West Apex High School, Apex, NC First –Tier Subcontractor Prequalification Form NC General Statute 143.128.1.c states, “The construction manager at risk shall contract directly with the public entity for all construction; shall publicly advertise as prescribed in G.S. 143-129; and shall prequalify and accept bids from first-tier subcontractors for all construction work under this section. The prequalification criteria shall be determined by the public entity and the construction manager at risk to address quality, performance, the time specified in the bids for performance of the contract, the cost of construction oversight, time for completion, capacity to perform, and other factors deemed appropriate by the public entity. The public entity shall require the construction manager at risk to submit its plan for compliance with G.S. 143-128.2 for approval by the public entity prior to soliciting bids for the project's first-tier subcontractors. A construction manager at risk and first-tier subcontractors shall make a good faith effort to recruit and select minority businesses for participation in contracts pursuant to G.S. 143-128.2.” Pursuant to the statute, this First-Tier Subcontractor Prequalification Sample Form, gathers information about the subcontractors seeking to qualify for the work and provides a general format for the prequalification criteria. Completing this questionnaire does not guarantee prequalification. Evaluation of the submittal shall be performed by the construction manager at risk in accordance with project criteria, prequalification plan and G.S. 143-128.2 PREQUALIFICATION DUE DATE/TIME: February 15, 2013 at 5:00pm Submitted to: Mike Burriss / Tyler Thomas____________________________________________________ Contact Name receiving prequalifying packages D.H. Griffin Construction Co., LLC & Metcon Inc. Joint Venture_________________________ CM @ R Firm 431 Raleigh View Road _________________________ Address Raleigh, NC 27610 _________________________ Town/City ZIP CODE 919-835-3655 919-835-3622 ______ ___________________ Phone number Fax Number [email protected] _________________________ E-mail address Project: West Apex High School, Cary, NC _______________________________________ Name of Project Wake County Public School Board _________________________ Project Owner Little Diversified Architects _________________________ Project Architect April 1, 2013 (subject to change) 25 Months _ _____ ___________________ Project Start Date (Approx.) Project Duration February/March 2013 $46,000,000 (Construction Budget) _________ Anticipated Bid Date Total Project Budget Insurance Program: OCIP ______ CCIP ______ SubGuard None X Page 1 of 11 West Apex High School, Apex, NC First –Tier Subcontractor Prequalification Form PROJECT DESCRIPTION: (An in-depth narrative of the details of the project, site, trades, LEED, etc.) A new high school prototype for Wake County Public Schools designed by Little Diversified Architects, 4- story structural steel class-room building with masonry load-bearing common and athletic facilities. The building will encompass 310,000 square feet and facilitate 2,200 students. The new high school will include a baseball, softball and football field and tennis courts along with adequate parking for students, faculty and staff. If you firm is interested in prequalifying for this project/phase, please check the box for your trade(s). This is a preliminary list of Bid Packages and may change based on response and qualified bidders. Bid Preliminary Check Box if Pkg Phase Scope of Work Budget Prequalifying BP-1A 1 Surveying $ 20,000 BP-1B 2 Daily Cleanup & Dumpsters $ 360,000 BP-1C 2 General Trades $ 440,000 BP-1D 2 Final Cleaning $ 86,000 BP-2A 1 Sitework, Paving & Utilities $ 6,344,000 BP-2B 2 Chainlink Fence & Gates $ 181,000 BP-2C 2 Landscaping & Irrigation $ 1,040,000 BP-2D 2 Site Furnishings $ 45,000 BP- 3A 2 Building Concrete & Rebar $ 2,145,000 BP- 4A 2 Unit Masonry $ 4,005,000 BP- 5A 2 Structural & Misc. Steel $ 4,576,000 BP- 7A 2 Roofing $ 2,534,000 BP- 7B 2 Waterproofing & Caulking $ 176,000 BP- 7C 2 Spray Applied Fireproofing $ 318,000 BP- 8A 2 Doors, Frames & Hardware $ 612,000 BP- 8B 2 Glazing, Storefronts & Curtainwalls $ 2,130,000 BP- 8C 2 Overhead Coiling Doors $ 12,000 BP- 9A 2 Metal Framing & Drywall $ 990,000 BP- 9B 2 Resilient Flooring & Base $ 325,000 BP- 9C 2 Carpeting $ 150,000 BP- 9D 2 Hard tile $ 298,000 BP- 9E 2 Painting $ 352,000 BP- 9F 2 Wood Flooring $ 271,000 BP- 9G 2 Acoustical Tile Ceilings & Wall Panels $ 894,000 BP-10A 2 Division 10 Specialities $ 114,000 BP-10B 2 Signage $ 50,000 BP-10C 2 Operable Partitions $ 105,000 BP-10D 2 Lockers $ 462,000 BP-10E 2 Walkway canopy $ 