RECLAIMED WATER PIPELINE EXPANSION UNIVERSITY OF CALIFORNIA, SAN DIEGO 4794

4794UNIVERSITY OF CALIFORNIA, SAN DIEGO Where a time period is given, such as the last ten [10] years, the period is to be measured backwards from the date this prequalification question

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794 UNIVERSITY OF CALIFORNIA, SAN DIEGO

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UNIVERSITY OF CALIFORNIA, SAN DIEGO FACILITIES DESIGN & CONSTRUCTION

10280 NORTH TORREY PINES ROAD

LA JOLLA, CA 92037

ISSUE DATE: April 9, 2014 MANDATORY PREQUALIFICATION MEETING: April 16, 2014

SUBMITTALS DUE: April 30, 2014

GC P/Q Quest

(UCSD Rev 10/2012)

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

(Where a time period is given, such as the last ten [10] years, the period is to be measured backwards

from the date this prequalification questionnaire is required to be submitted to the University of

California at San Diego.)

Note: Submission of an incomplete and/or unclear Prequalification Questionnaire may result in thedetermination of the prospective Contractor as NON-PREQUALIFIED

SUBMITTED BY:

(Name and Title) Printed or Typed

(Signature)

(Firm Name If a Joint Venture, state name if JV Entity)

(Contact Name for all notices and correspondence)

(Address)

(City, State, Zip Code)

(E-mail Address)

Each prospective Contractor must have the following California General Engineer Contractor’s License,License Code: A, current, active and in good standing with the California Contractor’s State LicenseBoard on the date and time of the Prequalification Questionnaire submittal is due and must submit thisPrequalification Questionnaire with all portions completed, including required attachments

Each prospective Contractor must answer all of the following questions and provide all requestedinformation, where applicable Any prospective Contractor failing to do so may be deemed to be notresponsive and not responsible with respect to this Prequalification at the sole discretion of the

University Each prospective Contractor must submit 5 printed sets and one (1) flash drive with

complete submittal of the questionnaire All Contractors that have submitted a Prequalification

Questionnaire will be notified in writing of either successfully or not successfully achievingprequalification status The decision of the University is final and is not appealable within theUniversity of California system

GC P/Q Quest

(UCSD Rev 10/2012)

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

All information submitted for Prequalification evaluation will be considered official informationacquired in confidence, and the University will maintain its confidentiality to the extent permitted bylaw

It is critical that the prospective Contractor fills out all information required accurately, completely,truthfully and to the best of their knowledge Ambiguous or incomplete information may lead to anunfavorable rating and subsequent status as non-prequalified

WHERE NECESSARY, COPY THE FORMS IN THIS PACKAGE USE ONLY THESE FORMS.

I, , hereby declare that I am the

(Printed Name) _ of

submitting this Prequalification Questionnaire; that I am duly authorized to sign thisPrequalification Questionnaire on behalf of the above-named firm; and that all information setforth in this Prequalification Questionnaire and all attachments hereto are, to the best of myknowledge, true, accurate and complete as of its submission date

The undersigned declares under penalty of perjury that all of the prequalification informationsubmitted with this form is true and correct and that this declaration was executed in

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

Did a representative of your firm attend the Mandatory Prequalification Conference at theUniversity of California, San Diego, La Jolla?

Name/names of those attending: _

Date of Meeting Attended: April 16, 2014

A Does your firm hold the following California contractor's license, which iscurrent, valid, and in good standing with the California Contractor's State License Board?License Classification/Code: A – General Engineering

1 If the entity submitting this prequalification questionnaire is a Joint Venture, does

the Joint Venture entity itself currently hold a (Class A - General EngineeringContractor) California contractor's license, which is current, valid, and in goodstanding with the California Contractor's State License Board?

B Provide the following information about your firm's contractor's license:

1 Name of license holder exactly as on file with the California Contractor's State

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

C Can you truthfully state that your firm's contractor's license hasn’t beensuspended or revoked by the California Contractor's State License Board within the lastfive (5) years?

If answer is no, explain on attached additional sheets

If the entity submitting this prequalification questionnaire is a Joint Venture, can theJoint Venture entity truthfully state that no member of the Joint Venture has ever hadtheir firm's contractor's license suspended or revoked by the California Contractor's StateLicense Board?

If answer is “No,” explain on attached additional sheets.

D Has a complaint ever been filed with the Contractor’s State License Board against your

company that required a formal hearing or inquiry?

E Does your firm have experience utilizing CPM logic, Primavera Project Planner

scheduling software on your projects and would you utilize this experience on thisproject?

Prospective Contractor shall submit the below form, signed by representative of surety andnotarized If firm has used current surety for less than ten years, list surety(ies) previously usedand indicate number of years used to demonstrate ten (10) complete years of surety history

A Is the surety to be used listed in the latest published State of California Department of

Insurance list of Insurance Organizations Authorized by the Insurance Commissioner to

Transact Business of Insurance in the State of California?

GC P/Q Quest

(UCSD Rev 10/2012)

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

B Is the prospective Contractor able to obtain bonding up to and including the cost for this

construction contract estimated at $4,000,000 of which no more than 50% is currently

committed to other projects?

1 If the entity submitting this prequalification questionnaire is a Joint Venture, is

the Joint Venture entity itself able to obtain bonding up to and including the cost

for this construction contract estimated at $4,000,000 of which no more than 50%

is currently committed to other projects?

C Is it true that the surety has not paid out any monies for the construction activities of the

prospective Contractor whatsoever within the last ten (10) years?

If answer is “No,” explain on attached additional sheets.

