The Metropolitan St

THE METROPOLITAN ST. LOUIS SEWER DISTRICT

2350 Market Street

St. Louis, MO 63103

Attn: Purchasing Department

Amanda Cooper (314)768-6329

Lisa Treat (314)768-6269

TUNNELING PRE-QUALIFICATION QUESTIONNAIRE

Jefferson Barracks Tunnel

(Lemay WWTP to Martigney PS)

Project Number: 11711

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SUBMITTED BY (COMPANY)

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ADDRESS

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CITY, STATE, ZIP CODE

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DATE

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CONTACT NAME (FOR QUESTIONS) - TELEPHONEFAX

TAX ID NUMBER

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E-MAIL ADDRESS

Jefferson Barracks Tunnel

(Lemay WWTP to Martigney PS)

Project Number: 11711

Scope of Work

The Jefferson Barracks Tunnel (Lemay WWTP to Martigney PS) Project Number 11711 consists of approximately 17,800 feet of 7-foot finished diameter tunnel. The ground cover over the tunnel alignment will vary in depth between approximately 95 feet and 210 feet. This sewer tunnel facility is located in St.Louis County within the Lemay WWTP Service Area. The facility will collect, store and convey sewer flows to the Lemay WWTP. For the purposes of this pre-qualification JB is short for “Jefferson Barracks”.

Key components of the Jefferson Barracks Tunnel (Lemay WWTP to Martigney PS) are:

a 90-ft diameter construction shaft, which will serve as the launch shaft for the tunnel boring machine,
an 18-ft diameter shaft, which will serve as the recovery shaft,
a 17,800-ft long tunnel lined with 7-ft diameter fiberglass pressure pipe, containing small-diameter instrumentation conduits,
four tangential vortex intake structures,
three plunge-type intake structures,
numerous drop, vent, and instrumentation conduit shafts,
five deaeration chambers,
site work at the former Defense Mapping Site, located just north of the Lemay WWTP, including construction of a major controlled fill,
site work and retaining wall construction at the Koch Road (TBM recovery shaft) site, and
pre-excavation grouting will be required at the Pump Station shaft due to the karst ground conditions.

The tunnel project is associated with and will be coordinated with the Lemay #3 Pump Station, which will be constructed as a separate project.

Please Note: If an applicant was previously pre-qualified for the Deer Creek Sanitary Tunnel (Clayton Rd. to RDP), Project Number 11731 please see section titled “Previously Pre-qualified Applicants” at the end of this pre-qualification questionnaire.

PRE-QUALIFICATION CHECK LIST

Below is a checklist of required documentation

Signed Conflict of Interest Statement (Page 7)

Signed Application Form (Page 11)

Completed Qualification Questionnaire (Page 12 through 18)

Hard Rock Tunnel Projects Sheet is complete (Page 19)

Secant Pile Projects Sheet is complete (Page 20)

Current Projects over $50 million Sheet is completed (Page 21)

Matrix summarizing responses to items 6, 7, 8, and 9 is completed (Page 22)

List of all Rock Tunneling Equipment Sheet is completed (Page 23)

Bonding capacity indicated (Page 24)

Provide a copy of your company’s Experience Modification Rating (EMR) from your workers’ compensation insurance carrier(Page 24)

Letter from insurance carrier affirming contractor’s ability to obtain the required insurance coverage.(Pages 26 – 29)

Affidavit is complete with Notary Seal (Pages30 thru 34), whichever is applicable

Attach Certificate from the Secretary of State showing company is authorized to transact business in the State of Missouri

RULES AND REGULATIONS FOR PRE-QUALIFICATION OF CONTRACTORS

ON WORK LET BY CONTRACT WITH

THE METROPOLITAN ST. LOUIS SEWER DISTRICT

All applicants wishing to bid on the Jefferson Barracks Tunnel (Lemay WWTP to Martigney PS) Project Number 11711, must bepre-qualifiedprior to bidding on this specific project. This Pre-qualification is valid only for the referenced project.

An applicant for pre-qualification must furnish, under oath, detailed information with respect to its equipment, past record, personnel, and experience, together with other information as is called for in this Pre-qualification Questionnaire.

Any combination of qualified or unqualified contractors bidding jointly becomes a new contracting firm and it must be pre-qualified in accordance with these rules. All applications shall be in writing and signed by the principal parties in the joint venture.

No bidder will be pre-qualified unless its Pre-qualification Questionnaire indicates that it has the experience, organization, currently available resources, and equipment, sufficient in the judgment of the District, to satisfactorily execute its contract and meet its obligations therein incurred.

The Financial Statement of the controlling individual or corporate owner of the business, or businesses in the case of a joint venture, shall be submitted; if in the opinion of the District it is required.

If any significant change occurs in the information included on the contractor’s pre-qualification form, notice shall be given to the District immediately.

All entities must furnish a certificate from the Secretary of State showing that it is authorized to transact business in the State of Missouri.

Letter from insurance carrier affirming contractor’s ability to obtain the insurance coverage.

