PREQUALIFICATION QUESTIONNAIRE For B - GENERAL BUILDING CONTRACTOR andor C-39 - ROOFING CONTRACTOR

HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO 1001082931 PREQUALIFICATION QUESTIONNAIRE For B - GENERAL BUILDING CONTRACTOR and/or C-39 - ROOFING CONTRACTOR HUBBS HALL ROOF RENEWAL - 1001082931 SUBMITTED BY: UNIVERSITY OF CALIFORNIA, SAN DIEGO CAPITAL PROGRAM MANAGEMENT 10280 NORTH TORREY PINES ROAD LA JOLLA, CA 92037 ISSUE DATE PREQUALIFICATION MEETING** PREQUALIFICATION MEETING LOCATION SUBMITTALS DUE May 18, 2021 Tuesday, June 1, 2021 at 10:00 A.M VIA ZOOM CONFERENCE CALL Friday, July 30, 2021 by 4:00 P.M **Attendance to Prequalification Meeting is not required for contractors submitting after July 16, 2021 Advertisement General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO 1001082931 (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 the determination 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) (Telephone Number) (Facsimile Number) (E-mail Address) CHECK this box if the entity submitting this prequalification questionnaire is a JOINT VENTURE General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO 1001082931 Each prospective Contractor must have the following California Contractor’s License: B: General Building Contractor and/or C-39 Roofing Contractor, current, active and in good standing with the California Contractor’s State License Board on the date and time of the Prequalification Questionnaire submittal is due This Prequalification Questionnaire with all portions completed, including required attachments must be submitted Each prospective Contractor must answer all of the following questions and provide all requested information, where applicable Any prospective Contractor failing to so may be deemed non responsive and not responsible with respect to this Prequalification at the sole discretion of the University Each prospective Contractor must submit an electronic copy, in PDF format, of the complete submittal of the questionnaire along with required attachments All Contractors that have submitted a Prequalification Questionnaire will be notified in writing of either successfully or not successfully achieving prequalification status The decision of the University is final and is not appealable within the University of California system Contractors should indicate throughout their questionnaire what information is considered confidential and proprietary All information submitted for Prequalification evaluation will be considered official information acquired in confidence, and the University will maintain its confidentiality to the extent permitted by law It is critical that the prospective Contractor complete all information required herein accurately, completely, truthfully and to the best of their knowledge Ambiguous or incomplete information may lead to an unfavorable rating and subsequent status as non-prequalified WHERE NECESSARY, COPY THE FORMS IN THIS PACKAGE USE ONLY THESE FORMS PREQUALIFICATION DECLARATION I, , hereby declare that I am the (Printed Name) _ of (Title) (Name of Firm) submitting this Prequalification Questionnaire; that I am duly authorized to sign this Prequalification Questionnaire on behalf of the above-named firm; and that all information set forth in this Prequalification Questionnaire and all attachments hereto are, to the best of my knowledge, true, accurate and complete as of its submission date The undersigned declares under penalty of perjury that all of the prequalification information submitted with this form is true and correct and that this declaration was executed in (County), , (State) on (Date) (Signature) General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO 1001082931 ATTENDANCE AT MANDATORY PREQUALIFICATION CONFERENCE Not required for contractors submitting after July 16, 2021 Advertisement Did a representative of your firm attend the virtual Mandatory Prequalification Conference? YES NO Name/names of those attending: _ Date of Meeting Attended: LICENSE AND REGISTRATION A Does your firm hold the following California contractor's license, which is current, valid, and in good standing with the California Contractor's State License Board? License Classification: B: General Building Contractor and/or C-39: Roofing Contractor YES B NO Provide the following information about your firm's contractor's license: Name of license holder exactly as on file with the California Contractor's State License Board: License _ License _ Date _ Expiration C Classification(s): Number: Issued: Date: Is your firm currently registered with the California Department of Industrial Relations pursuant to California Labor Code Section 1725.5 and 1771.1? YES General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) NO Page of 24 Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO If Yes, provide 1001082931 Public Works Contractor Registration Number: If currently not registered, it will be required that Contractor and all Subcontractors, regardless of tier be registered at time of bid D Can you truthfully state that your firm's contractor's license hasn’t been suspended or revoked by the California Contractor's State License Board within the last five (5) years? YES NO If answer is “No,” explain on attached additional sheets E Has a complaint ever been filed with the Contractor’s State License Board against your company that required a formal hearing or inquiry? YES F NO Does your firm have experience utilizing CPM logic, Primavera Project Planner scheduling software and or MS Projects Scheduling on your projects and would you utilize this experience on this project? YES NO If “No,” name the software application(s) used or the software application you would propose for use on this project for scheduling G Did your firm complete and submit the UC San Diego Capital Program Management Company Registration form located on our website (http://rmpweb.ucsd.edu/CompanyEvaluation)? YES NO SURETY Prospective Contractor desiring to be prequalified is informed that they will be subject to and must fully comply with all bid conditions including 100% payment and 100% performance bonds Prospective Contractor shall submit the below form, signed by representative of surety and notarized If firm has used current surety for less than ten years, list surety(ies) previously used and indicate number of years used to demonstrate ten (10) complete years of surety history General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO 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? YES B NO 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? YES D NO Is the prospective Contractor able to obtain bonding up to and including the cost for this construction contract estimated at $900,000 of which no more than 50% is currently committed to other projects? YES C 1001082931 NO How long has the Prospective Contractor been with this surety? General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 years Prequalification Questionnaire HUBBS ROOF RENEWAL UNIVERSITY OF CALIFORNIA, SAN DIEGO E 1001082931 Surety Declaration: Provide this Declaration of your surety(ies) for completion Do not have the surety submit this information directly to the University The undersigned declares under penalty of perjury that all of the above surety information is true and correct and that this declaration was executed in County, California, on (date) (Signature) (Name and Title - Printed or Typed) (Representing [Surety Name]) (Surety License Number) (Firm Name) (Address) (City, State, Zip Code) (Telephone Number) (Facsimile Number) (Email Address) (ATTACH NOTARIZATION of SURETY REPRESENTATIVE’S SIGNATURE) General Contractor GC P/Q Quest (UCSD Rev 06/26/2020) Page of 24 Prequalification Questionnaire INSURER Prospective Contractor desiring to be prequalified are informed that they will be subject to and must fully comply with all bid conditions including the following insurance coverage and associated limits Prospective Contractor shall submit the below form, signed by representative of insurer and notarized If firm has used current insurer for less than ten years, list insurer(s) previously used and indicate number of years used to demonstrate ten (10) complete years of insurer history A Is the insurer to be used listed with a minimum rating of A.M Best as A+ or better and a financial classification of XII or better (or an equivalent rating by Standard & Poor’s or Moody's)? YES NO Indicate Best Rating: Indicate Best Financial Classification: B Is the prospective Contractor able to obtain insurance in the following limits for this construction contract? YES NO Comprehensive or Commercial Form General Liability Insur ance - Limits of Liability Each Occurrence - Combined Single Limit for Bodily Injury and Property Damage Products - Completed Operations Aggregate $2,000,000 Personal and Advertising Injury General Aggregate - Not Applicable to Comprehensive Form Minimum Requirement $1,000,000 $1,000,000 $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 D Insurance Declaration: Provide this Declaration to your insurance carrier for completion Do not have the carrier submit this information to the University The undersigned declares under penalty of perjury that all of the above insurer information is true and correct and that this declaration was executed in County, California, on (Signature) (Name and Title - Printed or Typed) (Representing [Insurer Name]) (Insurer’s License Number) (Firm Name) (Address) (City, State, Zip Code) (Telephone Number) (Facsimile Telephone Number) (Email Address) (ATTACH NOTARIZATION of INSURER