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Page 1 of 27 APPLICATION FOR PRE-QUALIFICATION CONSTRUCTION CONTRACTORS Including: General Mechanical Electrical Roofing Fire Protection Asbestos Civil/Underground Issue: March 2018

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APPLICATION FOR PRE-QUALIFICATION

CONSTRUCTION CONTRACTORS

Including:

General Mechanical Electrical Roofing

Fire Protection Asbestos

Civil/Underground Issue: March 2018

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CONTENTS

Page 1. Purpose 3 2. Submission Instructions 4 3. Evaluation Process 4 4. Confidentiality 4 5. Terms and Conditions 5 ATTACHMENTS A. Authorization B. Categories of Work and Project Value C. General Information

C.1 Corporate Information C.2 Primary Contact Person C.3 Company Background C.4 Company Owners / Officers / Partners / Principals C.5 Company Staff Compliment C.6 Declaration of Potential Conflict of Interest C.7 Declaration of Dispute or Pending Dispute

D. Subcontracting E. Experience F. Recent Major Construction Projects

F.1 Recent Projects Not at the University of Manitoba F.2 Recent University of Manitoba Projects (If applicable)

G. References G.1 Past Projects List G.2 Survey Questionnaire

H. Bonding I. Insurance J. Workplace Safety and Health COR Certification K. Financial Information L. Billing Rates

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1. PURPOSE The pre-qualification application process is the method by which licensed contractors can be pre-qualified to bid on construction projects that are tendered by the University of Manitoba (hereinafter referred to as “University”). Upon receipt of a complete and accurate application form, the University shall undertake a process of due diligence to confirm the accuracy of the information submitted, and evaluate each contractor’s past performance (both with the University and with other clients), to determine if the applicant should be added to the University’s list of pre-qualified contractors. For the duration of the pre-qualification term, only contractors that have successfully completed the pre-qualification process shall be eligible to submit tenders for any University construction projects. For projects with an estimated total cost of more than $1,000,000, the University may require contractors to complete a project-specific pre-qualification, if it is deemed to be in the University’s best interest to do so. Contractors will only be permitted to participate in the tendering process for those categories of work – and project values – for which they have been pre-qualified. In the event that subcontractors are required on a specific project, and that category of work is one for which the University carries out a pre-qualification process, the primary contractor may only use subcontractors which are on the University’s pre-qualified contractor list. The University maintains a public listing of all pre-qualified contractors on its website: http://umanitoba.ca/admin/financial_services/purch/suppliers.html

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2. SUBMISSION INSTRUCTIONS

1) NEW APPLICATION for Pre-qualification Status Completed application forms must be submitted – via e-mail only – to: Mr. Andrew Cramer Purchasing Consultant Email: [email protected] With copy to: Mr. Olusegun Daodu Purchasing Consultant E-mail: [email protected]

NOTE: Any application that is incomplete may be rejected at the University’s discretion. 3. EVALUATION PROCESS It is the responsibility of each applicant to ensure that this application is completed in full, and any additional documentation required (i.e. COR certificate) is included with the submitted application form. The University will consider each application individually, and will evaluate each applicant on the same criteria, which may include, but is not limited to:

• Completeness of application • Qualifications of key individuals • Recent related construction experience • References • Bonding/Financial capabilities • Insurance coverage • Certification status • Billing rates

4. CONFIDENTIALITY The University is subject to the rules and regulations of the Freedom of Information and Protection of Privacy Act. Any information provided by applicants is collected solely for the purpose of pre-qualifying contractors who wish to do business with the University. Personal information supplied within an application is protected by the Freedom of Information and Protection of Privacy Act. Applicants are encouraged to identify any non-personal

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information that is confidential and specify what harm could reasonably be expected from its possible disclosure. Any questions regarding this should be submitted to the University’s FIPPA Coordinator's Office: University of Manitoba Archives & Special Collections 331 Dafoe Library Winnipeg MB R3T 2N2 Phone: (204) 474-8339 5. TERMS AND CONDITIONS 1. Receipt by the University of an application for Pre-qualification in no way constitutes a

commitment by the University to award contracts to any applicant, or to pay any costs incurred by any applicant in preparing a response, or otherwise in relation, to this application.

2. The University reserves the right to refuse any application that includes errors, omissions, and/or deviations from the information requested, deviations from the format of the information requested and/or the terms and conditions of the application.

3. An application, including any accompanying documentation, once submitted by an applicant, becomes the property of the University and will not be returned.

4. The applicant is obligated to inform the University, in a reasonably timely manner, of any changes to key personnel, ownership, bonding capability, financial position, or any other information, which may affect its pre-qualification status. The University considers this an ongoing requirement for the entire term of pre-qualification.

