THE METROPOLITAN ST. LOUIS SEWER DISTRICT

2350 Market Street

St. Louis, MO 63103

Attn: Purchasing Department

Abby Meyer (314)768-6250

or

Lisa Treat (314)768-6269

CONSTRUCTION PRE-QUALIFICATIONAPPLICATION

For the Period of 9/1/18 thru 8/31/19

(USED IN PRE-QUALIFYING NEWBIDDERS ON CAPITAL CONSTRUCTION WORK)

______

SUBMITTED BY (COMPANY)

______

ADDRESS

______

CITY, STATE, ZIP CODE

______

DATE

______

CONTACT NAME (FOR QUESTIONS) - TELEPHONEFAX

TAX ID NUMBER

______

E-MAIL ADDRESS FOR BID NOTICES

PREQUALIFICATION CHECK LIST

Below is a checklist of required documentation

Signed application and boxes checked indicating type of work requested – (Pages8 and 9).

Signed Conflict of Interest Statement (Page 5).

Bonding capacity indicated (Page 9)

Equipment Sheet is complete (Page 29)

Affidavit is complete with Notary Seal for whichever type of business is applicable.

Attach Certificate from the Secretary of State showing company is authorized to transact business in the State of Missouri.

Attach ACCORD Certificate of Insurance with MSD as certificate holder (pages 30-35).

Attach drain layers license for City of St. Louis and/or St. Louis County (required for Sewer Construction and Deep Sewer Construction categories)

Demolition work for MSD within the City of St. Louis – attach certification for specific classification.

  • Class I – no building size restrictions.
  • Class II Limited to buildings under 3 stories/50 feet high/50,000 square feet area/200,000 cubic feet volume.
  • Buildings under 1 ½ stories/10,000 cubic feet volume, with no basement, require no demolition license.
  • St. Louis County does not require license.

Supplier form (can be found here:

W-9

RULES AND REGULATIONS FOR PREQUALIFICATION OF CONTRACTORS

ON WORK LET BY CONTRACT WITH

THE METROPOLITAN ST. LOUIS SEWER DISTRICT

1.An applicant for pre-qualification must furnish, under oath, detailed information with respect to its equipment, past record, personnel, and experience, together with other information as is called for in this PrequalificationApplication.

2.A contractor must be prequalified prior to bid opening of a project.

3.Any combination of qualified or unqualified contractors bidding jointly becomes a new contracting firm and it must be pre-qualified in accordance with these rules. All applications shall be in writing and signed by the principal parties in the joint venture.

4.Pre-qualificationApplication forms must be filed bySeptember1st of each year. This form must be completed in detail. The District may require any additional information deemed necessary for pre-qualification. Companies pre-qualified within 3 months prior to this date will not need to submit a renewal application until the following year.

  1. No bidder will be pre-qualified unless its Pre-qualificationApplication indicates that it has the experience, organization, and equipment, sufficient in the judgment of the District, that it can satisfactorily execute its contracts and meet its obligations therein incurred.
  1. The Financial Statement of the controlling individual or corporate owner of the business shall be submitted if in the opinion of the District it is required.

7.If any significant change occurs in the information included on the contractors’ pre-qualification form, notice shall be given to the District immediately.

8.All corporations must furnish a certificate from the Secretary of State showing that it is authorized to transact business in the State of Missouri

9.A copy of your firm's Certificate of Insurance meeting the Districts coverages is required.

10.A copy of the applicable drain layers license from the City and/or County of St. Louis is required for Sewer Construction or Deep Sewer Construction.

11. Demolition work for MSD within the City of St. Louis – attach certification for specific classification.

  • Class I – no building size restrictions.
  • Class II Limited to buildings under 3 stories/50 feet high/50,000 square feet area/200,000 cubic feet volume.
  • Buildings under 1 ½ stories/10,000 cubic feet volume, with no basement, require no demolition license.
  • St. Louis County does not require a license.

NOTE:It is important that the work experience pages in Section V be completed and that it contains projects of the type for which pre-qualification is being requested. Pre-qualification will not be granted for types of work that you subcontract to others.