REPRESENTATIVE’S SIGNATURE) (date) 6 CONSTRUCTION EXPERIENCE Submit Project Data for THREE (3) BEST EXAMPLES OF COMPARABLE PROJECTS successfully completed within the last ten (10) years constructed in the United States of America, one of which was constructed in the State of California A comparable project is defined as having a construction cost at the bid date ranging from $500,000 to $1,000,000 for the projects submitted, and the following example building types:     Commercial or institutional research laboratory Office building combined with the above Working at an existing commercial or institutional research laboratory while the facility remains in full operation Other facilities that contain a high degree of technical/aesthetic complexity Such projects should have possessed the following construction challenges:  Urban site work with limited construction and staging areas  Repair of buildings requiring proactive and innovative solutions due to noise, dust, and pedestrian traffic while building is occupied and research is ongoing  Working in hard to access spaces with stationary equipment such as lifts and conveyors  Project requiring proactive and innovative solutions due to unknown and/or unforeseen field conditions  Project complexity requiring tracking of multiple functions and phases  Project complexity requiring critical path construction scheduling to complete on time  Complex phasing plan development and execution  Limited staging areas  Limited access to working area Such projects should include these specific components:  Structural steel framing  Installation of KEE type roofing system  Certification with specific KEE roofing system  Challenging installation areas  Limited access to facilities  Enough crew members available for the duration of the project  Limited change orders within a project  Working in a coastal environment  Challenge may be presented in safely moving materials from laydown areas / across public pathways to roof A If the entity submitting this prequalification questionnaire is a Joint Venture, the Joint Venture entity 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.) Project Name: Project Location: Project Description: Project Completion date/year: Contract Delivery Method: Size (gross square feet): What was your company’s role on this project? Prime (General) Contractor Subcontractor to GC 2nd Tier Subcontractor 3rd Tier Subcontractor Prime Subcontractor to Owner Other: _ List the Business Entity (name) your company used to perform work for this project: Was this work performed under a Job Order Contract (JOC)? YES NO N/A How is this project comparable to the HUBBS ROOF RENEWAL project? _ _ 10 Was the project completed within budget? Cost At Bid: $ Cost At Completion: $ Explanation: 11 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: $ $ $ $ $ 12 Was construction begun and completed within the last ten (10) years? YES NO 13 Was the project completed within the original contract time or the adjusted contract time? YES NO 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: _ 14 Was work performed within and adjacent to occupied facilities? YES NO If answer is “Yes,” describe: _ _ 15 What communications strategies were used by your firm to assist the project team in mitigating the impacts of construction on the occupied facilities? _ _ 16 Was the project for a university or public institution? YES NO 17 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.)? _ 18 Did the project include adherence to critical path scheduling? YES NO 19 Did project contain working in close proximity to existing operational mechanical equipment, water tanks and/or chill water system equipment? YES NO 20 Did the project include a quality control/quality assurance program? YES NO If “Yes,” _ 21 describe: Did the project include the installation of a KEE type roofing system? YES NO If “Yes”, describe KEE system type: _ _ 22 Did the project require strict monitoring and offsite disposal of materials? YES NO If “Yes,” _ 23 describe: Did this project address the challenges of executing construction with limited staging and storage area? YES NO If “Yes,” _ 24 Did the project include the replacement of drain bowls? YES NO If “Yes,” _ 25 NO If answer is “Yes,” _ describe: Did the Owner assess any liquidated damages? YES NO If answer is “Yes,” _ 27 describe: Did the Owner assess any back-charges? YES 26 describe: describe: Did your firm self-perform any of the work? YES NO If “Yes,” please specify the trades you self-performed or have the capability to self-perform: _ PROJECT REFERENCE Client Firm Name: Client Address: Client Phone: Client E­Mail Address Architect/Engineer/Consultants: Architect/Engineer Contact Name: Architect/Engineer Contact Phone: Architect/Engineer E­mail Address: (Attach additional