5. The University reserves the right to contact owners, owner’s representatives, and/or consultants, on construction projects that have been identified, as well as the references provided, in this application.

6. The University, at its discretion, may require an applicant to provide additional information that may not be specifically requested by this application.

7. The University may request clarification where the information provided by an applicant is unclear, or may waive or request amendment where, in the opinion of the University, there is a minor irregularity or omission in the information that is submitted.

8. The University reserves the right to conduct project-specific pre-qualification processes, if it is deemed to be in the University’s best interest to do so.

9. All contractors that achieve pre-qualified status as a result of this application shall retain that status unless revoked by the University, or until the University creates a new pre-qualification process by which contractor will become pre-qualified, or otherwise altered during the pre-qualification term at the University’s sole discretion.

10. The University shall in no event be liable for any claims by the applicant in respect of its decision to pre-qualify or not pre-qualify the applicant. The University shall not be liable for any failure to consider, or omission in considering an application or for any delay in considering an application, including (without limitation) any failure of an applicant to obtain eligibility for a particular competitive bidding process at the University.

11. The University, in its sole discretion, reserves the right to reject an application, or suspend, revoke or terminate the contractor’s pre-qualification status in whole or in part, based on

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the University’s determination of one or more of the following: 1) non-performance, defective or substandard performance of any past contracts with

the University; 2) where an applicant has launched legal action against the University; 3) failure of an applicant to update information that is required as part of the on-going

obligations of an applicant; 4) provision of false, misleading or incorrect information.

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Attachment A – Authorization The signature below confirms the following:

1. The applicant certifies that all statements and information presented in this application form are current, complete, and accurate;

2. The applicant certifies that the individual signing this document, and any other document provided in conjunction with this application, is authorized to sign such documents on behalf of the applicant; and

3. This application form is being made available by electronic means. The applicant acknowledges and accepts full responsibility to insure that no changes are made to the application form. In the event of conflict between a version of the application form submitted by the applicant and the version maintained by the University, the version maintained by the University shall govern.

Company

Signature

Name

Title

Date

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Attachment B – Categories of Work and Project Value Indicate the category (or categories) of work, and the range of project value(s) within each selected category, for which the applicant wishes to be considered for pre-qualification. Check all disciplines and project value ranges that apply.

Estimated Total Project Cost

Less than $75,000

$75,000 – $250,000

$250,000 – $500,000

$500,000 – $1,000,000

Over $1,000,000

General Contractor

Mechanical Contractor

Electrical Contractor

AMP Certified Electrical Contractor

Roofing Contractor

Fire Protection Contractor

Asbestos Contractor

Civil/Underground Contractor

NOTE: projects valued at more than $75,000 may require bid bonding.

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Attachment C – General Information C.1 Corporate Information Full Legal Company Name

Operating Name (if different from above)

Street Address

Mailing Address (including postal code)

Website

GST Registration Number

Number of Years in Business

Type of Business Sole Proprietorship Partnership Corporation Other:

C.2 Primary Contact Person Name

Title

Phone Number

E-Mail Address

C.3 Company Background Identify if the applicant has operated under another name in the past. If it has, provide any and all past names, as well as time periods when each name was used. Describe the ownership structure of the applicant with respect to any parent and/or subsidiary companies. Identify if the applicant is party to any pending litigation, or was party to any litigation within the past five years.

No Yes

If the response is ‘Yes’, applicant must provide detail of all such litigation below.

Has a delay claim been filed on your behalf on any project you have been the Prime Contractor or subcontractor.

No Yes

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C.4 Company Owners / Officers / Partners / Principals

Owner / Officer / Partner / Principal 1 Name: Title:

Owner / Officer / Partner / Principal 2 Name: Title:

Owner / Officer / Partner / Principal 3 Name: Title:

Owner / Officer / Partner / Principal 4 Name: Title:

Owner / Officer / Partner / Principal 5 Name: Title:

Owner / Officer / Partner / Principal 6 Name: Title:

Owner / Officer / Partner / Principal 7 Name: Title:

Owner / Officer / Partner / Principal 8 Name: Title:

Owner / Officer / Partner / Principal 9 Name: Title:

Owner / Officer / Partner / Principal 10 Name: Title:

Owner / Officer / Partner / Principal 11 Name: Title:

Owner / Officer / Partner / Principal 12 Name: Title:

Owner / Officer / Partner / Principal 13 Name: Title:

Owner / Officer / Partner / Principal 14 Name: Title:

Owner / Officer / Partner / Principal 15 Name: Title:

Attach additional sheets if necessary.

