signing – Non Structural
Bridge – Joints Highway – Sidewalk and Curbing Signing – Structural
Catch Basin Cleaning Impact Attenuators Street Sweeping
Chemical Storage Sheds Intelligent Transportation Systems Traffic Signals
Crack Sealing Landscaping Including Tree
Planting
Tree Trimming -
Maintenance & Removal
Dam Construction Marine Construction Waterways
Demolition Mowing and Spraying
Drainage Painting–Structural
Drawbridge Maintenance Pavement Markings
Dredging Pavement–Milling and Cold Planing
Drilling & Boring Pavement - Reclamation
Electrical – All Types – Including
Electrical Maintenance
Pavement - Surfacing
Guard Rail & Fencing Pump Stations
Hazardous Waste Remediation &
Transportation
Recreational Facilities
CSD 090 – REV 12/2018 Page
3
APPLICATION for CONTRACTOR PREQUALIFICATION
Seven (7): Type of Business Organization:
*** Please attach official documentation of all other corporate officers or managers ***
7a. If Prequalifying as a Corporation:
State of Incorporation:
President:
Treasurer:
Secretary:
CERTIFICATE OF GOOD STANDING (FOREIGN CORPORATION) WITH THE SEAL:
In accordance with M.G.L. c. 30 §39L, corporations incorporated outside the Commonwealth of Massachusetts must
attach a certificate from the Secretary of the State of Massachusetts, stating that the corporation has complied with
M.G.L. c. 181, §§3 and 5, and the date of such compliance. This can be obtained by calling 617-727-7030 or visiting:
http://corp.sec.state.ma.us/CorpWeb/Certificates/CertificateOrderForm.aspx
7b. If Prequalifying as a Partnership: (name all partners)
Name of Partner: % of Ownership
Address:
Name of Partner: % of Ownership:
Address:
Name of Partner: % of Ownership:
Address:
7c. If Prequalifying as a Limited Liability Corporation: (name all members of the LLC)
Name of Member: % of Ownership
Address:
Name of Member: % of Ownership
Address:
Name of Member: % of Ownership
CSD 090 – REV 12/2018 Page
4
APPLICATION for CONTRACTOR PREQUALIFICATION
Address:
7d. If prequalifying as an individual doing business under a firm name:
Name of firm:
Name of individual:
Business address:
7e. If prequalifying as a continuous (one year) Joint Venture: (name of each company)
Required for Full Yearly Joint Venture:
Name of Company:
Address:
Company Telephone:
Name of Company:
Address:
Company Telephone:
7f. Additional requirements for those who wish to prequalify as a Joint Venture:
a. Submission of a notarized letter signed by an officer of each company authorizing one individual to sign
the Bid Proposal Documents and Request for Proposal Form on behalf of the Joint Venture.
b. A certified copy of Power of Attorney from each Joint Venture partner.
c. A copy of the Joint Venture agreement.
Please note that a prequalification application does not have to be completed for a one-time per project Joint Venture
request. Instead, the prequalification documentation listed below would need to be submitted on behalf of the Joint
Venture partners.
1. A letter from each proposed Joint Venture partner company. The letter should include information such requesting
approval for the Joint Venture, identifying which company will be designated as the lead entity and percentage of
participation; and, if needed, requesting a waiver on behalf of the Joint Venture.
2. A completed Joint Venture Agreement.
3. A certified copy of the Power of Attorney from each Joint Venture partner.
7g. If Prequalifying as another form of business organization, please describe:
CSD 090 – REV 12/2018 Page
5
APPLICATION for CONTRACTOR PREQUALIFICATION
Eight (8) A: Surety Company which will furnish performance and payment bonds:
Name:
Address:
Attach an original commitment letter from a Surety Company licensed in the Commonwealth of Massachusetts and
whose name appears on the United States Treasury Department Circular 570, stating the Contractor’s Aggregate
Bonding Capacity and Single Contract Limit. A Power-of-Attorney or Attorney-in-Fact must be attached to the
letter.
Eight (8) B: Largest Performance Bond amount ever furnished by the Contractor to an Awarding Authority
or Owner:
Class of Work:
Bond Amount:
Project Description:
Location:
Owner:
Owner’s Rep:
Telephone#:
Architect/Engineer:
A/E contact person:
Telephone#:
Original contract amount: $ Original completion date:
Final contract amount: $ Final completion date:
Percentage of work self-performed:
CSD 090 – REV 12/2018 Page
6
APPLICATION for CONTRACTOR PREQUALIFICATION
Nine (9): Information regarding past performance:
9a. Has your firm ever failed to complete any work or has any officer, partner, member or principal, as listed in
Question 5, been an officer, partner, member or principal of another firm that has failed to complete a project in
the last 10 years? YES NO
If YES, please provide the following information for each project you or one of your officers, partners,
members or principles have failed to complete: To list multiple contracts, duplicate the following
information format.
