Forsyth County Schools



PROPOSAL FORM

RIVERWATCH MIDDLE SCHOOL AND SOUTH FORSYTH MIDDLE SCHOOL

ADDITIONS AND RENOVATIONS

The undersigned (“Offeror” or “Contractor”) herein submits to The BOARD OF EDUCATION, FORSYTH COUNTY, GEORGIA, (the “Board”) the following Proposal for the construction by Contractor of the Riverwatch Middle School located at 610 James Burgess Road, Suwanee, GA 30024 and South Forsyth Middle School located at 4670 Windermere Parkway, Cumming, GA 30041 Additions and Renovations (the “Project”). This Proposal is submitted in response to the Board’s Resolution authorized on the 21st day of August 2014.

This Proposal is for the full and complete construction of the Project in conformity with all requirements of the Contract Documents as defined in the Request For Proposals. The submission of this Proposal is in full and complete compliance with the Request for Proposals and Instructions to Offerors, both of which are incorporated herein by reference. The submission of this Proposal constitutes the Contractor’s agreement with all provisions, representations and acknowledgments contained herein and all provisions, representations and acknowledgments contained in, or required by, the Request for Proposals and Instructions to Offerors.

PART ONE

Section A-1. BASE PROPOSAL (20 points)

The Contractor proposes to fully and completely construct the project in conformity with all requirements of the Contract Documents and furnish all necessary labor, material and equipment for such construction, and, furthermore, to fully, completely, and strictly perform all obligations of the Contractor as set forth in the Contract Documents, for the lump sum Contract Price of _______________________________________________________ ($_____________________).

Schedule of Alternates

A. ALTERNATE NO. A-1 (ADDITIVE): URINALS

1. Base Bid: Under the Contractor’s Base Bid proposal provide Urinals by one of the listed manufacturers.

2. Additive Alternate: If this alternate is accepted provide Urinals from one the of the “Owner-Preferred” manufacturers.

a. The Owner preferred manufacturer for urinals is either Sloan or Falcon.

Price of $ ______________________.

Offeror hereby acknowledges receipt of Addenda 1 through _____ (fill in blank)

___________________________________________________________________

SIGNATURE COMPANY DATE

Sworn to and subscribed before me this ___ day of _______________, 2____.

Notary Public: _____________________ My commission expires: __/__/__.

(SEAL)

Section A-2. BASE PROPOSAL ALLOWANCES

The Contractor is to include the following work in its base Proposal:

| |Item |Type |Description |Cost |Units |

|1 |Unsuitable Soils |Trench |Trench removal of unsuitable soils; on-site |$6.00 |CY |

| | | |disposal | | |

|2 |Unsuitable Soils |Trench |Trench removal of unsuitable soils; off-site |$12.10 |CY |

| | | |disposal | | |

|3 |Unsuitable Soils |Trench |Replacement of unsuitable soils removed above|$3.30 |CY |

| | | |with structural fill, on-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|4 |Unsuitable Soils |Trench |Replacement of unsuitable soils removed above|$13.20 |CY |

| | | |with structural fill, off-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|5 |Unsuitable Soils |Mass |Mass removal of unsuitable soils; on-site |$4.40 |CY |

| | | |disposal | | |

|6 |Unsuitable Soils |Mass |Mass removal of unsuitable soils; off-site |$12.10 |CY |

| | | |disposal | | |

|7 |Unsuitable Soils |Mass |Replacement of unsuitable soils removed above|$3.30 |CY |

| | | |with structural fill, on-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|8 |Unsuitable Soils |Mass |Replacement of unsuitable soils removed above|$13.20 |CY |

| | | |with structural fill, off-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|9 |Rock |Trench |Trench removal of rock; on-site disposal |$53.00 |CY |