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C.5 Company Staff Compliment Identify the current number of Project Managers and Site Supervisors on staff that could be assigned to a University of Manitoba project (it is understood that this number may change during the course of the year). Any changes during time of tender may require additional information and pre-qualification for alternate personnel. The University reserves the right to request curriculum vitae on any or all of the individuals listed. This information will be used in the assessment of the Contractor’s capability to perform the work at the dollar level requested for pre-qualification.

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

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Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Project Manager / Site Supervisor Name: Title: Years of Experience: Years with Company:

Attach additional sheets if necessary.

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C.6 Declaration of Potential Conflict of Interest Applicants must identify if any owners, officers, partners, or principals of the company are related to a University employee. This information is collected to identify potential conflict of interest situations, but will not preclude the applicant’s participation in a University tendering process. NOTE: Failure to declare any potential conflict of interest may result in the applicant being removed from the list of pre-qualified contractors.

Declaration 1 Name of Owner / Officer / Partner / Principal: Name of related University employee: Relationship:

Declaration 2 Name of Owner / Officer / Partner / Principal: Name of related University employee: Relationship:

Declaration 3 Name of Owner / Officer / Partner / Principal: Name of related University employee: Relationship:

Declaration 4 Name of Owner / Officer / Partner / Principal: Name of related University employee: Relationship:

Declaration 5 Name of Owner / Officer / Partner / Principal: Name of related University employee: Relationship:

Attach additional sheets if necessary.

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C.7 Declaration of Dispute or Pending Dispute Applicants must make the following Declaration. The University reserves the right to disqualify any applicant where the University determines in its sole discretion that the applicant or any other entity with principals in common with the applicant has a dispute or any pending dispute with the University or entities associated with the University. Does the applicant, or any other entity with principals in common with the applicant, have any dispute or pending dispute involving the University or entities associated with the University?

No Yes

If the response is ‘Yes’, applicant must provide detail of all such litigation below (append details of the matter if additional space is required).

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Attachment D – Subcontracting Identify and describe all categories of work for which the applicant usually retains the services of a subcontractor. Type of Work Description/Notes

Attach additional sheets if necessary.

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Attachment E – Experience Identify the number of years of related construction experience of the principals and other key individuals within the company.

Name Current Title Years of Experience

Applicants are required to attach current statements of experience for each individual listed above.

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Attachment F – Recent Major Construction Projects Provide the following information regarding major construction projects other than at the University of Manitoba – within the past five years – for which the applicant acted as the prime contractor or as a subcontractor. Project values, and types of work, should be in line with the project values, and categories, selected in Attachment B.

F.1 Recent Projects Not at the University of Manitoba Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

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Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

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Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

Owner Contact Person: Phone Number:

Consultant (i.e. architect, engineer)

Consultant Name: Contact Person: Phone Number:

* if applicant acted as a subcontractor on the project.

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F.2 Recent University of Manitoba Projects (If applicable) Provide information for projects completed specifically at the University of Manitoba within the last 5 years – for which the applicant acted as the prime contractor or as a subcontractor. Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

University Project Coordinator

Project Coordinator:

* if applicant acted as a subcontractor on the project.

Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

University Project Coordinator

Project Coordinator:

* if applicant acted as a subcontractor on the project.

Project Name

Location

Description

Total Project Value

Value of Applicant’s Work*

Date Completed

University Project Coordinator

Project Coordinator:

* if applicant acted as a subcontractor on the project.

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Attachment G – References and Past Performance Survey Provide a minimum of three relevant client references. The clients listed should be able to provide references that are appropriate for the project values and categories identified in Attachment B. NOTE: Do not include any references that are within the University.

G.1 Past Projects List

No Project Name Point of Contact Phone Date Implemented

Awarded Cost Final Cost

1

2

3

4

5

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SURVEY QUESTIONNAIRE UNIVERSITY OF MANITOBA

To: (Name of person completing survey (representing the Client)

Phone: Fax:

Subject: Past Performance Survey of: (Name of the Contractor/Company that is being rated)

(Name of Project Manager/Site Superintendent for Company) The University of Manitoba is implementing a process that collects past performance information on applicants for pre-qualification status. The applicant listed above has listed you as a client for which it has previously performed work. The University greatly appreciates your time in completing this survey. Rate each of the criteria on a scale of 1 to 10, with 10 representing that you were very satisfied and 1 representing that you were very unsatisfied. Please rate each of the criteria to the best of your knowledge. If you do not have sufficient knowledge in a particular area, please leave it blank.