pages with other pertinent project information as necessary.) PROJECTS FOR THE REGENTS OF THE UNIVERSITY OF CALIFORNIA Provide a listing of projects currently in construction or completed within the last ten (10) years for the University of California List only projects completed under the license number of the entity submitting this prequalification For each project listed provide: campus, construction cost, contract time and a brief description of the project Limit listing of projects to the five (5) most recent UC Campus Construction Cost Contract Time Name and brief project description STAFF EXPERIENCE AND PROJECT SAFETY A Contractor hereby commits as a minimum to assignment of the specific field staff as  outlined below.  Quantity Title/Function Project Executive Project Manager Project Superintendent Project Engineer Project Clerk On Site During Construction Part Time Part Time Full Time Part Time As needed  Project Executive will be on site during construction and for construction meetings  Project Manager to oversee, manage and coordinate the project.  The magnitude and  complexity of the project will necessitate that this position manage the entire construction  process. This position will need to be involved with all aspects of the project including but  not limited to all scheduling and budgeting meetings, overall construction process  development and execution, multi­staff operation management and coordination.  The  project manager will take the lead position in all Architect and University issues including  overall contract administration, RFI, RFP and contract change order negotiations, campus  and community relations.  The project manager will be the main contact on behalf of the  general contractor and will be responsible for guiding the construction development process to successful completion.  The project manager will be responsible for budget, quality and  schedule  Project Superintendent to manage, coordinate, and facilitate the field supervision staff for  each of the various components of the project construction process. The major function of  this position will be in addition to the normal superintendent’s daily workload, subcontractor  interaction and production, and various field related coordination issues  Project Engineer to perform Quality Control duties, submittals, shop drawings and MEP  coordination  Project Clerk (as needed) during construction B At the time of bid, the successful Contractor will be required to reconfirm staff assignments to  the project based on this submittal.  If any of the named staff submitted are no longer employed by the firm at the time the project starts, or are otherwise unavailable, the firm's bid may be  considered non­responsive.  The University may consider substitution of other individuals with  equivalent experience; however, resumes, comparable project history and other relevant  information must be submitted to the University prior to the determination of the bid results.   C Project Management ­­ This project may or may not require a project manager on site full time, but does require site visits and meetings as requested by the University Project Manager The Contractor shall keep on the job throughout its duration a competent Project Manager and  Project Superintendent, all of whom must be satisfactory to the University.  The Project  Manager and Project Superintendent shall be the same individuals proposed by the Contractor  during the procurement process for this project.  The Project Manager shall represent the  Contractor, and all communication given to the Project Manager shall be as binding as if given  to the Contractor. The Contractor shall not change either the Project Manager or the Project  Superintendent on the project from those originally proposed for the project without the prior  written consent of the University.  The University will only grant written consent for such change in the case of undue hardship on the individual or if the Project Manager and Project  Superintendent shall leave the employ of the Contractor By submitting a proposal for this project, the Contractor agrees to pay a training fee of  $5,000should they change Project Executive, Project Manager, or Project Superintendent  without the written consent of the University D Safety Program The safety of the Contractor employees, employees of the University and other visitors to the  Project are of the utmost importance to the University.  The Contractor shall take whatever  steps are necessary to maintain a clean and safe work environment for their employees, the  employees of their Subcontractors and vendors, and any other visitors to the project.   