Fillable Prequalification Application Revised Oct 2019 Building Construction Cs Dynamic (Commissioners of Carroll County, Maryland)

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Prequalification Application Revised Oct 2019 Building Construction Cs Dynamic (Commissioners of Carroll County, Maryland)

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Bureau of Building Construction – 2019
1
CARROLL COUNTY
DEPARTMENT OF PUBLIC WORKS
BUREAU OF BUILDING CONSTRUCTION
WESTMINSTER, MARYLAND 21157
CONTRACTOR PREQUALIFICATION
FOR
(Check One)
Application
Renewal
Submitted by:
Address:
Telephone Number:
Fax Number
Contact Person
Email Address
Date Submitted
Bureau of Building Construction – 2019
2
1. Save the PDF.
2. Tab through the form fields to complete the required information.
3. Enter as much data as needed to complete the items. The text form fields are
unlimited.
4. Attach additional sheets to the form if more space is required.
5. After completing the form, print the form and sign the original as directed. Send
the signed original form and any other required information to the:
Bureau of Building Construction
225 N. Center Street, Room 200
Westminster, Maryland 21157
The application may be filed electronically to
. A
signed hard copy must be received to complete the application.
shaines@carrollcountymd.gov
6. For any questions, please contact the Bureau of Building Construction at (410)
386-2248.
This Prequalification Application is a protected document. Do not attempt to
alter the text that is embedded in this document.
APPLICATION FOR PREQUALIFICATION
This application is to be used by general contractors seeking prequalification to bid
on Carroll County Community Improvement Projects (CIP) for projects in excess of
$500,000 and administered by the Bureau of Building Construction.
Instructions for completing the:
Bureau of Building Construction – 2019
3
CARROLL COUNTY GOVERNMENT
DEPARTMENT OF PUBLIC WORKS
GENERAL CONTRACTOR’S PREQUALIFICATION APPLICATION
1.
DEFINITIONS
A.
OWNER: The term “Owner” as used in the Contract Documents refers to the County
Commissioners of Carroll County.
B.
OWNER’S AUTHORIZED REPRESENTATIVE: The County’s authorized
Representative refers to the Chief, Bureau of Building Construction. The
prequalification process is administered by:
Bureau Chief, Bureau of Building Construction
225 N. Center Street, Room 200
Westminster, Maryland 21157
410-386-2248
Questions pertaining to this application or subsequent actions shall be made to the
above office.
C.
CONTRACTOR/APPLICANT: The general contractor, whether person, partnership,
or corporation making application for prequalification to bid on Community
Investment Projects (CIP) administered by the Bureau of Building Construction.
Projects in excess of five hundred thousand dollars ($500,000.00) require
prequalification. Projects valued less than this amount do not require pre-
qualification. Additionally, Design/Build projects may incorporate the pre-
qualification process as part of the Request for Proposal (RFP) procedure.
2.
PROCEDURES FOR PREQUALIFICATION OF GENERAL CONTRACTORS
All Contractors intending to bid on any CIP administered by the Bureau of Building
Construction in excess of five hundred thousand dollars ($500,000.00) must secure their
prequalification certificate every three years on a rolling calendar basis or submit their
application for prequalification fourteen (14) days prior to a specific bid date. Note: The
Bureau of Engineering, Department of Public Works, separately pre-qualifies contractors
for road, bridge and culvert projects.
A.
Each Contractor seeking prequalification shall submit and file an application with
the Bureau of Building Construction for the capital projects administered by the
Bureau.
Bureau of Building Construction – 2019
4
B.
The prequalification applications can be found on the County’s web site:
www.carrollcountymd.gov
(Click Directory, Building Construction and Contractor
Prequalification Form). The document itself can be found at the following link:
https://www.carrollcountymd.gov/media/1713/contractor-prequalification-form.pdf
C.
All prequalification applications shall be signed and filed in hard copy in the office
of:
Bureau of Building Construction
225 N. Center St., Room 200
Westminster, Maryland 21157
410-386-2248
D.
A Certificate of Prequalification (“Certificate”) is valid through the expiration date
stated on the Certificate. The County reserves the right to re-evaluate a Prequalified
Contractor at any time. Any Contractor who holds a Certificate shall furnish
additional information bearing on the Contractor’s work classification and
qualifications as may be required at the sole discretion of the County.
The County has sole discretion to
reject the bid of any Contractor who fails to
promptly and properly furnish all information and documentation as may be
required by the County.
Except as otherwise stated or identified in a County contract document,
subcontractors are not required to be prequalified to perform on Projects.
3.
REQUIREMENTS FOR PREQUALIFICATION
A fully completed Prequalification Application shall include all of the following information
:
A.
