SCHEDULE B
RESPONDENT’S REQUEST FOR EXPRESSIONS OF INTEREST
AND
STATEMENTS OF QUALIFICATIONS (RFEOI/SOQ)
Type of Pre-Qualification: Civil Construction Services
This Request for Expressions of Interest and Statements of Qualifications (RFEOI/SOQQ) will enable the City of Surrey to determine your capacity, skill and relevant experience for eligibility to submit proposals for general contractor work packages for the South Surrey Athletic Park Synthetic Turf Field - Civil Work & Lighting. Materially incomplete Submissions may be deemed to fail the qualification process. Respondent may supplement information requested with additional sheets if required.
Project Description:
Project Title: South Surrey Athletic Park Synthetic Turf Field - Civil Work & Lighting
Reference No.: 1220-050-2014-003
The City of Surrey (the “City”) invites experienced and qualified contractors for the Construction of the Civil Work for one lit synthetic turf field with the fillowing general components of work: generally includes but not limited to, all site preparation including removals, excavation and filling, permeable aggregate sub-base, field and site drainage system, concrete edge anchor, high-mast field lighting (Musco system), power coated chainlink fencing, covered player bench areas, asphalt and concrete pathways, soft landscaping, irrigation, cast-in-place and gabion retaining walls and various other related works.
Submitted To:
City Representative: Richard D. Oppelt
Purchasing Manager
at the following location:
Address:City of Surrey (New City Hall)
Finance & Technology Department
Reception Counter, 5th Floor
13450 – 104th Avenue, Surrey, BC, V3T 1V8
E-mail for PDF Files:
Submitted By:
1.Full Legal Name of Firm
2.
Business Address
3 / Phone No. / Fax No.
4 / Email:
Legal Structure of Respondent:
5.Year Established: ______
6.Total Years supplying/providing Electrical work: ______
7.□Joint Venture□Corporation□Partnership □Sole Proprietorship □ other
8.Names and Titles of authorized signatory(ies):
Surety Reference:
9.Bonding Company: ______
10.Location:______
11.Contact Person:______
12.Telephone/Fax Numbers:Phone: ______Fax: ______
13.E-Mail of Surety Reference:______
14.Maximum Bonding Capacity: ______
15.Maximum Project Capacity:______
16.Current Bonding In Effect:______
Insurance Reference:
17.Insurance Company: ______
18.Location:______
19.Contact Person:______
20.Telephone/Fax Numbers:Phone: ______Fax: ______
21.CGL Policy Limit: ______
22.E&O Policy Limit:______
23.Contact Person:______
24.Telephone/Fax Numbers:Phone: ______Fax: ______
Respondent to provide information generally in compliance with the City’s sample insurance certificate form available on the City's web site at (search "Insurance Certificates") titled City of Surrey Certificate of Insurance Standard Form;
Annual Project Volumes(Evaluation Criterion 1):
25.Annual value of electrical contractor work for the past five years:
Year / Value (Labour/Equipment & Materials)$
$
$
$
$
26.Indicate the dollar volume of work for which you presently have contracts, but have not started or completed to date: $ ______
Key Personnel:
28.Key administrative and site supervision staff proposed for the project, attach resumesgiving details of qualifications and relevant experience, unique knowledge relating to the project including electrical certification: (e.g. project manager, crew superintendent, foreman, field/office coordinator, etc.).
Name: / Title/Position: / EmployedSince (MM/YY):
______/ ______/ ______
______/ ______/ ______
______/ ______/ ______
______/ ______/ ______
______/ ______/ ______
29.Capacity to undertake project, in terms of maximum available crew size (Estimated): ___.
Relevant Experience:
30.Please complete the below referenced Appendices, as attached to this Submission form:
(a)Appendix A – Principal projects completed in the past five years;
(b)Appendix B – Projects underway as of Submission Date.
Additional Information:
31.Contracts:
(a)Has your firm ever failed to complete a contract? / Yes. _____ No._____(b)Has your firm ever been in a lawsuit regarding project performance, payments or scheduling? / Yes. _____ No._____
(c)Within the last five years, has any officer or principal of your firm been an officer or principal of another organization when it failed to complete a construction contract? / Yes. _____ No._____
32.Scheduling:
(a)Does your firm use the critical path method? / Yes. _____ No._____(b)Does your firm use computerized scheduling? / Yes. _____ No._____
(c)If so, what software is used?
Additional Information:
33.What other information is not requested here but which you think the City should consider in evaluating your company?
Comments:
34.I/We confirm that this Submission is accurate and true to best of my/our knowledge.
This Submission is submitted this ______day of ______, 2014.
I/We have the authority to bind the Respondent.
______
(Name of Respondent)(Name of Respondent)
______
(Signature of Authorized Signatory)(Signature of Authorized Signatory)
______
(Print Name and Position of Authorized(Print Name and Position of Authorized Signatory) Signatory)
APPENDIX A
PRINCIPAL PROJECTS COMPLETED IN THE PAST FIVE YEARS:
Synthetic Turf Experience – General Contractor for Civil Work (list below, attaching additional pages as necessary). Indicateexperience with at least three full size synthetic fields. If less than three synthetic fields have been constructed, Respondents are to completethe “Other Relevant Civil Work Experience” section.
Project Title:______
Project Location:______
Project Scope______
Size of Synthetic Field:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Subetc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope______
Size of Synthetic Field:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Subetc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope______
Size of Synthetic Field:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Subetc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
APPENDIX A (cont’d)
Other Relevant Civil Work Experience. Completion of this section is required if the Respondent’s recent experience includes acting as the General Contractor for less than three full size synthetic turf fields. Provide a detailed list of recent projects with similar components of work, along with an explanation of the similarities.
Part I - Provide details below of having acted as the General Contractor for a minimum of three civil projects with construction contract value of at least $1,500,000 per project.
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
APPENDIX A (cont’d)
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Part 2 - Provide details below of experience with precise grading of aggregates (high level running tracks, airport runways, etc).
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Part 3 - Provide details below of experience with porous aggregates (permeable asphalt base construction, synthetic field base, etc).
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Part 4 - Provide details below of experience with sports field drainage or related perforated pipe system.
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Part 5 - Provide details below of any other relevant experience that demonstrates qualifications and ability to successfully carry out the project that should be considered by the City. Attach additional sheets as necessary.
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
APPENDIX B
MAJOR CONSTRUCTION PROJECTS UNDERWAY AS OF THE DATE OF SUBMISSION:
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
APPENDIX B (cont’d)
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
Project Title:______
Project Location:______
Project Scope:______
Contract Value ($):______
Completion Date:______
Role (ie: Gen Con, Sub, etc..)______
Name of Owner (or Consultant)______
Refer To:______
Telephone/Fax Numbers:Phone: ______Fax: ______
E-Mail of Project Reference:______
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