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7/23/18

IMPORTANT INFORMATION FOR PROSPECTIVE BIDDERS

  1. CONTRACT DOCUMENTS

Contract documents include, but may not be limited to, the advertisement, Instructions to Bidders, Proposal, General Specifications, Detailed Specifications, Agreement, Bond Form, and Plans. The documents are available on and after the day advertisement is published and will be available via MSD’s website at Look for a link to “ELECTRONIC PLANROOM”. Plans and specifications are also available for viewing or purchase at Cross Rhodes Reprographics located at 1712Macklind Avenue, St Louis MO 63110.

  1. CHARGE FOR DOCUMENTS

The charge for contract documents is not refundable.

  1. PREQUALIFICATION

A contractor mustbe pre-qualified prior to bids being opened.

  1. SPECIAL PROVISIONS

Any special provisions or requirements concerning the work on any particular contract will be noted in the contract documents or on the Plans.

  1. MINIMUM WAGE AND EMPLOYMENT DISCRIMINATION

The minimum wage to be paid to all labor will be shown in the contract documents where applicable. Prevailing rates of pay shall be paid to skilled and unskilled labor, and there shall be no discrimination in the selection or employment of labor on account of race, creed, or color.

  1. BID SECURITY

The bid shall be accompanied by a certified check or cashier's check drawn on a bank or trust company located in either St. Louis City or County or by a bid bond issued by a surety company satisfactory to the District and which is authorized to transact business in Missouri.

  1. RIGHT TO REJECT

The Metropolitan St. Louis Sewer District reserves the right to reject any and all bids and to waive technicalities.

VENDOR’S CONFLICT OF INTEREST STATEMENT

1.Name the individual or company requesting to do business with The Metropolitan St. Louis Sewer District (MSD).

2.In the past two (2) years has the individual or company name in 1. above (or any principal of such company, i.e. partner, officer, director, etc.) contributed cash or gifts in excess of $200.00 in value in the aggregate in any calendar year to any of the individuals or organizations listed on Attachment A hereto?

Yes No

If yes, describe in detail (date/amount/description).

  1. In the past two (2) years, has the individual or company named in 1. above done business with any person listed in Attachment and/or their respective companies.

YesNo

If yes, describe in detail (date/amount/description).

4.The undersigned certifies that the above information is true and correct to the best of his or her knowledge and belief.

Dated thisday of ______. 20_

Printed Name: _____

Title: _____

Company Name: _____

Signature: _____

ATTACHMENT A

NOTE:Attachment A contains a list of the MSD Trustees and their respective employer, MSD officers and Directors, and the organizations which each are individually associated with, as applicable.