Company awarded the contract:
Principal involved in this company, if company is not the Applicant:
Class of Work:
Project Description:
Location:
Scope of work:
Owner:
Owner’s Rep:
Telephone#:
Contract Amount: $
Reason for Failure to Complete:
9b. Is the company able to furnish labor that can work in harmony with all other elements of labor employed or to be
employed on the work? YES NO
If NO, attach full explanation.
9c. Is the company presently debarred or suspended from doing public construction work in the Commonwealth
under the provisions of Section 29F of Chapter 29, or any other applicable debarment provisions of any other
Chapter of the Massachusetts General Laws or any rule or regulation promulgated thereunder. YES NO
If YES, attach a copy of the debarment and a full explanation.
9d. Is the company debarred or suspended from performing work of any kind by any state other than the
Commonwealth of Massachusetts or any Federal agency or authority? YES NO
If YES, attach a copy of the debarment and a full explanation.
CSD 090 – REV 12/2018 Page
7
APPLICATION for CONTRACTOR PREQUALIFICATION
Ten (10): Legal or Administrative Proceedings; Compliance with laws:
Please answer the following questions. Information is to cover all judicial and administrative proceedings involving
applicant’s firm, which were instituted or concluded (adversely or otherwise) within the past 5 years prior to the
date of submission of this application.
The term “administrative proceedings” as used in this application for certificate of eligibility includes (i) any action
taken or proceeding brought by a governmental agency, department or officer to enforce any law, regulation, code,
legal or contractual requirement, except for those brought in state or federal courts, or (II) any action taken by a
governmental agency, department or officer imposing penalties, fines or other sanctions for failure to comply with
any such legal or contractual requirement.
The term “anyone with a financial interest in your firm” as used in this Section “I” shall mean any person and / or
entity with a 5% or greater ownership interest in the applicant’s firm.
If you answer YES to any question, on a separate page provide a complete explanation of each proceeding or
action and any judgment, decision, fine or other sanction or result. Include all details (nature or basis of
claim, name of court or administrative agency, title of case or proceeding, case number, date action was
commenced, date judgment or decision was entered, fines or penalties impose, etc.).
YES NO
10a. Within the past 5 years have any civil, judicial or administrative proceedings involving your firm or a principal o
officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to the
procurement or performance of any construction contract, including but not limited to actions to obtain payment
brought by subcontractors, suppliers or others?
10b. Within the past 5 years have any criminal proceedings involving your firm or a principal or officer or anyone
with a financial or officer or anyone with a financial interest in your firm been brought, concluded or settled
relating to the procurement or performance of any construction contract including, but not limited to, any of the
following offences: fraud, graft, embezzlement, forgery, bribery, falsification or destruction of records or receipt
of stolen property?
10c. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a violation of
any state’s or federal procurement laws arising out of the submission of bids or proposals?
10d. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a violation
of M.G.L. Chapter 268A, the State Ethics Law?
10e. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a violation
of any state or federal law regulating hours of labor, unemployment compensation, minimum wages, prevailing
wages, overtime pay, equal pay, child labor or worker’s compensation?
10f. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a violation
of any state or federal law prohibiting discrimination in employment?
CSD 090 – REV 12/2018 Page
8
APPLICATION for CONTRACTOR PREQUALIFICATION
Legal or Administrative Proceedings; Compliance with laws (Section 2)
YES NO
10g. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a claim of
repeated or aggravated violation of any state or federal law regulating labor relations?
10h. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to
decertification, debarment or suspension of your firm or any principal or officer or anyone with a financial
interest in your firm from public contracting?
10i. Within the past 5 years have any judicial or administrative proceedings involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded or settled relating to a violation
of any state or federal law regulating the environment, including but not limited to DEP and EPA?
10j. Within the past 5 years have your firm been fined by OSHA or any other state or federal agency for violations
of any laws or regulations related to occupational health or safety? NOTE: this information may be obtained
from the OSHA’s Website at www.osha.gov
10k. Within the past 5 years has your firm been sanctioned for failure to achieve DBE/MBE/WBE goals, workforce
goals or failure to file certified payrolls on any public projects?