45,000 BP-11A 2 Food Service Equipment $ 396,000 Page 2 of 11 West Apex High School, Apex, NC First –Tier Subcontractor Prequalification Form BP-11B 2 Projection Screens $ 25,000 BP-11C 2 Folding & Portable Stages $ 30,000 BP-11D 2 Stage Curtains $ 100,000 BP-11E 2 Athletic Equipment & Scoreboards $ 105,000 BP-12A 2 Finish Carpentry & Casework $ 958,000 BP-12B 2 Blinds & Shades $ 130,000 BP-12C 2 Fixed Audience Seating $ 182,000 BP-12D 2 Telescoping Stands $ 169,000 BP- 13A 2 Football Stadium Grandstands $ 502,000 BP- 14A 2 Elevator $ 140,000 BP- 15A 2 Fire Protection System General $ 608,000 BP- 15B 2 Plumbing $ 2,681,000 BP- 15C 2 Mechanical $ 4,476,000 BP- 15D 2 Controls $ 638,000 BP- 15E 2 T&B $ 69,000 BP-16A 2 Electrical $ 5,460,000 Section 1: Minimum Requirements 1.a. General Company information (Primary/Main office location) _______________________________________________________________________________ Company Name ______________________________________________________________________________________________________________________ Physical Address ______________________________________________________________________________________________________________________ Mailing Address ______________________________________________________________________________________________________________________ Town/City ZIP CODE + 4 (______ )___________________________________ (_____ ) ________________________________ Phone number Fax number _________________________________________________________ _____________________________________________________ Primary Contact Name Secondary Contact Name _________________________________________________________ _____________________________________________________ Primary Contact Email Address: Secondary Contact Email Address: I.b. Organization Business type(check box) Corporation Partnership Limited Liability Company Sole Proprietor Joint Venture Are you listed in Dun & Bradstreet? No Yes If yes, what is your number ________ rating ___________? Date founded: ____________ State of Incorporation: __________________ Federal ID #: __________________ Please indicate the following information about key officers, managers and principals: Page 3 of 11 West Apex High School, Apex, NC First –Tier Subcontractor Prequalification Form Title: _____________________ Full Name: _____________________________ Yrs Service:_____ Title: _____________________ Full Name: _____________________________ Yrs Service:_____ Title: _____________________ Full Name: _____________________________ Yrs Service:_____ Indicate your NC Statewide Uniform Certification: (check box): MBE HBE AABE AIBE WBE SDB DBE See website link for more information: http://www.doa.nc.gov/hub/swuc.htm _______________________ Other (specify) ______________________ Certifying Agency/State Is your firm owned or controlled by a parent or any other organization? No Yes Describe Ownership if Yes:________________________________________________________________________ List all other names your firm has operated as for the past five(5) years: __________________________________ ____________________________________________ _______________________________________________ Licensing information Please provide all trade and professional licenses, if any, required for you to perform your services. Type of license/name of licensee State License number License Limit/Level ___________________________________________ ______ ____________________ ___________________ ___________________________________________ ______ ____________________ ___________________ ___________________________________________ ______ ____________________ ___________________ Has any license ever been denied or revoked? No Yes If yes, please describe, _____________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Has a complaint ever been filed with a Contractor’s State License Board against your firm? No Yes If yes, please explain briefly the circumstances. _____________________________________________________________________________________________ I.c. Type of Work Performed on a regular basis Primary Scope of Work: _________________________________________________________________________ Secondary Scope of Work: _______________________________________________________________________ Other Scope of Work: ___________________________________________________________________________ I.d. Bonding Does your firm have the ability to provide a Payment and Performance Bond from a Surety rated A or better (AMB/FTL)? _______ Yes If yes, attach letter, dated within the last 30 days, from your surety company, signed by their Attorney in Fact, verifying their willingness to issue a payment and performance bond,