Contractor commits the following proposed staff to the  Hubb Roof Renewal project and staff  will be continuously retained throughout the project. When completing the table below indicate if  the proposed personnel was assigned to the comparable project(s) for which data sheets have been  included in this questionnaire. It is preferred that the Project Manager and Project Superintendent have successfully completed one or more of the comparable projects *Attach Resumes of proposed staff to this questionnaire.  PROPOSED STAFF* PROPOSED STAFF NAME Click or tap here to enter text Click or tap here to enter text Click or tap here to enter text Project  Executive  ☐ ☐ ☐ Project  Manager  ☐ ☐ ☐ Project  Superintendent  ☐ ☐ ☐ Project  Engineer ☐ ☐ ☐ Project  Clerk  ☐ ☐ ☐ Total  years of experience Years  in this position Years  with this firm SAFETY PROGRAM A Does your firm have a written Injury and Illness Prevention Program (IIPP) that complies with California Code of Regulations, Title 8, Sections 1509 and 3203? YES NO Brief _ B Does your firm have a written safety program that meets CAL/OSHA requirements? YES C project? Description: NO Will your firm have personnel permanently assigned and dedicated to Safety on this YES NO D If “Yes,” state the names of all such personnel who will be assigned and individually list their specific duties: Name, Title _ _ _ _ _ _ _ _ Specific Duties Attach resumes (include certification and safety related training received.) E Have you had accidents, which resulted in a construction fatality on any of your projects over the last years? YES NO If the answer is “Yes,” describe F Is your firm’s current Workers Compensation Experience Modification Rate (EMR) equal to 1.15 or less? YES NO List your California Workers Compensation Modifier for each of the last three (3) years YEAR California Workers Compensation Modifier G Have you provided your firm’s EMR verification (regardless of whether EMR is under or  over 1.15) from State of California or from insurance company for the most recently completed  year? YES H NO Has your firm been cited by OSHA in the past years? YES NO If the answer is “Yes,” describe I Does your firm have a Small Business/Underutilized Business Outreach Program? YES NO If “Yes,” please include a summary of your efforts (up to one [1] page) 10 QUALITY CONTROL/QUALITY ASSURANCE PROGRAM (QC/QA) A Does your firm have a written quality control/quality assurance program? YES NO B Will your firm have personnel permanently assigned and dedicated to QC/QA on this project? YES NO C If “Yes,” state the names of all such personnel who will be assigned and individually list their specific duties: Name D Title Specific Duties Provide brief description of your Quality Control/Quality Assurance Program: _ _ E Describe how your Program will be applied to this project: _ _ 11 BUSINESS CONSTRUCTION REVENUE For the purposes of this prequalification questionnaire, "business construction revenue" shall be defined as payments to prospective Contractor for construction services as a General Contractor A Can you truthfully state that your firm has had an average annual business construction revenue of at least $ 4,000,000 (excluding any and all legal awards) over the last five (5) consecutive years? YES B NO Can you provide audited financial statements (if requested) for the last ten (10) years? YES NO If answer is “No,” what _ type of DO NOT INCLUDE FINANCIAL PREQUALIFICATION QUESTIONNAIRE statements will STATEMENTS you WITH provide? THIS C List average yearly volume of work for each of the past years (revenue and amount of reinvestment income) YEAR D VALUE % COMPLETE DISCIPLINARY MEASURES HISTORY A Can you truthfully state that your firm has not been disqualified or barred from doing business with a public agency (e.g., federal, state, county, city, University of California System, California State University System, etc.) within the last fifteen (15) years? YES 13 REINVESTED INCOME List value of work currently on backlog, with percent complete, as appropriate WORK  12 REVENUE/VOLUME NO MISCELLANEOUS REQUIREMENTS A Has your Firm ever refused to perform change order or warranty work requested by an Owner? YES NO If the answer is “Yes,” describe B What is your Firm’s procedure for answering an Owner’s request to perform warranty work? Please describe: C Describe your firm's claim-avoidance strategy and/or philosophy: D Please provide your company’s organizational chart  ... General Building Contractor and/or C-39 Roofing Contractor, current, active and in good standing with the California Contractor? ??s State License Board on the date and time of the Prequalification Questionnaire. .. 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. .. Prime (General) Contractor Subcontractor to GC 2nd Tier Subcontractor 3rd Tier Subcontractor Prime Subcontractor to Owner Other: _ List the Business Entity (name) your company used to perform