10l. Other than previously reported in the above paragraphs of this Section “I”, within the past 5 years have any
administrative proceedings or investigations involving your firm or a principal or officer or anyone with a
financial interest in your firm been brought, concluded or settled by any local, state or federal agency relating
to the procurement or performance of any construction contract?
10m. Are there any other issues that you are aware which may affect your firm’s responsibility and integrity as a
construction contractor?
10n. Is your firm current with the provisions of 527 CMR 1.00:41 welding, cutting & other Hot-Works. Has all your
required Staff completed an approved training program? Please attach evidence of such completed training
program (see pages 16-17).
**NOTE THAT ANYONE WHO PERFORMS, SUPERVISES OR DELEGATES HOT WORK MUST BE TRAINED***
CSD 090 – REV 12/2018
Page
9
APPLICATION for CONTRACTOR PREQUALIFICATION
************************ EXAMPLE ************************
FOR EACH CLASS OF WORK FOR WHICH PREQUALIFICATION IS REQUESTED THE APPLICANT MUST SUBMIT
THREE (3) PROJECTS COMPLETED BY THE FIRM (within the past 10 years)
Eleven (11): Please provide 3 of your firm’s recent completed projects similar in scope for each class of work checked in
item number four (4) above. Please provide a THOROUGH description of the class of work. Contractors should
not submit experience less than $50,000 in project value.
Do not list contracts completed more than 10 years ago.
11.0 Class of work: Highway Construction Dollar Value: $20,000,000
1a. Other Sub-Classes of work performed: Dollar Value:
Drainage $4,000,000
Sidewalk & Curbing $1,000,000
Signing Structural $500,000
Pavement Surfacing $2,000,000
Project Title: Route XXX Rehab
Location: Boston, MA
Owner: MassDOT
Owner’s rep: John Smith
Telephone#: 857 368 8660 Email:jsmith@xxx.org
Architect / Engineer: MassDOT
A/ E contact person:
Telephone#: 857 368 8660 Email: jsmith101@xxx.org
Original contract amount: $20,000,000 Original completion date: December 2016
Final contract amount: $21,050,000 Final completion date: March 2017
Were you the Prime Contractor X Or Subcontractor for this project?
Percentage of work completed with own forces: 75%
Value of work completed with own forces: $15,787,050
Detailed class of work description: full road rehab on route XXX in Boston, from xxx to yyy, including roadway
resurfacing, drainage installation, guardrails, sidewalk repairs & signing, etc., ….
Detailed class of sub-work description:
Drainage: installed 1000 ft. of 24, 1500 ft. of 48 and 1800 ft. of 60 inch RCP drainage pipe from xxx to yyy
CSD 090 – REV 12/2018
EXAMPLE
APPLICATION for CONTRACTOR PREQUALIFICATION
11.1 Class of work:
Dollar Value:
2a. Other Classes of work performed: Dollar Value:
Project Title:
Location:
O
wne
r:
Owner’s rep:
Telephone#: Email:
Architect / Engineer:
A/ E contact person:
Telephone#: Email:
Original contract amount: $ Original completion date:
Final contract amount: $ Final completion date:
Were you the Prime Contractor Or Subcontractor for this project?
Percentage of work completed with own forces:
Value of work completed with own forces: $
Detailed scope of work:
CSD 090 – REV 12/2018 Page
10
Select from drop down menu...
APPLICATION for CONTRACTOR PREQUALIFICATION
11.2 Class of work:
Dollar Value:
3a. Other Classes of work performed: Dollar Value:
Project Title:
Location:
Owner:
Owner’
s rep:
Telephone#: Email:
Architect / Engineer:
A/ E contact person:
Telephone#: Email:
Original contract amount: $ Original completion date:
Final contract amount: $ Final completion date:
Were you the Prime Contractor Or Subcontractor for this project?
Percentage of work completed with own forces:
Value of work completed with own forces: $
Detailed scope of work:
CSD 090 – REV 12/2018 Page
11
Select from drop down menu...
APPLICATION for CONTRACTOR PREQUALIFICATION
11.3 Class of work:
Dollar Value:
3a. Other Classes of work performed: Dollar Value:
Project Title:
Location:
Owner:
Owner’s rep:
Telephone#: Email:
Architect / Engineer:
A/ E contact person:
Telephone#: Email:
Original contract amount: $ Original completion date:
Final contract amount: $ Final completion date:
Were you the Prime Contractor Or Subcontractor for this project?