Updated January 2, 2018
MSD BOARD OF TRUSTEES & DIRECTORS
Trustee/Director / Name of Firm, Organization or Company / Affiliation
Rev. Ronald Bobo, Sr. / V / Member
Trustee / NAACP / Member
Sharing Hope International Ministries / Member
St. Louis & Vicinity Baptist Ministers Union / Member
St. Louis Clergy Coalition / Member
West Side Missionary Baptist Church / Member
Freddie Dunlap / City of St. Louis Employee Retirement System / Trustee
Trustee / St. Louis Soldiers Memorial Military Museum / Commissioner
James Faul / Hartnett Gladney Hetterman, LLC / Partner
Trustee / Illinois Bar / Member
Lawyers Coordinating Committee / Member
Missouri Bar Association / Member
Missouri Jobs with Justice / Member
St. Louis Botanical Gardens / Member
St. Louis City Labor Legislative Club / Member
St. Margaret of Scotland Catholic Church / Member
St. Louis Zoo / Member
Marion M. Gee / American Water Works Association (AWWA) / Member
Director / Church on The Rock / Member
Government Finance Officers Association (GFOA) / Executive Board
Missouri Government Finance Officers Association / Member
Brian Hoelscher / Engineers Club of St. Louis / Member
Executive Director / Missouri Water Environment Association / Member
National Association of Cleanwater Agencies (NACWA) / Member
Project MOSAIC / Ambassador/Connector
Washington University in St. Louis - W Club / Executive Council
Water Environment Federation / Member
Annette K. Mandel / Central West End Planning & Development Committee / Member
Trustee / Missouri Athletic Club / Member
Missouri Bar Association / Member
Missouri Botanical Gardens / Member
Missouri History Museum / Member
St. Louis Zoo / Member
USO Missouri / Volunteer
Barbara Mohn / Water Wastewater CIO Forum / Member
Director / Women Executives in IT (WEIT) / Member
Susan M. Myers / Association of Corporate Counsel / Member
Director / Association of Missouri Cleanwater Agencies (AMCA) / Member
Bar Association of Metropolitan St. Louis / Member
Missouri Bar Association / Member
Missouri Chamber of Commerce / Member
National Association of Cleanwater Agencies (NACWA) / Member
Betsy Schubert / Institute for Supply Management / Member
Manager
James I. Singer / AFL-CIO Lawyers Coordinating Committee / Member
Trustee / American Bar Association / Member
American College of Employee Benefit Counsel / Member
Bar Association of Metropolitan St. Louis / Member
Electricians Historical Society / Board member
Illinois Bar / Member
Missouri Bar / Member
Missouri Botanical Gardens / Member
Missouri Historical Society / Member
Schuchat, Cook and Werner / Partner
ShaareEmeth Congregation / Member
St. Louis University Law School / Adjunct Faculty
St. Louis Zoo / Member
Timothy R. Snoke / Contractor Loan Fund / Board Member, Executive Committee
Director / Government Finance Officers Association / Member
Institute of Management Accountants / Member
St. John's Lutheran Church / Member
St. John's Lutheran School Board of Education / Chair
St. Louis Treasury Management Association / Member
Jonathon Sprague / American Water Works Association (AWWA) / Member
Director / Engineers Club of St. Louis / Member
Missouri Water Environment / Member
National Association of Clean Water Agencies (NACWA) / Member
Water Environment Federation / Member
Vicki Taylor-Edwards / AAIM Management Association / Member
Director / Alpha Kappa Alpha Sorority / Member
Certified Employee Benefits Association / Member
Compensation Benefits Network / Member
Human Resources Management Association / Member
International Public Management Association / Member
Shalom City of Peace / Member
Rich L. Unverferth / Engineers Club of St. Louis / Member
Director / Knights of Columbus - Council 2119 Webster Groves / Member
National Association of Clean Water Agencies (NACWA) / Member
St. Michael the Archangel Catholic Parish / Member
Michael E. Yates / North County Labor Legislative Club / Executive Board Member
Trustee / St. Louis Labor Council / Delegate

APPLICATION FORCERTIFICATE OF QUALIFICATION TO BID

The undersigned hereby applies to the Metropolitan St. Louis Sewer District for a Certificate of Qualification to bid the following types of work: (Check each type of work for which qualification is requested)

______Sewer Construction

Section V. A., Page 12. Drain layers license required for City or County.

______Deep Sewer Construction

Section V. B., Page 14. Drain layers license required for City or County.To qualify in this category a contractor must demonstrate experience on multiple projects that are deemed complex by the District. Typically a project would be considered complex when the installation of the pipe required excavation at depths greater than 20 feet for an extended length along with one or more of the following addition construction challenges: significant involvement with trench bracing for urban type features; significant amounts of Class “A” or Class “B” excavation; significant amount of poor soil conditions; significant length of large diameter pipe installation (36-inch or larger); or installation in locations having extremely limited working room. The District shall be the sole judge as to whether a project is considered complex.

______Building Construction

Section V. C., Page 16

______Natural Channel Stabilization

Section V. D., Page 17

______Green Infrastructure and Bio-Retention

Section V. E., Page 18

______Pipe and Manhole Rehabilitation

Section V. F., Page 19

Cured-In-Place Pipe (CIPP)

Section V. G, Page 20 -21

Cured-In-Place Lateral Liner (CIPL)

Section V. H, Page 2223

______Concrete Channels, Wallsand Structures

Section V. I., Page 24

______Mechanical/Electrical/Plumbing

Section V. J., Page25

______Tunneling/Trenchless

Section V. K., Page 26

______Demolition

Section V. L., Pages 27 & 28 – Refer to page 27 for explanation of Class I & II

______St. Louis County Demolition

______St. Louis City – Class I and II

______St. Louis City – Class II only

TYPE OF ORGANIZATION (Check Applicable Category)

