NC General Statue 143-128.1.c states, The construction manager at risk shall contract directly with the public entity for all construction; shall publically 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 construction manager at risk shall use the prequalification process determined by the public entity in accordance with G.S.143-135.8, provided that the public entity and the construction manager at risk shall jointly develop the assessment tool and criteria for that specific project, which must include the prequalification scoring values and minimum required score for prequalification on that project. 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 comply with the G.S.143-128.2, G.S.143-128.4, and to recruit and select small business entities. Explanation of Pre-Qualification Selections: Should a subcontractor want an explanation of their submittal s non-prequalified status on an individual project, they should contact the CM at Risk in writing (email is sufficient) for an explanation within 3 business days of notification of the prequalified subcontractor s list. PREQUALIFICATION DUE DATE: November 1, 2014 Submitted to: Patrick McHugh Contact Name Clancy & Theys/Balfour Beatty- Wake Tech, a Joint Venture CM @ R Firm 5420 Wade Park Blvd. Suite 200 Address Raleigh, NC 27607 City/State Zip Code + 4 919-834-3601 Office Phone number 272 Contact Person Ext. patrickmchugh@clancytheys.com Contact Person E-mail address Sub Prequalification_Form_03-08-11 Page 1 of 10
Project: Wake Technical Community College North Wake Campus The Trustees of Wake Technical Community College Project Owner O Brien/Atkins Associates, PA Project Architect Early Site December 20, 2014 Project Phase Project Start Date (Approx.) 22 Months November 20, 2014 Project/Phase Duration Anticipated Bid Date 38.5 Million 4 Million Total Project Budget Phase Budget Insurance Program: OCIP N/A CCIP _ N/A Subcontractor Bonding: Payment/Performance Bond SubGuard X (Bonding Threshold is required for all Bids over $300,000) None Bid Bond Required: All bids $300,000 or higher need a bid bond, or cashier s check Project Description: Early Site Package consists of Earthwork, UG Utilities, Paving, Misc. Metal / Fencing and General Trades. The overall project includes multiple buildings (Central Utility Plant, Gym / Multipurpose Center & Skilled Trades Building) along with a comprehensive site package. The expected start date is November 2014 with an estimated duration time of 26 months. The exterior of the buildings are comprised of metal panels, brick, glass & glazing. The Skilled Trades Building and Multipurpose building are erected from structural steel; the Central Utility Plant is comprised of CMU. Interior finishes including terrazzo, overhead doors, millwork, flooring, paint and tile along with the MEP trades are all required for this project. If your 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. Preliminary Check Box if Scope of Work Budget Prequalifying Bid Package BP 2A Earthwork Early Site Earthwork, Site Utilities, Paving $ 3,000,000.00 BP 2B UG Electrical Early Site Underground Electrical $ 500,000.00 BP 2C Misc. Metal Early Site Misc. Metal & Fencing $ 50,000.00 BP 2D General Trades Early Site General Trades / Cleanup $ 120,000.00 Sub Prequalification_Form_03-08-11 Page 2 of 10
List three (3) current or completed projects of similar type, size, and duration of proposed project. #1 Similar - Project Name Description of Work Performed Contract Delivery Method (CM/GC)? Owner Name/ Representative Owner Address/Phone #/Email Architect Name/Representative Architect Address/Phone #/Email Contract Dollar Value Percentage Complete Current Anticipated Completion Date #2 Similar - Project Name Description of Work Performed Contract Delivery Method (CM/GC)? Owner Name/ Representative Owner Address/Phone #/Email Architect Name/Representative Architect Address/Phone #/Email Contract Dollar Value Percentage Complete Current Anticipated Completion Date #3 Similar - Project Name Description of Work Performed Contract Delivery Method (CM/GC)? Owner Name/ Representative Owner Address/Phone #/Email Architect Name/Representative Sub Prequalification_Form_03-08-11 Page 3 of 10
Architect Address/Phone #/Email Contract Dollar Value Percentage Complete Current Anticipated Completion Date Section 1. GENERAL REQUIREMENTS 1. a. General Company Information Name of Subcontractor: Contact Person: Contact Person: phone, and email Did you complete the BB/CT online Prequalification Form prior to submitting this form Yes No Are you registered with the State of North Carolina Secretary of State Yes No 1. b. Type of Work Performed on a regular basis Primary Scope of Work: Secondary Scope of Work: Other Scope of Work: Insurance 1. c. Insurance The minimum requirements of coverage are indicated in ATTACHMENT A to prequalification. Firms must indicate that they can provide evidence of insurance coverage, should they be the successful bidder by attaching a copy of their insurance certificate by checking the box: Yes No ; if no, you need to attach your company s insurance certificate highlighting the differences to attachment A for BB/CT approval. 1. d. Minority Information This Project has a minority participation goal of _15_% (i) Indicate your NC HUB Certification: B HA AA AI W SE D See website link for more information: http://www.doa.nc.gov/hub/swuc.htm Sub Prequalification_Form_03-08-11 Page 4 of 10
(ii) Does the company currently have a documented plan for engaging subcontractor participation from Historically Underutilized Businesses? Yes No If yes, please attach your company s HUB plan. (iii) What has been your company s average percentage level of Historically Underutilized Business participation for projects in North Carolina for the past 5 years: % (iv) List the HUB participation you provided in the three similar projects listed above Project Name HUB % Owner s Rep Contact Phone # (v) How can you provide HUB participation on this project? Sub Prequalification_Form_03-08-11 Page 5 of 10
Attachment A Project Specific Insurance Certificate SUBCONTRACT INSURANCE CERTIFICATE HERE Sub Prequalification_Form_03-08-11 Page 6 of 10
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Attachment B Prequalification Scoring Sheet (FOR REFERENCE ONLY) Sub Prequalification_Form_03-08-11 Page 8 of 10
Attachment C EMR Safety Report Sub Prequalification_Form_03-08-11 Page 9 of 10
Attachment D List Previous Projects with Design Team (O Brien Atkins/Kimley-Horn) Sub Prequalification_Form_03-08-11 Page 10 of 10