Percentage of work completed with own forces:
Value of work completed with own forces: $
Detailed scope of work:
CSD 090 – REV 12/2018 Page
12
Select from drop down menu...
APPLICATION for CONTRACTOR PREQUALIFICATION
Twelve (12): EQUIPMENT LIST: Show make, model, year, serial / vin#, and type.
The listing of equipment must be grouped by type of equipment (i.e. loaders, backhoes, pavers, rollers, etc.)
DO NOT INCLUDE OFFICE EQUIPMENT, HAND TOOLS OR PERSONAL VEHICHLES IN THIS LIST
* Attach copies of lease agreements*
Type of Equipment:
Make, Model and
Year
Type of Equipment Serial no. / Vin No. Used for what
Prequalification Class
of Work?
Owned *Leased
CSD 090 – REV 12/2018 Page
13
APPLICATION for CONTRACTOR PREQUALIFICATION
Thirteen (13): Contractors need to list all subsidiaries. Please note that each listing will be reviewed and non-collusion
agreements may be required.
List all Subsidiaries:
Company Name:
Company Address:
Company Telephone:
Company Name:
Company Address:
Company Telephone:
Company Name:
Company Address:
Company Telephone:
Company Name:
Company Address:
Company Telephone:
Fourteen (14): Inaccurate or falsified information:
Failure to accurately and completely provide the information requested may result in rejection of the Application for
Prequalification and additional penalties under the law. If information provided herein changes, a current and complete
update statement must be provided by the Applicant.
Fifteen (15): The Prequalification Committee reserves the right to request additional information, AT ANY TIME,
regarding the Applicant’s experience, equipment, safety record or procedures, bonding capacity, financial status, completed
projects, work currently under contract and any and all information pertinent to the applicant’s skill, ability and integrity to
perform work for the department. Note that this information must be provided to the Committee within 30 days of official
request per 720 CMR 5.00 or your Prequalification can be subject to Revocation and or Revision.
Questions pertaining to information contained in this application should be directed to:
Contact Person
Phone Number
Email Address
CSD 090 – REV 12/2018 Page
14
APPLICATION for CONTRACTOR PREQUALIFICATION
Sixteen (16):
The undersigned, on behalf of the Applicant, hereby certifies the foregoing information to be true and complete, under
the penalties of perjury. The undersigned further certifies, under the penalties of perjury, that he or she is authorized
to sign this application on behalf of the Applicant. In accordance with 720 CMR Section 5.04 (2) and under the
penalties of perjury, I certify that my company will not request a project whose value plus the firm’s uncompleted
work would exceed the firm’s aggregate bond capacity.
Company Name (print or type):
By:
Original Signature and Title Date
Print Name and Title
In accordance with 720 CMR 5.02 (5), Applications for Prequalification shall be submitted at least 14
calendar days preceding the day set for opening of bids for work upon which a Contractor intends to bid.
If you should have any questions or concerns please direct them to prequal.r109@dot.state.ma.us or feel free to
contact the Prequal Hotline at 857-368-8660
If an incomplete application is received, the following procedure will be followed:
a. The Prequalification D
e
partment will notify the a
pplicant responsible for submitting the Prequalification
Application via telephon
e/email or if applicable by letter
that their application is incomplete. The Prequalification
Department
will state missing information that is required for Prequalific
ation Committee review.
b.
If after notifying the applicant the application r
e
mains incomplete for thirty days, the application will be voide
d and
returned to applicant.
MAIL THIS COMPLETED APPLICATION TO:
COMMONWEALTH OF MASSACHUSETTS
MASSDOT – HIGHWAY DIVISION
CONSTRUCTION PREQUALIFICATION / RECORDS & PROCEDURES OFFICE
10 PARK PLAZA, ROOM 6260
BOSTON, MA 02116
ATT: DIRECTOR OF CONSTRUCTION PREQUALIFICATION
CSD 090 – REV 12/2018 Page
15
What are the additional duties of a hot
work re watch? The re watch must
review and ensure the internal hot work
permit is completed and posted. The re
watch must also remain on site for at least
30 minutes after the completion of all hot
work.
Is an AHJ permit always required? No.
There are few exceptions where an AHJ
permit is not required.
Homeowners and hobbyists conducting hot
work are exempt from both training and
permit requirements.