|10 |Rock |Trench |Trench removal of rock; off-site disposal |$75.00 |CY |

|11 |Rock |Trench |Replacement of rock removed above with |$6.00 |CY |

| | | |structural fill, on-site borrow; compacted as| | |

| | | |required by specifications. | | |

|12 |Rock |Trench |Replacement of rock removed above with |$13.20 |CY |

| | | |structural fill, off-site borrow, compacted | | |

| | | |as required by specifications. | | |

|13 |Rock |Mass |Mass removal of rock; on-site disposal |$16.50 |CY |

|14 |Rock |Mass |Mass removal of rock; off-site disposal |$39.00 |CY |

|15 |Rock |Mass |Replacement of rock removed above with |$3.30 |CY |

| | | |structural fill, on-site borrow; compacted as| | |

| | | |required by specifications. | | |

|16 |Rock |Mass |Replacement of rock removed above |$13.20 |CY |

| | | |withstructural fill, off-site borrow; | | |

| | | |compacted as required by specifications.  | | |

|18 |Surge Stone | |Provide and install surge stone. |$50.00 |Ton |

|19 |Perforated Pipe | |Provide and install 6" diameter perforated |$12.00 |LF |

| | | |pipe, including filter sock | | |

|20 |#57 Stone | |Provide and install #57 stone |$27.00 |Ton |

|21 | |Type S |Silt Fence |$2.65 |LF |

| |Erosion Control | | | | |

|22 |Erosion Control |Type NS |Silt Fence |$2.00 |LF |

|23 |Erosion Control |Mb |Matting Blanket |$1.50 |SY |

|24 |Erosion Control |Co |Construction Exists |$2750.00 |Ea |

|25 |Erosion Control |Type SS |Temporary Sediment Trap |$150.00 |each |

|26 |Erosion Control |Type P |Temporary Sediment Trap |$25.00 |each |

|27 |Erosion Control |Cd-S |Stone Rip Rap; Check Dam |$32.00 |Tons |

|28 |Erosion Control |Dn1 |18" Flexible Plastic Pipe Down Drain |$12.00 |LF |

The Contractor is solely responsible for establishing the value of the work included in Section A-2 and for including all costs, allowances, overhead, and profit for this work in its base Proposal. The Contractor acknowledges that the total compensation for performing the work in Section A-2 is included in its base Proposal.

The Contractor further agrees that in the event the actual quantities vary from the allowance quantities shown in Section A-2 (and included in the base Proposal) the Contract shall be adjusted as indicated in Section A-3 and Section A-4, below.

Section A-3. UNIT PRICES AGREEMENT

The Contractor agrees that the Contract shall be adjusted for the difference between the allowances in the base Proposal, as defined in Section A-2, and the actual quantities of materials encountered and used. The adjustment shall be in the form of a change order to the Contract to increase or decrease the Contract amount for the net adjustment between the allowance quantity and the actual quantity.

The Contractor further agrees that the following unit prices, which include all overhead and profit, are to be used for the adjustment both additive and deductive in adjusting the final net cost for the allowances.

| |Item |Type |Description |Cost |Units |

|1 |Unsuitable Soils |Trench |Trench removal of unsuitable |$6.00 |CY |

| | | |soils; on-site disposal | | |

|2 |Unsuitable Soils |Trench |Trench removal of unsuitable |$12.10 |CY |

| | | |soils; off-site disposal | | |

|3 |Unsuitable Soils |Trench |Replacement of unsuitable soils |$3.30 |CY |

| | | |removed above with structural | | |

| | | |fill, on-site borrow, compacted | | |

| | | |as required by specifications | | |

|4 |Unsuitable Soils |Trench |Replacement of unsuitable soils |$13.20 |CY |

| | | |removed above with structural | | |

| | | |fill, off-site borrow, compacted | | |

| | | |as required by specifications. | | |

|5 |Unsuitable Soils |Mass |Mass removal of unsuitable soils;|$4.40 |CY |

| | | |on-site disposal | | |

|6 |Unsuitable Soils |Mass |Mass removal of unsuitable soils;|$12.10 |CY |

| | | |off-site disposal | | |

|7 |Unsuitable Soils |Mass |Replacement of unsuitable soils |$3.30 |CY |

| | | |removed above with structural | | |

| | | |fill, on-site borrow, compacted | | |

| | | |as required by specifications | | |

|8 |Unsuitable Soils |Mass |Replacement of unsuitable soils |$13.20 |CY |

| | | |removed above with structural | | |

| | | |fill, off-site borrow; compacted | | |

| | | |as required by specifications. | | |

|9 |Rock |Trench |Trench removal of rock; on-site |$33.00 |CY |

| | | |disposal | | |

|10 |Rock |Trench |Trench removal of rock; off-site |$55.00 |CY |

| | | |disposal | | |

|11 |Rock |Trench |Replacement of rock removed above|$3.30 |CY |

| | | |with | | |

| | | |structural fill, on-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|12 |Rock |Trench |Replacement of rock removed above|$13.20 |CY |

