Resolution No. 85-22 CITY OF TIGARD, OREGON
RESOLUTION NO. 85— 2
A RESOLUTION ESTABLISHING CONTRACTOR'S PREQUALIFICATION CRITERIA FOR THE
CITY'S CIVIC CENTER PROJECT; REQUIRING MANDATORY PREQUALIFICATION; AND SETTING
THE TIME AND DATE TO RECEIVE THE PREQUALIFICATION APPLICATION.
WHEREAS, the City may require mandatory prequalifications for all persons
desiring to bid for public contracts according to ORS 279.039 (1) and the
Local Contract Review Board Administrative Rule 30.025; and
WHEREAS, ORS 279.037 lists reasons for which criteria need to be set that a
public contracting agency may disqualify any person as a bidder for a public
contract; and
WHEREAS, Local Contract Review Board Administrative Rule 30.025 requires the
forms to be prescribed by the Purchasing Agent; and
WHEREAS, if the City requires prequalification, Local Contract Review Board
Administrative Rule 30.025 states the City shall not consider the bid(s) of
any prospective bidder not prequalified; and
WHEREAS, ORS 279.043 mli—s any person waw Lo appeal disqualification
as a bidder three business days after receipt of notice of disqualification;
and
WHEREAS, the Tigard City Council finds it necessary and desirable to require
prequalifications in order to be assured of the reasonableness of a bid.
NOW, THEREFORE, BE IT RESOLVED by the Tigard City Council that:
1. The Tigard City Council acting in compliance with ORS 279.039, City's
Local Contract Review Board Administrative Rule 30.025 requires mandatory
prequalification for all persons desiring to bid for the Tigard Civic Center
construction project.
2. To be considered as a qualified bidder on the Civic Center construction
project, the person shall do each and all of the following:
a. Complete the entire current form and file a notorized copy with
i original signatures of Contractor's Prequalification ARPlication
Equipment and Expense Questionnaire, last revised 10-83 which is
attached as Exhibit A, on or before the time and place given below.
b. Complete the Supplemental Prequalification Application on a copy
of the form which is attached as Exhibit 3 with the Application
described on 2a above.
t
S
RESOLUTION NO.
Page 1
C. Completed notorized applications must be re-Ceived by the City
Recorder at City Hall offices, 12755 SW Ash, Tigard, Oregon, by 3:00
P.M., P.D.T., Monday, May 6, 1985. Applications either incomplete
or received after thi3 time shall not be considered for
qualification,
3. Reasons for the disqualification of a prospective bidder for this •. _ ec
are according to ORS 270.037. The following standards shall t
determining qualification: apply^
a. The contractor shall submit evidence that the contractor, can
obtain a bid bond, performance bond, and labor and materials bond.
The surety bonds shall be with a company approved by the City and
shall have a Best's rating of not less than A+.
b. The contractor shall have at superintendent or a project
administrator on the sitfa who has prior experience in administering
a public improvement contract for the State of Oregon, a cit
,
county, a special service district or one of its other polya
itical
subdivisions within the past five years. The administration
experience shall have involved a contract in excess of $500,000.
c. The contractor shall have a superintendent on the Tigard Civic
Center job site who has been in the employment of the contractor as
a superintendent for more than one year from the date of the
invitation to bid.
d. The contractor shall have a key person on the Tigard Civic Center
job with prior experience in formed concrete work and office
building construction. Such experience sh«11 have been with a
building in excess of $500,000.
e. The contractor shall not have a record of repeatedly breaching
contracted obligations to public or private contracting agencies.
4. Syotice of the prequalification requirement shall appear with the Notice
calling for bid and shall include 'the time and place applications must be
received. Applications can be obtained at City Hall offices, 12755 S.W.
Ash,
Tigard, Oregon,
PASSED: This ,Y/% day of Cl / 1985.
,ria�or City of Tigard
ATTEST:
iessy y —ty Recorder — City of Tigard
(JM:p1f0781p)
RESOLUTIO&I! No.
Page 1
■
STATE OF OREGON
DEPARTMENT OF GENERAL SERVICES
Salem, Greg®n 97310
O F
O
..,1659
PREQ
UALIFICTIN
APPLICATION
Equipment and Experience Questionnaire
ADOPTED BY THE DEPARTINIENT OF GENERAL SERVICES
Ei --
To
Application of
(Name of Applicant)
An Individual O A Co-Partnership 0 A Corporation 0
Joint Venture fJ- Member of Joint Venture❑
(Address to which all applicant's correspondence is to be mailed) Telephone No.