Individuals who conduct hot work
operations on their premise or equipment
shall be permitted to carry-out hot work,
after consultation with the AHJ before hot
work operations can be conducted.
When the hot work activity is performed by
a person, or under the direct supervision of
a person, licensed and permitted pursuant
to a specialized code as dened in M.G.L. c.
143, §96 (ex. licensed plumbers, electricians,
sheet metal workers, etc).
When the local re and building ofcials
have already pre-approved the location as a
designated area.
What is the difference between
permitted and designated area? A
designated area does not require either
an AHJ or hot work permit, although these
areas are still pre-approved by the building
and re ofcial and must be reviewed
annually by the PAI. The AHJ may require
an annual permit issued for the designated
area.
A permitted area must have a permit from
the AHJ and a daily hot work permit issued
from the PAI, unless exempt.
Contact Information
For information about the state re code
and re safety, contact the DFS Code
Compliance and Enforcement Unit at:
• Stow Headquarters (Eastern MA)
978-567-3375
• Springeld Ofce (Western MA)
978-567-3813
Welding,
Cutting,
and
Other
Hot Work
Fire Safety
Requirements in
Massachusetts
Code Compliance and Enforcement Unit
978-567-3375 • www.mass.gov/dfs
7/18
DEPARTMENT OF FIRE SERVICES
Peter J. Ostroskey • State Fire Marshal
The Department of Fire Services (DFS) is
pleased to provide this list of frequently asked
questions (FAQ’s) regarding hot works in
Massachusetts. The brochure covers the most
common questions concerning hot works
safety in the state.
The DFS Code Compliance & Enforcement Unit
works in conjunction with local communities to
ensure that hot work is conducted safely and
in accordance with the state re code. We have
listed the most important terms that you will
need to understand.
Denitions
Hot Work - Work involving, burning, welding,
or a similar operation that is capable of
initiating res or explosions. Examples include,
but are not limited to: welding, cutting,
grinding, soldering, heat treating, hot riveting,
torch-applied roong, abrasive blasting, and
powder-driven fasteners.
Qualied Person – As of July 1, 2018,
a qualied person is a person who has
successfully completed training approved by
the State Fire Marshal.
Permit Authorizing Individual (PAI) –An
individual designated by management to
authorize hot work.
Permissible Area – There are two types
of permissible areas, designated area and
permitted area.
Designated Area - A specic location
designed and approved for hot work
operations that is maintained re-safe, such
as a maintenance shop or a detached outside
location, that is of noncombustible or re-
resistive construction, essentially free of
combustible and ammable contents, and
suitably segregated from adjacent areas.
Permitted Area - Any location, other than
a designated area which is approved for hot
work and is made re-safe by removing or
protecting combustibles from ignition sources.
Hot Work Permit – A permit issued by the
PAI, which shall not be valid for more than
24 hours. Information on the permit should
include work location, type of hot work, the
work to be done, the operator, duration,
equipment, and controls to ensure safety.
Fire Department (AHJ) Permit - A document
issued by the AHJ to a qualied person for the
purpose of authorizing that individual to carry
out the activity of hot work.
Fire Watch - The assignment of a person or
persons to an area for the express purpose
of notifying the re department, the building
occupants, or both of an emergency;
preventing a re from occurring; extinguishing
small res; or protecting the public from re or
life safety dangers.
Frequently Asked Questions
What is the state re code in
Massachusetts? The state re code
is known as the Massachusetts
Comprehensive Fire Safety Code, 527
CMR 1.00. Visit www.mass. gov/dfs and
search for 527 CMR 1. The state re code
adopts NFPA 1 (2015 Edition), and includes
Massachusetts amendments. Within the
code are the appropriate editions of NFPA
standards that must be met.
Where can the requirements for hot
works be found within the state re
code? These requirements are found in
Chapter 41. This section adopts NFPA
51B – Standard for Fire Prevention
During Welding, Cutting, and Other Hot
Work (2014 Edition), which also includes
Massachusetts amendments.
Do the personnel involved in hot work
need to be trained? As of July 1, 2018, for
an individual to be qualied to be a PAI,
perform re watches, perform, supervise
or delegate any activities of hot work
they shall have documentation that he or
she has successfully completed training
approved by the State Fire Marshal.
What are the Permit Authorizing
Individual’s (PAI) primary
responsibilities? The PAI issues the hot
work permit and is charged with ensuring
the health and safety within the permissible
area.
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Massachusetts Department of Transport Application for Contractor Prequalification

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Completed 22 May 2020

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