| | | |with | | |

| | | |structural fill, off-site borrow;| | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|13 |Rock |Mass |Mass removal of rock; on-site |$16.50 |CY |

| | | |disposal | | |

|14 |Rock |Mass |Mass removal of rock; off-site |$27.50 |CY |

| | | |disposal | | |

|15 |Rock |Mass |Replacement of rock removed above|$3.30 |CY |

| | | |with | | |

| | | |structural fill, on-site borrow; | | |

| | | |compacted as | | |

| | | |required by specifications. | | |

|16 |Rock |Mass |Replacement of rock removed above|$13.20 |CY |

| | | |with | | |

| | | |structural fill, off-site borrow;| | |

| | | |compacted as | | |

| | | |required by specifications. | | |

| |  |  | | | |

|18 |Surge Stone |  |Provide and install surge stone. |$50.00 |Ton |

|19 |Perforated Pipe |  |Provide and install 6" Diameter |$12.00 |LF |

| | | |perforated pipe and filter sock. | | |

|20 |#57 Stone |  |Provide and install #57 stone |$27.00 |Ton |

|21 |Erosion Control |Type S |Silt Fence |$2.65 |LF |

|22 |Erosion Control |Type NS |Silt Fence |$2.00 |LF |

|23 |Erosion Control |Mb |Matting Blanket |$1.50 |SY |

|24 |Erosion Control |Co |Construction Exists |$2,750.00 |Ea |

|25 |Erosion Control |Type SS |Temporary Sediment Trap |$150.00 |each |

|26 |Erosion Control |Type P |Temporary Sediment Trap |$25.00 |each |

| | | |  | | |

|27 |Erosion Control |Cd-S |Stone Rip Rap; Check Dam (Type 1 |$22.00 |Tons |

| | | |Stone, Min, 50 lb.) | | |

|28 |Erosion Control |Dn1 |18" Flexible Plastic Pipe Down |$12.00 |LF |

| | | |Drain | | |

| | |  |  | | |

Section A-4. OTHER UNIT PRICES AGREEMENT

The Contractor further agrees that the following unit prices, which include all overhead and profit, are to be used for the adjustment both additive and deductive in adjusting the final net cost for work not included in the allowances or base bid.

• Remove unsuitable material in mass and dispose off-site $ 12.10/CY

• Replace unsuitable material in mass with borrowed off-site

structural fill including proper compaction $ 13.20/CY

• Remove unsuitable material in trench and dispose off-site $ 12.10/CY

• Replace unsuitable material in trench with borrowed off-site

structural fill including proper compaction $ 13.20/CY

• Remove mass rock and dispose off-site $ 27.50/CY

• Replace mass rock with borrowed off-site structural fill

including proper compaction $ 13.20/CY

• Remove trench rock and dispose off-site $ 55.00/CY

• Replace trench rock with off-site structural fill including

proper compaction $ 3.30/CY

• Ds1 mulching $ 2.70/SF

• Ds2 Temporary Seeding $ 0.05/SF

• Ds3 Permanent Seeding $ 0.15/SF

• Co Construction Exit $ 2,750.00/ea.

In the event that any actually provided or installed quantity set forth in Section A, above, increases by 100%, the Board and the Contractor will renegotiate such prices so as to arrive at a fair and equitable price for such actual and increased quantities, which renegotiated price shall be reflected in a written change order signed by the Board and the Contractor.