_____ Corporation ______Partnership ______Joint Venture ______Individual ______LLC

FirmName: ______Firm Address: ______

By ______Title ______

______

(Signature)

THE SIGNATORY OF THIS APPLICATION GUARANTEES

THE TRUTH AND ACCURACY OF ALL STATEMENTS AND OF

ALL ANSWERS TO INTERROGATORIES HEREINAFTER MADE

Please list any previous experience or projects your company has completed for each category you are requesting approval for, and any references you can provide. Attach additional sheets if necessary.

Name of Contractor______

Principal Address______

( )A corporation

( )A partnership

( )A joint venture

( )An individual

( )A limited liability corporation

( )MWBE (Minority or Woman Business Enterprise)

If MWBE, what is the name of the agency/organization that issued the certification document?

______

Please attach a copy of your certification document to this application.

Incorporated or organized:

Date ______State ______

Radius of operations:______

Type of work done:______

Work usually sublet:

Name of Bonding Company______

Total Bonding Capacity of Firm$______

I.How many years have you operated under the above name:

(a)As general contractor______

(b)As subcontractor______

II.List other names under which you have operated:

Name of company______

Type of work done______

Operated during period______

Name of company______

Type of work done______

Operated during period______

III.List of all partners or officers: (Note: if partnership limited, explain and please list full 100% ownership)

Name and title______

Address, City and State______

Fractional interest in firm or number of shares owned______

Name and title______

Address, City and State______

Fractional interest in firm or number of shares owned ______

Name and title______

Address, City and State______

Fractional interest in firm or number of shares owned ______

IV.What is the construction experience of the principal individuals of your organization? (This includes the job superintendent).

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

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7/23/18

V. Only list projects completed or in progress within the last five years in the categories for which you want to qualify. Attach additional sheets if necessary.

SECTION A.- Sewer Construction(See definition on page 8)

(Includes storm sewer, sanitary sewers, and small pump stations)

1.Contract Amount______

When Completed or Percent Complete______

Project Description/Scope of Work: ______

Pipe size and length laid______

Location of Project

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

2.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Pipe size and length laid______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

3.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Pipe size and length laid______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

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7/23/18

4.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Pipe size and length laid______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

SECTION B. - Deep Sewer Construction(See definition Page 8)

(Includes sanitary sewer, storm sewer, and small pump stations)

1.Contract Amount ______

When Completed or Percent Complete______

Project Description/Scope of Work: ______

Pipe size, average depth and length laid______

What was complex about this project? ______

______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

2.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Pipe size, average depth and length laid ______

What was complex about this project? ______

______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

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7/23/18

3.Contract Amount______

When Completed or Percent Complete______

Project Description/Scope of Work: ______

Pipe size, average depth and length laid ______

What was complex about this project? ______

______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

4. Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Pipe size, average depth and length laid ______

What was complex about this project? ______

______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

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9/17/18

List all experience for the past five years in the categories for which you want to qualify. List projects that are completed or in progress, attach additional sheets if necessary.

SECTION C - Building Construction

(Includes large pump stations, treatment plants, and operational facilities)

1.Contract Amount______

When Completed or Percent Complete______

Project Description/Scope of Work: ______

Location of Project ______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & PhoneNumber of Owner ______

2.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

3.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

4.Contract Amount______

When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Location of Project______

Name, Address & Phone # of Owner______

List all experience for the past five years in the categories for which you want to qualify. List projects that are completed or in progress, attach additional sheets if necessary.

SECTION D.Natural Channel Stabilization:

1.Contract Amount______When Completed or Percent Complete

Project Description/Scope of Work: ______

Specify channel stabilization methods installed: ______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of Owner______

2.Contract Amount______When Completed or Percent Complete ______

Project Description/Scope of Work: ______

Specify channel stabilization methods installed: ______

Location of Project______

If project is in MSD District Boundaries please indicate P# or MSD Contract No.: ______

Name, Address & Phone # of ______

3.Contract Amount______When Completed or Percent Complete ______