Date Application Prepared
This Prequzlification Application is submitted Sor the following purpose:(Check one)
O This is a prequalification application O This is a prequalification applica-
for such period of time as designated by tion for the
the mandatory prequalification rules
adopted by the Public Contracting (Name of Project)
Agency. Scheduled bid opening:
Rev. 10-83
I
INS T R U C T I ON S
Introductory Statement
In accordance with the statutes of the State of Oregon, every public contracting agency
contemplating receiving bids for and awarding any contract for a public improvement may require any
prospective bidder to submit a full and complete statement concerning his equipment and experience in
constructing public improvements.
The application and questionnaire forms which are bound herewith comply with the requirements of
Oregon Department of General Services rules and must be used in determining the qualifications of prospective
bidders and in assigning_ limits as to the size and kinds of-projects for which the prospective bidder may
submit bids,
The applicant should use care and integrity in preparing this information. The public contracting
agency may make independent inquiries concerning the contractor's past performance and/or capabilities.
Manner of Preparing and Filling in Forms:
This application shall include equipment and'experience information for only the specific single
business organization or entity which is applying for prequalification and which would be the signator on a
contract with the public contracting agency.
All answers and other entries on the forms, except signatures, should be filled in on a typewriter or
rn^led- TO rnatie llt;s possible, Lie forms .may `c taker, apart by zcmiovrng the stapi- by wieu; they are
(� bound. It shall be the responsibility of the applicant taker,
return all pages whether applicable o. not. Failure to
do so may be grounds for rejection.
All answers and entries shall be specific and complete in detail
The prequalification application shall -be signed by the applicant and sworn to as the form indicates. '
The signatory of the statement guarantees the truth and accuracy of all statements and of all answers to
questions_
Use of Attachments:
Schedules, reports and other forms of prequalification statement may be used as attachments to the
prescribed form, provided that the information contained therein specifically includes the information required
by this form.
Place of Submission: ,
Prequalification applications shall be submitted to the designated officer of the public contracting
agency.
Time cf Submission:
Tach Public Contracting Agency may have specific time requirements for filing applications. The
applicant should check with the designated officer of the applicable agency for submission time.
(Instructions continued inside back cover)
a,
•� I-rr I—h Ilan.r.I Nark:
A- F:mcr the m. m foliar a mr of work yaw are capablerr
o!pforming.
U 1-:nlar the m.ximum Dollar wrnt nt w xk y.a a qu:dilicd In undertake in usher sIal—
C- 1-.nlcr Iha•..;..esus wl,cic yu'J iticd for rhe ,nt shown i oh.mn
1Y. 1---.—the numl"nr rear. ,f onr—ia,oa.a in thic class or work.
r
If enora sp:wa ,.required. —c p:gc 10 of this applicuion or additi—al.heats.
(Highway, Roads, Streets, Airports)
A -Max. M')ar R-QuaI. Dollar C-Sud.(,) 13- Years
Class Amount Amount Exp.
Land Clearing - Highways, Roads,
Streets and Airpo ris
Earthwork and Drainage -
Highways, Roads, Streets, and
Airport Runways
Aggregate Crushing
Aggregate Bascs - Highways, Roads,
Streets and Airport'Runways _
AsphaltConcrete Pavement and
Oiling - Highways, Roads, Streets
Id Airport Runways
Portland Cement Pavement -
Highways, Roads, Streets and
Airport Runways
Reinforced Concrete, and Structural
Steel Bridges and Grade Separation
Structures
Painting Steel Bridges and Grade
Separation Structures
M i s c e I I a neo us H i g h w a y
Appurtenances (Guardrails, Median
Barriers, Curbs, Retaining Walls,
Walks, Fences, Riprap)
Signing - Temporary and/or
permanent for Highways, Streets
and Roads
Illumination - Highways. Streets,
Roads, Airports, Parks and Rest
A reas
Traffic Signals - Highways, Streets
and Roads
Landscaping - Highways, Streets, -
Roads, Parks and Rest Areas
(Roadside seeding, lawns, shrubs,
trees, irrigation systems)
.Buildings - highways, Rest Areas,
Par's (To iiets, Bathhouses,
Maintenance, Sand Sheds)
l
Conllnued
F-r F-h C1�of Wurk-
A - Enter them m dollar--.1 of work you ar cnP:+hle of Performing. '
li - Enter the maximum dulLrr Int of--k yo are qualified to undertake to other
Enter the state(sl where qualified for the a aunt shown in rnlumn •t;'"
t D- Enter the numt—of years of..1—w—inthisclass of work.
(Other Public Improvements)
A- bfa><. Dollar E-Quat. Ek'lla' C-s';—(O D- Yr—
Clas. Am um_ Amrumr F.