Section A-5. NONCOLLUSION AFFIDAVIT

OFFEROR’S and INDIVIDUALS’ AFFIDAVIT OF NONCOLLUSION

(This affidavit to be executed in accordance with O.C.G.A. § 36-91-21(e))

STATE OF ______________________

COUNTY OF ____________________

COMES NOW, __________________________________________________(“Offeror”),

[name of Offeror]

appearing by and through ________________________________ , it’s _____________________ [insert name of individual with [title]

authority to bind Offeror]

(averring both individually and in his or her representative capacity on behalf of Offeror) (the “Individual And Representative Affiant” ___________________________________________________________________________

[in these blanks insert the names of all those required to give the oath

under O.C.G.A. § 36-91-21(e)]

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

(collectively, the “Individual Affiants”), and each of the Individual And Representative Affiant and the Individual

Affiants, after first being duly sworn, deposes and says that:

1. He, she or it, as applicable, has not directly or indirectly violated subsection (d) of the Official Code of Georgia Annotated Section 36-91-21, which subsection provides as follows:

(d) Whenever a public works construction contract for any governmental entity subject to the requirements of this chapter is to be let out by competitive sealed bid or proposal, no person, by himself or herself or otherwise, shall prevent or attempt to prevent competition in such bidding or proposals by any means whatever. No person who desires to procure such work for himself or herself or for another shall prevent or endeavor to prevent anyone from making a bid or proposal therefor by any means whatever, nor shall such person so desiring the work cause or induce another to withdraw a bid or proposal for the work.

2. If the Offeror is a partnership, then the Individual And Representative Affiant, together with the Individual Affiants, constitute all of the partners and any officer, agent or other person who may have represented or acted for them in bidding or proposing for or procuring the contract for the Forsyth County Board of Education, Project No. ________________ for __________________________________________ (the “Project”).

3. If the Offeror is a corporation or other entity, then the Individual And Representative Affiant, together with the Individual Affiants, constitute all officers, agents, or other persons who may have acted for or represented the corporation or other entity in bidding for or procuring the contract for the Project.

Further, the Individual And Representative Affiant and the Individual Affiants sayeth not.

This _______ day of _______________, 2____

_____________________________________

[insert name of Offeror]

and ___________________________________________

[insert name of Individual And Representative Affiant]

By: ___________________________________, both individually and on behalf of Offeror as its

[signature]

_________________________________

[insert title]

Individual Affiants’ signatures and names:

x_________________________________ x________________________________

Name: Name:

x_________________________________ x________________________________

Name: Name:

x_________________________________ x________________________________

Name: Name:

x_________________________________ x________________________________

Name: Name:

x_________________________________ x________________________________

Name: Name:

x_________________________________ x________________________________

Name: Name:

Sworn to and subscribed before me this ___ day of _______________, 2____.

Notary Public: _____________________ My commission expires: __/__/__.

(SEAL)

Section A-1. Through A-5 respectfully submitted:

Firm Name: ___________________________________________________________

LEGAL NAME OF BUSINESS

Address: ___________________________________________________________

LEGAL BUSINESS ADDRESS (P.O. BOX IS INSUFFICIENT)

___________________________________________________________

CITY STATE ZIP

Phone: ___________________________________________________________

AREA CODE NUMBER

By: ____________________________________________________________

Authorized Signature (BLUE INK PLEASE)

____________________________________________________________

Typed/Printed Name Title

Sworn and subscribed to before me this ________ day of ____________________, 2009.

_____________________________ Commission Expires:__________________________________

NOTARY PUBLIC

(PROPOSAL CONTINUES WITH PART TWO ON FOLLOWING PAGES)

PART TWO

Section B. OFFEROR OVERVIEW (15 Points):

(Complete form intact, all information provided on this form only. No attachments will be evaluated for Section B except for “B.6.A,” “B.6.B,” “B.7.A” and “B.14”)

1. State the Offeror’s legal name and describe its ownership structure and brief history.

2. State the address of Offeror’s headquarters and branch office designated for the project, and provide telephone and fax numbers.

3. How many years has Offeror been in business under the name stated above?

4. List the number of permanent employees by professional discipline and provide a list of Offeror’s officers. If a branch office will be utilized, indicate employee breakdown for that office, only.

