Department of Utilities 504 N. Queen Street Palestine, Texas 75801 (903)731-8423 Fax (903)723-2953 REQUEST FOR QUALIFICATIONS: Professional Engineering Services For Water Treatment Plant Filter Replacement or Rehab Submittal Closing: 3:00 pm January 25, 2016 RFQ SUBMITTAL: The City of Palestine invites submission of your firm s professional qualifications for ENGINEERING SERVICES for Water Treatment Plant Filter Replacement or Rehab for the City of Palestine, Texas. Scope of Services to be Provided: The firm selected for this project will be responsible for the following: Restore Filters media bed, support gravel, and underdrain to approved design specifications. Backwash procedures must be standardized to include consistent and effective; (1) backwash initiation criteria, (2) surface wash procedures, (3) backwash ramp-up and ramp-down procedures, and (4) backwash termination criteria. Selection: Based on the responsiveness of the RFQ submittals received, the City will invite no less than one (1) and no more than eight (8) firms to submit detailed Proposals for this work. The City of Palestine reserves the right to reject any and all RFQ submittals. 1
THE CITY OF PALESTINE - RFQ SUBMITTAL Water Treatment Plant Filter Replacement or Rehab A short list of the most qualified and responsive Proposals will be selected to negotiate a Contract / Agreement to provide the A/E services for the project. Selected firms will be notified in writing, by U.S. Mail. Newspaper Announcement Schedule: The RFQ Announcement will be published on January 9th and 16th, 2016 in the Palestine Herald Press. Copies of this RFQ announcement can be picked up at City Hall, 504 N. Queen Street, Palestine, TX after 10:00 AM on January 18th, 2016. RFQ Submittal Schedule: Two (2) signed original copies of your RFQ document shall be submitted on or before 3:00 PM, Monday, January 25, 2016. They shall be submitted in a sealed envelope clearly marked RFQ SUBMITTAL FOR CITY OF PALESTINE, City Secretary Environmental Services for Water Treatment Plant Filter Replacement or Rehab addressed to: ATTN: Ms. Teresa Herrera; City Secretary, 504 N. Queen Street, Palestine, TX 75801. Questions concerning this RFQ should be directed to Curtis Logan; Water/Wastewater Superintendent, at (903)477-0501. Submittal Format: Responses to this RFQ require completing the attached Questionnaire. Answer all questions in sequence. To be considered responsive, all sections and questions must be answered. If a question does not pertain to your firm s services, qualifications, or experience, answer N/A or Not Applicable. Non-Resident Submittal Form: Non-resident firms - those that are a division, branch office, project office, or regional office of a parent firm that has its corporate headquarters in a state other than Texas - are required by Texas Law to complete this form. Non- compliance results in automatic rejection of the submittal. Note: Please provide the following information in the sequence and format prescribed. Supplemental material and additional information may be provided as addendum to the Questionnaire. 2
THE CITY OF PALESTINE - RFQ SUBMITTAL Water Treatment Plant Replacement or Rehab 1. Firm Information: RFQ Questionnaire 1.1 Name of Firm 1.2 Address of the office performing the work 1.3 Primary individual to contact 1.4 Telephone / Fax Numbers 2. Organization of Work: 2.1 List general contractors, subcontractors, material supplies, if any, in which your organization has any ownership. List the categories of work those firms may or will perform on this project. 2.2 List the categories of work you will perform with your own forces, if any, on the project. 2.3 Based on the scope of A/E services needed for this project, provide a project directory list - name, title, function, phone / fax numbers - of the key personnel to be assigned to the Project Team. 3. Financial Information: 4. References: 3.1 Provide the name, address, telephone number of your primary financial institution, and an officer of that firm for reference purposes. Along with certificates of insurance, provide the name, address, and telephone number of your primary insurance carrier(s) for general liability and errors and omission insurance coverage. 4.1 List three (3) references (Clients) for whom similar services have been provided. 4.2 List three (3) projects for which similar services have been provided. Project name, owner, cost, brief description, and location. 3
THE CITY OF PALESTINE - RFQ SUBMITTAL Water Treatment Plant Replacement or Rehab NON-RESIDENT RFQ / RFP SUBMITTAL FORM Texas Law prohibits cities and other government units from awarding contracts to non-resident firms unless the amount of said contract is lower than the lowest offer by a Texas resident by the amount the Texas resident would be required to underbid in the non-resident firm s state. In order to make this determination please answer the following questions: 1. Address and telephone number of your principal place of business in Texas 2. Name and address of parent company, place of business, and telephone number of your chief executive officer/ owner. 3. Is the person submitting this RFQ / RFP document, or any person having a direct or indirect financial interest in this submittal, an officer or employee of the City of Palestine, Texas? (Officer includes any member of any City Council, Board, Commission, or Committee.) Yes No If yes, identify the person or persons and the exact nature of their interest. 3. Is the person submitting this RFQ / RFP, or an officer or manager of the firm, related to any City Employee, City Manager, Department Head, Board or Commission Member, or City Council Member? Yes No If yes, please identify the relationship. Signature: Title: Print Name: Date: Firm: 4
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STATE OF TEXAS FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE For A Vendor or Other Person Doing Business with the City of Palestine Effective January 1, 2006, Chapter 176 of the Texas Local Government Code requires that any vendor or person considering doing business with a local government entity disclose on this form the vendor name, person s affiliation or business relationship that might cause a conflict of interest with a local government entity. By law, the questionnaire must be filed with the Purchasing Agent of the City of Palestine not later than the 7 th business day after the date the person becomes aware of the facts that require the statement to be filed. Please return the completed form to City of Palestine, Attn: Purchasing, 504 N. Queen St., Palestine, TX 75801. See Section 176.006 of the Local Government Code for further details. Note: A person commits an offense (Class C misdemeanor) if the person violates Section 176.006. A City of Palestine employee or officer is defined as a member of the Palestine City Council, Palestine Economic Development Corporation Board of Directors, and any employee of the City that makes purchasing decisions or recommendations regarding the use of funds of the City or said corporations. 1. Please provide the following information: Company Name: Representative Name: Address / Phone: 2. Check this box if you are filing an update to a previously filed questionnaire. 3. Name of each employee, official, or contractor of the City of Palestine who makes purchasing decisions or recommendations regarding the use of funds of the City or corporations listed above and describe the affiliation or business relationship with your firm. Name Affiliation or Business Relationship 6
State of Texas-Conflict of Interest Form (CIQ) Continued Page 2 Complete item 4 below only if you have listed someone in item 3 on the previous page. This section must be completed for each officer with whom the vendor/business (filer) has an affiliation or other relationship. Attach additional pages, if necessary. 4. Name of City of Palestine officer with whom the vendor/business has affiliation or business relationship. A Is the City of Palestine employee or officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? YES NO B C D Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the City of Palestine officer named in this section and the taxable income is not from the City of Palestine? Is the filer of this questionnaire affiliated with a corporation or other business entity that the City of Palestine employee or officer serves as an officer or director, or hold an ownership of 10 percent or more? Describe each affiliation or business relationship. YES YES NO NO 5. Signature Signature of person doing business with the City of Palestine (filer) Date 7
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