Sewer Construction
Sewage Treatment Plants
Sewage Pumping Stabom
Water Lines
Water Reservoirs
Water Tanks - Steel, Concrete,
Wooden
Electrical Wiring
Building Construction
Building Alteration and Repair
Demolition and Related Excavation
4 +nd Clearing
Painting and Decorating
Plumbing
Heating
Air Conditioning
Rooting
Sheet Metal Work
Drainage
Well Drilling
Municipal Street Construction
Other
R �®
2 Indicate the total amount of work, expressed In dotlara, ♦hich the applicant believes it is capable of
undertaking at any one time: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S
�t
BID AND PERFORMANCE SURETY BONDS:
If the contracts for which this prequalification u sought acquire bid and performance bands, the applicant shall
stale the name of the agent and name, address and telephone number of the surety company applicant expects
to provide the bonds.
4 if an Oregon corporation, answer this: 5 If a co-partnership,answer this:
When Incorporated Date of organization
State whether partnership is general, limited or association.
Preatdent
If a foreign co-partnership or persons engaging in business
tat Vice President in this state under an assumed businr name, but not
domiciled within this state,state whether or not such part.
nership or business organization has been registered as may
Secretary be required in compliance with Chapter E48,Oregon Revised
Statutes.
/ T:—rrer Name and Address of Partners
1E What officers are authorized to
execute contracts
6 If a foreign corporation, answer this: Name and address of registemd agent in Oregon:
When incorporated
In what state
Date of authorization to transact
business in the State of Oregon
Has applicant filed with the Department of Revenue
forms required by ORS 279.022?
Year 0 No❑
President
Ist Vice President
Secretary
{;. What officers are authorized to
execute contracts
3
BIDDER'S EQUIPMENT QUESTIONNAIRE
' 1'funts andw
cyuinmcnt .-..d by the at+plicanl: list only ns:llor ilemc. Lump IOKclher —all eyuipmenl anJ turd..
Quanllly. Deacrlptlon and Ce Pacily of 14
Ya m C_d,lion
_ 1
Total market value of equipment ......................................................... $
Does applicant intend to rent equipment?
If so, provide a general description
Where available?_
it
BIDDER'S EXPERIENCE QUESTIONNAIRE
(i
List major pNljccts applicant has undertaken in last five years.
(List most recent projects first)
Namr •n4 Addresx Name of Pr ojcct Ciau of Contract
of Owner Work Amount
1
2
3
4
5
6
7
8
9
tz
10
a1
12
13
14
15
16
17
18
19
20
21
22
S
BIDDER'S EXPERIENCE QUESTIONNAIRE—Continued
J List the following additional information for proiects listed under item r.
(Use same line No. as in opposite page)
V.— or Completion Surety cum ArcA4cets nr '•
(if c _d) Location of Work • If Proicct Nondcd F:n�;inee�inK lir n��
1
2
3
4
5
6
7
c
•O
12
13
14
15
16
17
1$
19
20
21
22
i�. idicate whether:(P)Prime Contractor, (JV)Joint Venture, (Sub)Subcontractor
Indicate name, address and phone number including area code. ,
6
BIDDER'S EXPERIENCE QUESTIONNAIRE - Continued
10 A. How many years has applicant been in business under present name?
B. How many years experience to construction work has applicant had:
(a) As a prime contractor? (b) As a subcontractor'
Y What is the co—l—tinn experience of all owners,officers,partners and principal individual&in applicant's organization?Also list
any other individual or urgani—lio who, in any way and to any extent,controls or influences the bidding.
Individual'. Present Position Yearsof Magnitude and In What
Name or Office Const. Exp. Type of Work Capacity
12 Indicate type of all cont...tors licenses held as required by Oregon statutes. (e.g. Landscape Contractor)
1 3 Following space may be used for general remarks and explanations pertaining to the foregoing
prequalification statements: (Also explain here any experience claimed which is that of a business organization
or entity, other than the applicant, including a business entity superseded by the applicant.)
7
14Dods •pplic..t <tmt the mater-W submitted herein deemed to be • tnde secret pursuant to p—1p.phs (b),
snd (e) of subsection (1) of ORS 192.500?
(Chuck one) ❑ Ves ❑ No
15 Ownership and Control
(a) list any organo aCion,owned or ennl...tied by the applicant,its offw—,directors,partners and anyone owning at least 10`7:0 interest in
the firm,of in which the applicant was or is an officer.director or partner,doing business in Oregon under another name.If none,so
state.
(b) List those individuals, companies or corporations owning 10 or more of applicant's firm.
(c) list all other pers oel in applicant's organirntion who have a financial interest in or serve as officers oartm
r partners in another fir
prequalified to bidinthis or another state.