5. List Offeror’s total annual billings for the past 5 years, including separately Design-Bid-Build work.

6. Provide the name of Offeror’s bonding company and the name and telephone number of Offeror’s local agent.

Bonding Company:____________________________________________

Local Agent:_________________________________________________

Phone #:_____________________________________________________

A. Provide a letter from the surety stating (1) Offeror’s current total bonding capacity dollar value, (2) Offeror’s per project bonding capacity dollar value, (3) Offeror’s currently committed bonding capacity dollar value, (4) Offeror’s currently unused and available bonding capacity dollar value and (5) the surety’s willingness to bond the contract for the Project.

B. State the A.M. Best Company rating for Offeror’s surety and its status to do business in Georgia. Also, confirm surety’s listing on the U. S. Treasury’s 570 Circular. Attach Bid Bond to this form.

7. Provide the name of Offeror’s insurance company and the name and telephone number of the Offeror’s local agent.

Insurance Company: __________________________________

Local Agent:_________________________________________

Phone #:_____________________________________________

A. Provide proof of Commercial Umbrella coverage of at minimum $10,000,000.

8. Has Offeror ever defaulted, or been declared in default, on a contract? If so, explain, and identify the project, the Owner and the Architect.

9. Has Offeror been involved in litigation, mediation, or arbitration with an Owner in the last five years? If so, explain, and identify the project, the Owner, the Architect, the court (if applicable), and the outcome.

10. State the amount and expiration date, if any, of all of Offeror’s available unused line(s) of credit. (State the amount of all such credit in full, complete dollar amounts. For example, if Offeror’s “available unused line(s) of credit” is $100,000.00, state “$100,000.00,” not “100” or otherwise).

11. Furnish the following information (State all dollars in full, complete amounts. For example, if Offeror’s “Revenues (Gross)” is $100,000.00, state “$100,000.00,” not “100” or otherwise). (Complete form intact, all information provided on this form only. No attachments will be evaluated, except for “B.6.A,” “B.6.B,” “B.7.A” and “B.14” as noted.)

A. Last complete fiscal year: (fiscal year ending ________)

i. Revenues (Gross) $_______________________

ii. Expenditures (Gross) $_______________________

iii. Overhead & Admin. Cost (Gross) $_______________________

iv. Profit (Gross) $_______________________

v. Net Worth $_______________________

vi. Working Capital $_______________________

A. Year prior to “10.A.” above: (fiscal year ending___________)

i. Revenues (Gross) $_______________________

ii. Expenditures (Gross) $_______________________

iii. Overhead & Admin. Cost (Gross) $_______________________

iv. Profit (Gross) $_______________________

v. Net Worth $_______________________

vi. Working Capital $_______________________

C. Year prior to “10.B.” above: (fiscal year ending___________)

vii. Revenues (Gross) $_______________________

viii. Expenditures (Gross) $_______________________

ix. Overhead & Admin. Cost (Gross) $_______________________

x. Profit (Gross) $_______________________

xi. Net Worth $_______________________

xii. Working Capital $_______________________

12. Furnish the following financial information for the fiscal quarter preceding the date of this Proposal (State all dollars in full, complete amounts. For example, if Offeror’s “Revenues (Gross)” is $100,000.00, state “$100,000.00”, not “100” or otherwise):

A. Last complete quarter: (quarter year ending_____________)

i. Revenues (Gross) $_______________________

ii. Expenditures (Gross) $_______________________

iii. Overhead & Admin. Cost (Gross) $_______________________

iv. Profit (Gross) $_______________________

v. Net Worth $_______________________

vi. Working Capital $_______________________

13. Furnish the total dollar value (not including disputed amounts) of work in progress (contracted back-log of remaining work to be completed, both bonded and non-bonded) for each of the four (4) fiscal quarters preceding the date of this Proposal. (State all dollars in full, complete amounts. For example, if Offeror’s “Last complete quarter” is $100,000.00, state “$100,000.00,” not “100” or otherwise).

i. Last complete quarter, bonded (ending__________) $_________________

ii. Prior complete quarter, bonded (ending__________) $_________________

iii. Last complete quarter, unbonded (ending________) $_________________

iv. Prior complete quarter, unbonded (ending_______) $_________________

14. Furnish Safety Record and Experience Ratings for the past three years. List any OSHA fines and jobsite fatalities in the past three years.