General applicant information. A Contractor shall provide the general information
shown on the application form.
B.
A Contractor must have verifiable qualifications and experience to perform the
specified work. The Applicant must establish their relative qualifications and
experience to perform the work by presenting the information in the format
provided in the application.
C.
Name of bonding company/surety underwriter. This information shall include a
specific individual and their contact information who can affirm information about
the Contractor.
The overall bonding capacity of the company and the available
bonding shall be clearly presented on the bonding company’s signed
letterhead.
D.
The value and a summary of claims/liens and judgments against the company in the
last five years. This shall include a brief explanation of the issues.
Bureau of Building Construction – 2019
5
E.
A copy of OSHA/MOSH safety reports for each of the company’s projects reported in
the application for the past five years.
4.
APPLICATION EVALUATION
A.
The Bureau of Building Construction staff oversees and is responsible for evaluating
the prequalification applications. They will routinely be assisted by the County
Attorney, the Comptroller’s Office, the Bureau of Purchasing and the County’s Risk
Manager.
B.
All of the elements and information requested in the previous section,
REQUIREMENTS FOR PREQUALIFICATION, shall form the criteria of the evaluation.
Performance on past and current projects, particularly projects of similar size and
nature with respect to government ownership will be carefully reviewed.
C.
The Owner may contact any references as necessary. References will be contacted
in part, about the reference’s opinion of such items as the experience of the
personnel of the Applicant, the quality and organization of Applicant’s personnel,
how well the work was planned and accomplished, cooperation with others on
projects, change order and claim history, and how problems were resolved.
Examples of unsatisfactory references include, but are not limited to: inappropriate
project staffing, untimely performance, defective work, and submission of
unreasonable claims. Unsatisfactory references may serve as a basis for
disqualification of an Applicant.
D.
A bid limit will be established for each Applicant based on bonding limit and their
previous successful project experience. That bid limit shall be restricted in the
following
two ways
:
(1)
The Applicant will not be qualified for any project in excess of its
available bonding capacity at the time of bid. Under no circumstances
will a bidder be awarded a contract if their available bonding limit at
the time of bid does not equal or exceed the contract amount.
(2)
An Applicant will not be qualified for any project over five million
($5,000,000.00) dollars unless they can show previous success with
projects of that value.
E.
An unsatisfactory rating in any one of the categories listed above will be considered
sufficient cause to determine that an Applicant is not qualified to bid. In considering
a prospective Applicant for prequalification, the Owner shall be the sole judge of
whether or not the Applicant possesses a sufficient number of experienced, qualified
personnel at its management and supervisory levels, financial soundness, history of
satisfactory project performance on similar projects, all of which indicates its ability
Bureau of Building Construction – 2019
6
to successfully complete a project in accordance with the contract and the project
schedule.
Unless the data provided clearly indicates that the Applicant has qualifications and
experience, knowledge and means to perform the scale and scope of the work being
bid, the Applicant will be considered “not qualified to bid”.
F.
Additionally, the following shall be considered grounds to be considered “not
qualified to bid”: submission of falsified information, failure to submit additional
requested information, failure to perform satisfactorily or to comply with
requirements of current or recent prior Carroll County projects, failure to secure
bonding, defaulting on contract(s) in this or other jurisdictions, legal action against
Carroll County or another jurisdiction, and failure to comply with applicable
Federal, State, or local laws or regulations.
G.
Applicants who have not received a Certificate of Prequalification will have their
bids rejected as non-responsive and will be returned.
5.
PROTEST PROCEDURE
An applicant, who has been disqualified, may protest that finding to the Owner’s
Representative within thirty (30) days of the notice. The Applicant shall provide
documentation and reasons as to why the Owner should change its position. After
appropriate review, the Owner’s Representative will respond in writing as to its decision.
A conference shall be afforded any Applicant who is aggrieved by the Owner’s action.
Following such conference, the Owner shall make a determination on the issue in question
and notify the Applicant in writing. Thereafter, the Owner’s decision to prequalify or not to
prequalify an Applicant is final.
An Applicant that has been denied prequalification may not reapply for a period of one year
from the date of the final decision.
The above protest procedure shall also pertain to the Applicant’s dissatisfaction with the
designation of the work category the Applicant is approved to perform or the bid limit
assigned.
Bureau of Building Construction – 2019
7
Balance of page left intentionally blank.
Bureau of Building Construction – 2019
8
PREQUALIFICATION CHECKLIST
DEPARTMENT OF PUBLIC WORKS
Bureau of Building Construction
APPLICANT NAME
Received
Certificate of Good Standing
Copy of State of Maryland Contractor’s License
Surety Letter (3.D)
Summary of claims/judgments (3.E)
OSHA/MOSH Reports (3.F)
Employee strength chart showing numbers of employees by discipline and titles down through project field
superintendent. List years of construction experience, years with company, and experience on similar projects.