Attach resumes of principle team members of your field superintendence team.

NOTE:It is important that the "work experience" section be completed and that it contains projects of the type for which pre-qualification is being requested. Pre-qualification will not be granted for types of work that the applicant subcontracts to others.

Page 1 of 39Rev. 6/7/2016

IMPORTANT INFORMATION FOR PROSPECTIVE BIDDERS

CONTRACT DOCUMENTS

Contract documents include, but may not be limited to, the advertisement, Instructions to Bidders, Proposal, General Specifications, Detailed Specifications, Agreement, Bond Form, and Plans. The documents are available on and after the day advertisement is published and will be available via MSD’s Plan Room located at URL: Plans and specifications are also available for viewing or purchase at Cross Rhodes Reprographics located at 1710 Macklind Avenue, St Louis MO 63110.

MINIMUM WAGE AND EMPLOYMENT DISCRIMINATION

The minimum wage to be paid to all labor will be shown in the contract documents where applicable. Prevailing rates of pay shall be paid to skilled and unskilled labor, and there shall be no discrimination in the selection or employment of labor on account of race, creed, or color.

MINORITY AND WOMEN BUSINESS ENTERPRISE UTLIZATION AND WORKFORCE PROGRAMS

The Metropolitan St. Louis Sewer District has established a goal for Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) utilization for construction contracts. Additional workforce requirements also apply. These requirements are explained in the MWBE Utilization and Workforce Program Non-Building Construction Projects. Please refer to the following link to view a pdf of this policy:

BID DEPOSIT

The bid shall be accompanied by a certified check or cashier's check drawn on a bank or trust company located in either St. Louis City or County or by a bid bond issued by a surety company satisfactory to the District and which is authorized to transact business in Missouri.

RIGHT TO REJECT

The Metropolitan St. Louis Sewer District reserves the right to reject any and all bids and to waive technicalities.

PREQUALIFICATION DUE DATE In order to be considered for pre-qualification for the Jefferson Barracks Tunnel (Lemay WWTP to Martigney PS) Project Number 11711 all pre-qualification questionnaires must be received by the District no later than August 4, 2016 at 4:00 p.m. CST unless #7 below applies.

ESTABLISHMENT OF A JOINT VENTURE AFTER PRE-QUALIFICATION APPROVAL

Should two or more entities that submitted by August 4, 2016 at 4:00 p.m. CST andhave been individually pre-qualified by the District for this project wish to form a joint-venture for the purposes of bidding on this project, the joint venture entity must give notice to the District at least 3 business days prior to the bid date with the submission of the District’s “Joint Venture Pre-Qualification Application for a Single Project”. Please follow the link below to download this application.

JOINT VENTURE “GOOD FAITH” EFFORTS TOWARDMINORITY AND WOMEN BUSINESS ENTERPRISE UTLIZATION

“Good Faith” efforts toward meeting the MWBE goals performed by a member of the Joint Venture prior to the formation of the Joint Venture shall be considered as have been performed by the Joint Venture.

VENDOR'S CONFLICT OF INTEREST QUESTIONNAIRE
1. / Name the individual or company requesting to do business with The Metropolitan St. Louis Sewer District (MSD):
2. / In the past two (2) years, has the individual or company named in No. 1 above (or any principal of such company, i.e. partner, officer, director, etc.) contributed cash or gifts in excess of $200.00 in value in the aggregate in any calendar year to any of the individuals or organizations listed on Attachment A hereto?
Yes / No
If yes, describe in detail (date/amount/description):
3. / In the past two (2) years, has the individual or company named in No. 1 above done business with any person listed in Attachment A and/or their respective companies?
Yes / No
If yes, describe in detail (date/amount/description):
4. / The undersigned certifies that the above information is true and correct to the best of his or her knowledge and belief.
Dated this / day of / , / 20
Printed Name:
Title:
Company:
Signature:

ATTACHMENT A

NOTE:Attachment A contains a list of the MSD Trustees and their respective employer, MSD officers and Directors, and the organizations which each are individually associated with, as applicable.