Section C. RELATED EXPERIENCE (20 Points)

(Complete form intact, all information provided on this form only. No attachments will be evaluated for Section C).

1. List the seven most comparable Design-Bid-Build (not CM At Risk or Design/Build) projects in scope, size (140,000 sq ft) and value ($15,000,000), for those projects completed in the last 7 years (or presently underway and greater than 80% complete). The projects identified below should also be representative of your proposed Project personnel.

(CM at Risk and Design Build projects shall be listed in Section C.2, below).

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

2. List the seven most comparable, guaranteed price projects (i.e., CM at Risk, Design Build, etc.) in scope, size (140,000 sq ft) and value ($15,000,000), for those projects completed in the last 7 years (or presently underway and greater than 80% complete). The projects identified below should also be representative of your proposed Project personnel.

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

Project Name:________________________Location:___________________________

Sq. Ft.:___________ $ Value:________________ Completion Date:______________

Owner:_________________________________________________________________

Owner's Phone:______________ Owner's Contact:____________________________

Architect:________________________Architect's Phone:_______________________

Architect's Contact:____________________Current % Complete:_______________

Schedule Duration (NTP to C.O.)____________________________________________

Proposed Staff from this Project____________________________________________

3. State specifically whether each project identified in “C.1” and “C.2” above:

(a) Was substantially complete by the original date established in the contract;

(b) Had change orders exceeding three percent (3%) of the original contract price.

Section D. QUALIFICATIONS/EXPERIENCE OF PERSONNEL (20 Points):

(Attachments may be utilized for Section D).

1. Describe how Offeror will organize and manage the project. Also state the relevant project experience of your proposed staffing. Identify which projects the proposed Principal in Charge, Project Manager and Project Superintendent and Site Superintendent (collectively, “Key Personnel”) have previously completed together. (Should your company be selected as the General Contractor, you should not replace or change any Key Personnel for the duration of the Project without the Owner’s prior written consent. General Contractor shall be liable for $450.00 for each day the General Contractor fails to comply with this requirement.)

2. State the percentage of the Principal in Charge’s, Project Manager’s, Project Superintendent’s, Site Superintendent’s, and Safety Manager’s time that he/she, or they, will devote to this project (with 100% being full time).

3. State the name, qualifications, background, the number of years in the construction industry and the number of years with the Offeror of the Offeror’s proposed Principal in Charge for the project. List all relevant prior project experiences and include project names, square footages and dollar values of each project. Also provide the Owner and Architect references for three projects that the Contractor deems most relevant.

4. State the name, qualifications, background, the number of years in the construction industry and the number of years with the Offeror of the Offeror’s proposed Project Manager for the project. List all relevant prior project experiences and include project names, square footages and dollar values of each project. Also provide the Owner and Architect references for three projects that the Contractor deems most relevant.

5. State the name, qualifications, background, the number of years in the construction industry and the number of years with the Offeror of the Offeror’s proposed Project Superintendent for the project. List all relevant prior project experiences and include project names, square footages and dollar values of each project. Also provide the Owner and Architect references for the three projects that the Contractor deems most relevant.

6. State the name, qualifications, background, the number of years in the construction industry and the number of years with the Offeror of the Offeror’s proposed Site Superintendent for the project. List all relevant prior project experiences and include project names, square footages and dollar values of each project. Also provide the Owner and Architect references for the three projects that the Contractor deems most relevant.

7. State the name, qualifications, background, the number of years in the construction industry and the number of years with the Offeror of the Offeror’s proposed Safety Manager for the project. List all relevant prior project experiences and include project names, square footages and dollar values of each project. Also provide the Owner and Architect references for three projects that the Contractor deems most relevant.

Section E. OFFEROR’S EVALUATION (10 Points)

(Complete form intact, all information provided on this form only. No attachments will be evaluated for Section E except for “E.1” and “E.2”.)

1. Is Offeror willing to sign the “Standard Form of Fixed Price Construction Contract Between The Forsyth County Board of Education and Contractor” and the Board’s form of Payment and Performance Bonds “as is” and without any proposed modifications (other than filling in the blanks or other non-substantive matters)? If not, please explain.