Bureau of Building Construction – 2019
9
APPLICANT INFORMATION
Name and telephone number of the person who can respond authoritatively
to any questions regarding this response:
Name
Telephone No
2.
Check One:
Corporation
Copartnership
Individual
3. If a Corporation: ATTACH A COPY OF THE CERITIFICATE OF GOOD
STANDING FOR THE CURRENT YEAR: for information about the certificate see
http://www.dat.state.md.us/
or call 410-767-1344, Toll free in MD 888-246-5941.
Date of Corporation:
Name & Title of Principal Officers
Name
Title
Date of Assuming Position
APPLICATIONS MUST BE RECEIVED NO LATER THEN FOURTEEN (14) DAYS
PRIOR TO A SPECIFIC BID DATE.
Legal title of Organization:
Address:
City
State
Zip Code:
Telephone Number
1. State the true and complete name, address, and telephone number under which the prospective
Applicant does business and is seeking Prequalification.
APPLICATION SIGNED BY:_____________________________________________
Printed name and title
State in which Incorporated
Resident agent of Corporation:
https://dat.maryland.gov/businesses/Pages/Internet-
Bureau of Building Construction – 2019
10
4.
If Partnership
Date of Organization:
Nature of Partnership (General, Limited, or Associates):
5.
If Individual:
Full names and Address of all Partners:
Name
Address
Zip Code:
State
City
Full Name and Address of Owner:
Name
Address
Zip Code:
State
City
Zip Code:
State
City
Address
Name
6. Identify the typical portions of a project that are commonly self-performed.
7. Has the Applicant or any of its affiliates ever been removed (By debarment or deletion from a prequalified bidders list) from
bidding privileges by any government or business entity?
Yes
No
If yes, give date(s) of removal and reinstatement, cause for removal and project(s) involved as a separate attached narrative.
Was Applicant's reinstatement a conditional reinstatement?
No
Yes
Not Applicable
8. Has the Applicant or any of its affiliates ever entered into project settlement or closeout agreements?
No
Yes
If yes, list with whom.
Bureau of Building Construction – 2019
11
PROJECT INFORMATION
9. Is any member of organization employed by Carroll County, or in any way officially connected with County Government?
Yes
No
If yes, explain:
1. Give total contract value of work accomplished by your organization in each of the last three (3)
calendar years:
Contract Value of Work
Calendar Year
2. Give dollar value of work presently (as of the date of the application) being accomplished by, or
pending award to your organization.
Date
Contract Value $
3. Dollar value of largest public project ever accomplished by your organization:
$
Year
4. Dollar value of largest public project completed in last five (5) years:
$
Year
$
Bureau of Building Construction – 2019
12
PROJECT EXPERIENCE
Provide this information for any current projects and five
completed projects over the past five years.
1. Applicant's Name:
Project Manager’s Name:
Superintendent’s Name:
2. Name of Project:
Contract No.:
Project Number:
Description of Project:
Original Contract Value: $
Final Contract Value $
Value of Change Order to Date:
Value of Outstanding Claims to Date: $
Contract Dates:
Start Dates:
Contractual Completion:
Actual Completion:
3. Owner's Name:
Zip Code:
State
City
Address
Owner's Contact Person
Telephone Number
4. A/E's Name:
Telephone Number
Contact Person
Zip Code:
State
City
Address
5. Legal Action Implemented by Applicant against owner or subcontractor:
Yes
No
If yes, explain on additional sheet
Legal Action Implemented by Owner:
If yes, explain on additional sheet
No
Yes
If yes, explain on additional sheet
No
Yes
Legal Action Implemented by Subcontractor.
Bureau of Building Construction – 2019
13
7. Did the project include MBE/WBE participation goals?
If yes, state goal(s) and actual attainment.
No
Yes
6. Name of Bonding Company:
Telephone Number
Contact Person
Zip Code:
State
City
Address
MBE Goal %
Attained %
WBE Goal %
Attained %
Was the project subject to State Granting agency involvement?
No
Yes
If yes, name of agency
Attachments to be included with application:
-Certificate of Good Standing
-Copy of State of Maryland Contractor's License
-Surety Letter (3.C)
-Summary of claims/judgments (3.D)
-OSHA/MOSH Reports (3.E)
-Submit a copy of the Applicant's employee strength chart showing numbers of employees by discipline
and titles down through project field superintendent. List years of construction experience, years with the
Applicant's company, and experience on similar projects.
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Completed 5 August 2020

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