1 If the entity submitting this prequalification questionnaire is a Joint Venture, is it

true that the surety has not paid out any monies for the construction activities of

any member of the Joint Venture within the last ten (10) years?

D How long has the Prospective Contractor been with this surety? years

GC P/Q Quest

(UCSD Rev 10/2012)

RECLAIMED WATER PIPELINE EXPANSION PROJECT NO 4794

UNIVERSITY OF CALIFORNIA, SAN DIEGO

(Name and Title - Printed or Typed)

(Representing [Surety Name])

(Surety License Number)

(Firm Name)

(ATTACH NOTARIZATION of SURETY REPRESENTATIVE’S SIGNATURE)

GC P/Q Quest

(UCSD Rev 10/2012)

5 INSURER

Prospective Contractor desiring to be prequalified are informed that they will be subject to andmust fully comply with all bid conditions including the following insurance coverage andassociated limits

Prospective Contractor shall submit the below form, signed by representative of insurer andnotarized If firm has used current insurer for less than ten years, list insurer(s) previously usedand indicate number of years used to demonstrate ten (10) complete years of insurer history

A Is the insurer to be used listed by Best with a rating of A- or better and a financial

classification of VIII or better (or an equivalent rating by Standard & Poor’s orMoody's)?

Indicate Best Rating:

Indicate Best Financial Classification:

B Is the prospective Contractor able to obtain insurance in the following limits for each of

these construction contracts?

1 If the entity submitting this prequalification questionnaire is a Joint Venture, is

the Joint Venture entity itself able to obtain insurance in the following limits foreach of these construction contracts?

Comprehensive or Commercial Form General Liability Insur ance - Limits of Liability Requirement Each Occurrence - Combined Single Limit for Bodily Injury and Property Damage $1,000,000 Products - Completed Operations Aggregate

$2,000,000

Business Automobile Liability Insurance - Limits of Liabil ity

Each Accident - Combined Single Limit for Bodily Injury and Property Damage

$1,000,000

C How long has the Prospective Contractor been with this insurer? years

(Name and Title - Printed or Typed)

(Representing [Insurer Name])

(Insurer’s License Number)

(Firm Name)

(ATTACH NOTARIZATION of INSURER REPRESENTATIVE’S SIGNATURE)

6 CONSTRUCTION EXPERIENCE

Submit Project Data on a minimum of three (3) and a maximum of five (5) comparable projects

successfully completed within the last ten (10) years constructed in the United States of Americaone of which was constructed in the State of California

A comparable project is defined as having a construction cost at the bid date of at least $1,000,000 or a total of $4,000,000 for the projects submitted, and the following example pipelineinstallations:

 Trenched and horizontal directional drilled pressurized water pipeline and valve installation and testing; piping connections to existing water lines; deep boring pits; deep vault construction/installation;

Such projects should have possessed the following construction challenges:

 Urban site work with limited construction and staging areas

 Site conditions requiring proactive and innovative solutions to mitigate construction impacts such as noise, dust, vehicular and pedestrian traffic while campus is occupied and research is ongoing

 Pipe installations requiring proactive and innovative solutions due to unknown and/or unforeseen field conditions.

 Project complexity requiring tracking of multiple locations

 Project complexity requiring critical path construction scheduling to complete on time.

 Complex phasing plan development and execution

Such projects should include these specific components:

 Horizontal directional drilled pressure piping

 Construction on an occupied and operational campus (university, military base, airport, hospital, etc.)

 Construction of underground utilities adjacent to existing in-service underground utilities

A If the entity submitting this prequalification questionnaire is a Joint Venture, the Joint Ventureentity itself must demonstrate adequate previous construction experience Joint Venture teams newly-formed to pursue this prequalification opportunity are not eligible for prequalification

B Listed projects must have been managed and constructed under the business name submitted for prequalification Projects completed by employees for former employers are not acceptable

C Submit the following Project Data Sheets for each project submitted as evidence of your firm's Contractor expertise.

PROJECT DATA SHEET

(A separate sheet must be prepared for each project submitted.)

1 Project Name: _

2 Project Location: _

3 Project Description: _

4 Constr Type:

5 Size (gross square feet):

6 What was your company’s role on this project?

Prime (General) Contractor Subcontractor to GC

2 nd Tier Subcontractor

3 rd Tier Subcontractor Prime Subcontractor to Owner Other: _

List the Business Entity (name) your company used to perform work for this project:

7 If the entity submitting this prequalification questionnaire is a Joint Venture, did the Joint

Venture entity itself construct and manage this project?

8 How is this project comparable to the Reclaimed Water Pipeline Expansion project?

9 Was the project completed within budget?

Cost At Bid: $ Cost At Completion: $ Explanation:

10 For any differing amount between cost at completion and cost at bid, distribute the sources

and/or causes of these changes into the following categories:

Document Problems: $

Unforeseen Conditions: $

Owner Generated Scope: $

Regulatory Agency: $

Other: $

11 Was construction begun and completed within the last ten (10) years?

12 Was the project completed within the original contract time or the adjusted contract time?

If completion did not occur within the original or the adjusted contract time, indicate elapsed time in whole calendar days between original or adjusted contract time and actual final completion For projects that have not reached final completion, indicate current status with respect to contract time:

_

13 Did the project include occupied facilities?

14 What communications strategies were used by your firm to assist the project team in mitigating

the impacts of construction on the occupied facilities?

15 Was the project for a university or public institution?

16 What strategic decisions did your firm contribute to the project which supported the project’s

success (e.g value engineering, phasing, innovation, new technology, etc.)?

17 Did the project include adherence to critical path scheduling?