1. Has Offeror thoroughly reviewed the design documents (plans, drawings and specifications) for the Project; and, if so, what concerns or issues, if any, did Offeror’s review raise or reveal?

2. Describe Offeror’s specific sequencing and construction timetable plan for the Project, Offeror’s approach to schedule control, and specific methods/techniques of schedule control that Offeror utilizes.

3. Is Offeror aware of any factors that would prevent or delay the required date for the Project’s Substantial Completion of Stage 1 Additions on May 13, 2016 and Substantial Completion of Stage 2 Renovations on August 1, 2016?

4. State how Offeror will provide Quality Assurance and Quality Control, and describe Offeror’s Quality program specifically as it pertains to the Project.

CONTRACTOR CERTIFICATION

The Contractor proposes and agrees to commence actual construction (i.e., physical work) on site with adequate management, labor, materials and equipment within ten (10) days after receipt of Notice to Proceed (anticipate May 22, 2015) and prosecute the Work diligently and faithfully to completion within the required Contract Time. Prior to the Board’s execution of the Contract and the issuance of the Notice to Proceed, Contractor shall furnish to the Board duly executed Payment and Performance Bonds for the school complying with all requirements of the Contract Documents along with Certificates of Insurance demonstrating that all required coverages are in place.

Contractor submits herewith its executed Bid Bond for the project in accordance with the requirements of the Board.

Contractor herein acknowledges that this Proposal shall constitute an offer by Contractor to contract with the Board for construction of the Project in conformity with all requirements of the Contract Documents for the lump sum Contract Price. After award, the Contractor will be required to sign the Board’s form of Contract. The contractor will also be required to provide to the Board a schedule of values for the school, as well as applications for payment throughout the duration of the Project according to accounting requirements by the Georgia State Department of Education. Said offer by Contractor is irrevocable and subject to acceptance by the Board until the expiration of sixty (60) days following the date set forth in the Request for Proposals for receipt of Proposals by the Board.

I certify that this Proposal is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a Proposal for the same materials, supplies, or equipment, and is in all respects fair and without collusion or fraud. I understand collusion is a violation of State and Federal law and can result in fines, prison sentences and civil damage awards. I agree to abide by all conditions of this proposal and certify that provisions of O.C.G.A. §45-10-20, et. seq., and O.C.G.A. §36-91-21(d) have not and shall not be violated in any respect.

Respectfully submitted,

Firm Name: _____________________________________________________________

LEGAL NAME OF BUSINESS

Address: ________________________________________________________________

LEGAL BUSINESS ADDRESS (P.O. BOX IS INSUFFICIENT)

_________________________________________________________________

CITY STATE ZIP

_________________________________________________________________

MAILING ADDRESS IF DIFFERENT FROM ABOVE

Telephone Number: __________ _____________________________

AREA CODE NUMBER

By:______________________________________________________________

Authorized Signature (BLUE INK PLEASE)

_________________________________________________________________

Typed/Printed Name Title

The full names of persons and firms interested in the foregoing proposal as principals are as follows:

(1) _______________________________________________________________________________

Check One: President ( ) Partner ( ) Owner ( )

(2) _______________________________________________________________________________

Check One: Vice President ( ) Secretary ( ) Partner ( )

If incorporated: The names of both the President and Corporate Secretary must be indicated. If a partnership: All partners must be indicated.

Sworn and subscribed to before me this

____day of _____________________, 2010.

_______________________________________ Commission Expiration:

NOTARY PUBLIC

(PROPOSAL CONTINUES WITH PART THREE ON FOLLOWING PAGES)

PART THREE

Section F. QUALIFICATIONS AND EXPERIENCE OF SUBCONTRACTORS (15 Points)

(Complete form intact, all information provided on this form only. No attachments will be evaluated.)

Describe the qualifications and experience of subcontractors of proposed site work, fire protection, electrical, plumbing, structural steel fabricator, structural steel erector, masonry, roofing and mechanical. Only the proposed site work subcontractor, the fire protection subcontractor, the electrical subcontractor, the plumbing subcontractor, the mechanical subcontractor, and the roofing subcontractor are required to provide 100% Payment & Performance Bonds, or Subguard coverage (subcontractor default insurance, SDI) provided by the Contractor for the project. If Subguard/SDI coverage is proposed, answer the questions at F-10 on the last page.

