Current through Register No. 40, October 3, 2024
(a) Any
contractor proposing to bid on a project(s) advertised by the department shall
provide information in font size 10 or larger on the "Prequalification
Statement" form furnished by the department.
(b) The applicant shall provide the following
information on the "Prequalification Statement" form:
(1) Complete legal business name of
contractor submitting statement;
(2) Complete legal business
address;
(3) Date of
submission;
(4) Telephone
number;
(5) Classification
requested from among the following categories:
a.Road construction;
b.Guardrail construction;
c.Traffic signals;
d.Paving;
e.Bridge construction;
f.Bridge rehabilitation;
g.Bridge painting;
h.Covered bridges;
i.Marine construction;
j.Site work;
k.Building construction;
l.Building demolition;
m.HVAC work;
n.Electrical work;
o.Roofing;
p.Asbestos work; or
q.Other, as specified;
(6) Identification of the contractor,
including:
a.Form of organization, including
but not limited to:
1.Corporation;
2.Partnership or limited
partnership;
3.Limited liability
company; or
4.Individual
ownership;
b.Address of
the organization;
c.Years organized
under present business name; and
d.Experience in the type of construction work
requested by applicant which shall include identification of past and current
projects performed as either the prime contractor or as a
subcontractor;
(7)
Specifics of the organization of the contractor as follows:
a.If a corporation:
1.Date of incorporation;
2.Place of incorporation, and whether in good
standing;
3.Name of
president;
4.Name(s) of corporate
officers of the rank of vice-president or above;
5.Name of secretary;
6.Name of treasurer; and
7.Names of persons or entities owning 10% or
more of the corporation, and indication of the percentage owned;
b.If a partnership or limited
partnership:
1.Date of organization;
2.Nature of partnership;
3.Names of all general and limited partners;
and
4.Addresses of all general and
limited partners; and
c.If a limited liability company (LLC):
1.Date of organization;
2.Place of creation, and whether in good
standing;
3.Name of the manager and
any officers if a LLC; and
4.Name
of each member owning 10% or more of the LLC and indication of the percentage
owned;
(8)
Listing of any affiliation of the contractor organization, principal
individual, officer, or director with any other contractor or material
supplier;
(9) Listing of all
on-going projects, public and private, as either a prime or subcontractor at
date of filing indicating for each project:
a.Contract amount;
b.Class of work, for example, site work, road
construction, and bridge construction;
c.Percentage completed;
d.Percentage sub-contracted;
e.Full name and address of the entity that
awarded the contract; and
f.Expected date of completion;
(10) Listing of completed
contracts within the past 3 years indicating for each contract:
a.Contract amount;
b.Class of work, for example, site work, road
construction, and bridge construction;
c.Percentage completed;
d.Percentage sub-contracted;
e.Full name and address of the entity that
awarded the contract; and
f.Date of
completion;
(11) A
statement as to whether the organization or legal entity, its officers, or its
partners have in the past 3 years been:
a.Found in a legal proceeding to be in
default of a contract, including the date and parties to the
proceeding;
b.Claimed in a legal
proceeding to be in default of a contract, including the date and parties to
the proceeding;
c.Put on notice
that the legal organization is in default of a contract, including the date of
breach and parties to the contract;
d.Formally accused of an antitrust
violation;
e.Formally accused of a
bidding crime; or
f.Formally
accused of any charge that could lead to a debarment in NH or another
jurisdiction;
(12) A
statement as to whether any officer, partner or principal individual of the
organization is in litigation for, or has ever been convicted of an antitrust
violation, the name of the individual, and reason for the action;
(13) A statement as to the construction
industry experience of each principal individual in the organization including:
a. Individual's name;
b. Present position;
c. Number of years of construction
experience;
d. Value and type of
work; and
e. The capacity in which
the work was performed or supervised;
(14) Dated financial report including the
following assets:
a. Cash on hand;
b.Notes receivable;
c. Accounts receivable;
d. Inventory;
e. Deposits for bids or guarantees;
f. Prepaid expense;
g. Cash value of life insurance on principal
individuals;
h. Stocks and
bonds;
i. Investments;
j. Fixed assets, including:
1. Cost;
2. Accumulated depreciation; and
3. Book value;
k.Other assets; and
l.Names of persons or entities and
percentages accounting for notes receivable;
(15) Dated financial report including the
following liabilities and equity:
a. Notes
payable;
b. Accounts
payable;
c. Equipment lease and
purchase agreements;
d. Amount owed
on equipment;
e. Real estate
encumbrances;
f. Federal income tax
provision;
g. Other
liabilities;
h. Deferred
income;
i. Capital stock paid
up;
j. Contingent liabilities;
and
k.Names of persons or entities
and percentages accounting for notes payable;
(16) Information relating to the financial
report, including the preparer's:
a.Full
name;
b.Complete address;
c.Telephone number; and
d.Whether prepared on the cash basis or
accrual basis;
(17) A
certified copy of any written agreement between the contracting legal entity
and any other legal entity that guarantees the obligations of either legal
entity;
(18) Listing of
construction equipment to be used in performance of the work for which
prequalification is sought, including complete description and book
value;
(19) Names and complete
addresses of major material suppliers and subcontractors with whom business was
done within the past 3 years;
(20)
Names and addresses of the following financial entities used by the contractor:
a.Bank;
b.Surety company; and
c.Insurance agent;
(21) Certification of non-collusion
statement, as required by federal regulations;
(22) Authorized signature and title;
and
(23) Letter from bonding
company indicating both single and aggregate bonding
limits.
(c) An authorized
officer, partner, member, manager or principal of the legal entity or
organization shall sign a sworn statement, under penalties of perjury, that the
information contained in the application is true and accurate to the best of
his/her information and belief. The officer shall further attest that he or she
is authorized to sign the contract on behalf of the legal entity.
(d) A prequalification application and
supporting documents shall be filed as follows:
(1) By mail to:
Bureau of Contracts
7 Hazen Drive
PO Box 483
Concord, NH 03302;
(2) In person to:
Bureau of Contracts
7 Hazen Drive
Concord, NH 03302; or
(3) Electronically by first contacting the
department for the correct email address in order to protect contractors'
confidential information.