Client Name: Project Name: Date Implemented:

NO CRITERIA UNIT RESPONSE 1 How satisfied were you with the workmanship (1-10) 2 How satisfied were you with the ability to maintain project schedule (1-10) 3 How satisfied were you with the Site Superintendent (1-10) 4 How satisfied were you with the warranty responses (1-10) 5 Overall customer satisfaction (1-10) 6 Were any liens filed against the project Yes/No 7 Would you use this contractor again Yes/No

Please identify the greatest risks/problems/challenges that were faced or encountered during the delivery of the project, and those faced after the project was complete:

Printed Name (of Evaluator) Signature (of Evaluator)

Thank you for assisting the University of Manitoba in this important endeavour. Please fax the completed survey to: [<<Enter Applicant’s Fax Number>>]

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Attachment H – Bonding Provide the following information regarding the applicant’s bonding status. Name of Bonding Company

Contact Person Name: Phone Number:

Total Bonding Capacity $

Identify any and all instances of the bonding company completing the work of the applicant. Provide a description of the project and associated circumstances.

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Attachment I – Insurance

The University requires that all pre-qualified contractors provide the insurance policies listed below as a minimum coverage. Please note that each project may require specific insurance coverage over and above the minimum requested in this document. If the applicant’s insurance policy expires during the term of the pre-qualification period, it is the applicant’s responsibility to provide the University with updated proof of insurance before the expiry date. Failure to provide such proof may result in the applicant being removed from the list of pre- qualified contractors. Commercial General Liability

The Commercial General Liability policy shall include the Owner and Consultant as additional Named Insureds. Construction Cost Under $75K: Contractor to carry Commercial General Liability Insurance, shall be with limits of not less than $2,000,000 per occurrence. Policy shall have an aggregate limit of not less than $2,000,000 within any policy year with respect to completed operations. Policy shall have a deductible not exceeding $5,000. Construction Cost Over $75K: Minimum requirements: Contractor to carry Commercial General Liability insurance shall be with limits of not less than $5,000,000 per occurrence. An aggregate limit of not less than $5,000,000 within any policy year with respect to completed operations. A deductible not exceeding $5,000. NOTE: Refer to project specifications for additional coverage.

Automobile Liability Automobile liability insurance in respect of vehicles that are required by law to be insured under a contract by a Motor Vehicle Liability Policy, shall have limits of not less than $2,000,000 inclusive per occurrence for bodily injury, death and damage to property, covering all vehicles owned or leased by the Contractor.

NOTE: The applicant must provide the University with a copy of the policies requested above.

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Attachment J – Workplace Safety and Health COR Certification The University requires that all pre-qualified contractors maintain COR Certification (as administered by the Construction Safety Association of Manitoba) throughout the term of the pre-qualification period. If the applicant’s COR Certification expires during the term of the pre-qualification period, it is the applicant’s responsibility to provide the University with updated proof of re-certification before the expiry date. Failure to provide such proof may result in the applicant being removed from the list of pre-qualified contractors. Provide the following information regarding the applicant’s COR Certification status. COR Certification Number

Certification Expiry Date

NOTE: The applicant must provide the University with a copy of its current COR certificate.

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Attachment K – Financial Information Provide the following information for financial institutions that can furnish the University with credit information about the applicant. Name of Financial Institution

Contact Person Name: Phone Number:

Name of Financial Institution

Contact Person Name: Phone Number:

Name of Financial Institution

Contact Person Name: Phone Number:

Name of Financial Institution

Contact Person Name: Phone Number:

Indicate if the University may contact any of the above financial institutions to obtain relevant credit information.

Yes No

If the response is ‘No’, applicant must provide an explanation as to why the University cannot make such contact.

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Attachment L – Billing Rates Applicants must provide the rates that will be charged to the University during the term of this pre-qualification period. Each applicant must provide charge out rates for all positions listed below that it regularly charges out to its clients. The charge out rates identified below shall be the basis for calculating the actual charges related to a change order during the course of any construction project. Applicants may request adjustment of the base salary rates during the term of this pre-qualification, in the event of industry-wide changes to base labour rates. The University may, at its discretion, use the charge out rates below as a criterion for evaluation of applicants who participate in a tender or RFP award during the term of this pre-qualification.

Position Base Salary Rate Charge Out Rate Notes

Project Manager $ per hour $ per hour

Site Supervisor $ per hour $ per hour

Journeyman $ per hour $ per hour

Apprentice $ per hour $ per hour

General Labourer $ per hour $ per hour

Other: $ per hour $ per hour

Other: $ per hour $ per hour

Other: $ per hour $ per hour

Other: $ per hour $ per hour

--- End of Attachment L --- --- End of Construction Contractors Application For Pre-Qualification Form ---