Individual's Present Position Other Firm P,.ilinn in Stat.of
Name or Office or Finns Other Firms) Other firm
16 Check the appropriate,block or blocks identifying applicant.
[] 'Homan 0 American Indian
Black Q Alaskan Native '
(Eskimo or Aieutl
❑ Hispanic 0 Non Minority
Asian Amer—i,..
8
}fnve you ever hien denied poral—lification in this or any other mate?If yea.explain.
`f
Have you ever been debarred from bidding on contracts in this or any other state under any State I.aw or Federal Law?If yes,explain.
t 18 AFFIDAVIT:
STATE OF OREGON )
as.
County of )
I, being fit sworn, state that I am
of the applicant herein and that the statements made in
Title
thin application arc true and I acknowledge that any false,deceptive or fraudulent statements on the application or at a hearing will
result in the denial of prequalification.that should there be any subsequent material reduction in applicant's ability to carry out
any project for which applicant desires to submit a bid applicant will give written notice of such change to the designated officer to
whom this application is submitted at least ten days prior to the bid opening;and that it is understood that such notice may change
Elio eligibility of.pplipnt to submit the bid_
(Signature) -
(Title)
Subscribed and sworn to before me this day of
Notary Public
My commission expires
s
I N S T R U C T 1 0 N S -Continued
Appeal Due to Denial Revocation of Pr al'i tion:
P or on u d ca
eq
I' In case a CORtractor's application for prequalification is denied or in case an existing prequalification
is revoked, the contractor may appeal the denial or revocation in accordance with the rules adopted by the
Department of General Services.
Notification of Action Taken:
The applicant will be notified,'in writing, of the action on his application. fie will then be allowed _
to bid on such projects as are within the limits of size and kind of work for which he has been declared
Iqualified. -Period During Which a Qualified Bidder Remains oualified:
A prospective bidder who has been notified of prequalification for projects of a given size and kind
will usually remain qualified until the date specified in the notification. The public contracting agency may
limit prequalification approval to individual public improvement projects. Unless such bidder is otherwise
notified by the public body he will be permitted to submit bids for any and all projects of said kind and
size for which bids are to be received. The public body may from time to time require new or revised
prequalification applications and have them approved prior to allowing a bid.
Requirement of Continuing Prequalification:
Prospective bidders who have once been qualified with an agency requiring prequalification and who
desire to maintain an uninterrupted prequalification standing are required to submit a new application
periodically as required by such agency. Uninterrupted prequalification is contingent upon favorable action on
the application_ A prequalification may be revoked under the provisions of ORS 279.039.
a.nanyci:
Requests for revision of the prequalification standing of any prospective bidder will be considered
whenever the bidder can make a showing of materially improved ability, but not more often than once in
three months. Each such request must be accompanied by a new prequalification application_
With or without a request from the prequalificd bidder, the prequalification limitation on class of
work or size of project may be reviewed and increased or decreased as found appropriate. The prequalified
prospective bidder will be notified in writing of any such revision.
Confidential information:
The information furnished in the prequalification application will be treated as confidential
information if so requested by the applicant. 1f so requested in item 14 of the application, contents of the
application will not be disclosed to the public except upon the written order of the person or persons
furnishing the same or upon an appropriate order of a court of competent jurisdiction.
Joint Venture:
A public contracting agency may adopt special requirements concerning joint ventures. Before
submitting a joint venture application, a prospective bidder should ascertain if special instructions are
applicable and obtain them from the designated public officer.
A SUPPLEMENTAL PREQUALIFICATION APPLICATION
TIGARD CIVIC CENTER
TO: City Recorder, City of Tigard DATE:
12755 S.W. Ash A�tenue
Tigard, Oregon 97223
FROM:
We have received and reviewed the prequalification criteria adopted by the
Tigard City Council and submit the following information as evidence to
satisfying the criteria:
1. Name and address of the company which will provide the bid bond,
t P y
performance bond and labor and material bond:
Attach a letter from the company stating they will provide the bonds if
awarded the bid and the rating.
2. Name of the superintendent to be assigned to the job and the date most
recently hired by your company as a superintendent.
Name:
Date:
PREQUALIFICATION SUPPLEMENT
PAGE 2
3. List one or more public improvement jobs the above named superintendent
has administered in the past five years for a government agency in Oregon
involving a contract in excess of $500,000.
Date of
Completion Location of Work Class of Work Contract Amount
4. Name one or more person to be assigned to the job who have prior
experience in formed concrete work and office building construction with
the contract in excess of $500,000.
Name Location of Work Class of Work Contract Amount
5. The following space may be used for general remarks and explanations
pertaining to the foregoing prequalification statements.
Signature
Title
(JM/dc:07$8p)
®.