Attached on the following pages, are the required Subcontractor Information Sheets, completed in their entirety, including copies of all applicable licenses, for Riverwatch Middle School and South Forsyth Middle School Additions and Renovations.

Firm Name: _____________________________________________________________

LEGAL NAME OF BUSINESS

Address: ________________________________________________________________

LEGAL BUSINESS ADDRESS (P.O. BOX IS INSUFFICIENT)

_________________________________________________________________

CITY STATE ZIP

_________________________________________________________________

MAILING ADDRESS IF DIFFERENT FROM ABOVE

Telephone Number: __________ _____________________________

AREA CODE NUMBER

By:______________________________________________________________

Authorized Signature (BLUE INK PLEASE)

_________________________________________________________________

Typed/Printed Name Title Date

F-1. Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

SITE WORK SUBCONTRACTOR (Must Be Bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the Project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________ Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-2. Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

FIRE PROTECTION SUBCONTRACTOR (Must be bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-3. Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

ELECTRICAL SUBCONTRACTOR (Must be bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-4: Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

PLUMBING SUBCONTRACTOR (Must be bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-5: Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

MECHANICAL SUBCONTRACTOR (Must be bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-6 Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

STRUCTURAL STEEL ERECTION SUBCONTRACTOR (No bonding requirement):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

% Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N)

Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-7 Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

STRUCTURAL STEEL FABRICATOR SUBCONTRACTOR (No bonding requirement):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

% Work Completed By Own Forces:______% Has Firm Ever Failed to Complete A Contract? (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-8 Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

MASONRY SUBCONTRACTOR (No bonding requirement):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

% Work Completed By Own Forces:______% Has Firm Ever Failed to Complete A Contract? (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-9 Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

ROOFING (Must be bonded or Subguard/SDI):

Firm:___________________________________ CEO/Chief:________________________________

Principal:________________________________

Address:________________________________ Contact Person:_____________________________

________________________________ Phone:____________________________________

Work in Place Last Year $__________________ Average Annual Sales Last 3 yrs:_______________

Work Now Under Contract:$________________ % Complete________________________________

Work Currently Bonded____________________ % Complete _______________________________

Bonding Company________________________ Bonding Agent:_____________________________

Total Bonding Capacity______________________ Address:___________________________________

___________________________________

%Work Completed By Own Forces:_______% Has Firm Ever Failed to Complete A Contract? (Y) (N) Union: (Y) (N) Locals:_________________________________ Merit Shop: (Y) (N)

Will your firm have a written safety program specifically for the project? (Y) (N)

In the previous 3 years has your firm been cited for any serious (as defined by OSHA) violation? (Y) (N)

OSHA recordable incident rate (current year):______OSHA lost days away incident rate (current year)___

Does your firm have a drug testing program? (Y) (N)

Will your firm have a written quality program specifically for the project? (Y) (N)

Who from your firm will be responsible for quality control on the project?__________________________

List 3 current projects:

(1) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(2) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

(3) Project: ________________________ Location:___________________________________

Architect:_______________________ Contract with:_______________________________

Contract Amt.:$__________________ Scheduled Completion Date:____________________

Reference Contact:________________ Phone:_____________________________________

This form MUST be signed by an officer or a principal of the company.

___________________________ _______________________ _____________________

Signature Printed Name Printed Title

F-10 Riverwatch Middle School and South Forsyth Middle School

Additions and Renovations

A. What is the name of your Subcontractor Default Insurance (“SDI”) carrier?

B. How many years has this SDI carrier provided coverage to your firm?

C. What are the coverage limits for each loss and aggregate loss?

D. What is the Contractor’s deductible for each loss?

E. Does the SDI policy coverage provide coverage for the following:

(1). Replacement of non-conforming or defective work;

(2). funding replacement subcontractors;

(3). schedule recovery;

(4). legal fees;

(5). indirect costs or consequential damages; and,

(6). 7 year completed operations.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download