Updated April 1, 2016
MSD BOARD OF TRUSTEES & DIRECTORS
Trustee/Director / Name of Firm, Organization or Company / Affiliation
Rev. Ronald Bobo, Sr. / Great Things, Inc. Foundation / Member
Trustee / NAACP / Member
Sharing Hope International Ministries / Member
St. Louis & Vicinity Baptist Ministers Union / Member
St. Louis Clergy Coalition / Member
West Side Missionary Baptist Church / Member
Ruby L. Bonner / Alpha Kappa Alpha Sorority, Inc. / Member
Trustee / Ethel Hedgeman Lyle Foundation / Member
Mercy Seat Metropolitan Baptist Church / Member
Missouri Bar Association / Member
Mound City Bar Association / Member
NAACP / Member
National Bar Association / Member
National Retired Teachers Association / Member
James Faul / Lawyers Coordinating Committee / Member
Trustee / Missouri Bar Association / Member
Missouri Jobs with Justice / Member
St. Louis Botanical Gardens / Member
St. Louis City Labor Legislative Club / Member
St. Margaret of Scotland Catholic Church / Member
St. Louis Zoo / Member
Marion M. Gee / American Public Power Association / Member
Director / Government Finance Officers Association / Member
National Association of Telecommunications Officers and Advisors / Member
Brian Hoelscher / Engineers Club of St. Louis / Committee Member
Director / Missouri Water Environment Association / Member
National Association of Cleanwater Agencies (NACWA) / Member
Project MOSAIC / Ambassador
Washington University in St. Louis - W Club / Executive Council
Water Environment Federation / Member
Annette K. Mandel / Central West End Planning & Development Committee / Member
Trustee / Missouri Athletic Club / Member
Missouri Bar Association / Member
Missouri Botanical Gardens / Member
Missouri History Museum / Member
St. Louis Zoo / Member
USO Missouri / Volunteer
Barbara Mohn / Water Wastewater CIO Forum / Member
Director / Women Executives in IT (WEIT) / Member
Susan M. Myers / Association of Corporate Counsel / Member
Director / Association of Missouri Cleanwater Agencies (AMCA) / Member
Bar Association of Metropolitan St. Louis / Member
Missouri Bar Association / Member
National Association of Cleanwater Agencies (NACWA) / Member
Betsy Schubert / Institute for Supply Management / Member
Manager
James I. Singer / AFL-CIO Lawyers Coordinating Committee / Member
Trustee / American Bar Association / Member
American College of Employee Benefit Counsel / Member
Bar Association of Metropolitan St. Louis / Member
Electricians Historical Society / Board member
Illinois Bar / Member
Missouri Bar / Member
Missouri Botanical Gardens / Member
Missouri Historical Society / Member
Schuchat, Cook and Werner / Partner
ShaareEmeth Congregation / Member
St. Louis Zoo / Member
Timothy R. Snoke / Contractor Loan Fund / Board Member, Executive Committee
Director / Government Finance Officers Association / Member
Institute of Management Accountants / Member
St. John's Lutheran Church / Member
St. John's Lutheran School Board of Education / Chair
St. Louis Treasury Management Association / Member
Jonathon Sprague / American Water Works Association (AWWA) / Member
Director / Engineers Club of St. Louis / Member
Missouri Water Environment / Member
National Association of Clean Water Agencies (NACWA) / Member
Water Environment Federation / Member
Vicki Taylor-Edwards / AAIM Management Association / Member
Director / Alpha Kappa Alpha Sorority / Member
Certified Employee Benefits Association / Member
Compensation Benefits Network / Member
Human Resources Management Association / Member
International Public Management Association / Member
Shalom City of Peace / Member
Rich L. Unverferth / Engineers Club of St. Louis / Member
Director / Knights of Columbus - Council 2119 Webster Groves / Member
National Association of Clean Water Agencies (NACWA) / Member
St. Michael the Archangel Catholic Parish / Member
Michael E. Yates / North County Labor Legislative Club / Executive Board Member
Trustee / St. Louis Labor Council / Delegate

Application to the Metropolitan St. Louis Sewer District for

Pre-qualification to Bid

The undersigned hereby applies to the Metropolitan St. Louis Sewer District for Pre-qualification to bid the Jefferson Barracks Tunnel (Lemay WWTP to Martigney PS) Project Number 11711.

Firm Name

Firm Address

ByTitle

Print name

Signature

Type ofOrganization(Check Applicable Category)

□Corporation

□Partnership

□Joint Venture

□Individual

□Limited Liability Corporation

Corporate Seal

THE SIGNATORY OF THIS QUESTIONNAIRE GUARANTEES

THE TRUTH AND ACCURACY OF ALL STATEMENTS AND OF

ALL ANSWERS TO INTERROGATORIES HEREINAFTER MADE

Please list any previous experience or projects your company has completed as requested on the following sheets and any references you can provide. Attach additional sheets if necessary.

Name of Contractor

PrincipalAddress

( )A corporation

( )A partnership

( )A joint venture

( )An individual

( )A limited liability corporation

( )MWBE (Minority or Woman Business Enterprise)

If MWBE, what is the name of the agency/organization that issued the certification document?

Please attach a copy of your certification document to this application.

Incorporated or organized:

Date State

Radius of operations:

Type of work done:

Work usually sublet:

1.How many years have you operated under the above name:

(a)As general contractor

(b)As subcontractor

2.List other names under which you have operated:

Name of company

Type of work done

Operated during period

Name of company

Type of work done

Operated during period

3.List of all partners or officers: (Note: if partnership limited, explain and please list full 100% ownership)

Name and title

Address, City and State

Fractional interest in firm or number of shares owned

Name and title

Address, City and State

Fractional interest in firm or number of shares owned

Name and title

Address, City and State

Fractional interest in firm or number of shares owned

4.What is the construction experience of the principal individuals of your organization? (This includes the job superintendent).

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

An individual’s name

Present position or office

Years of construction experience

Magnitude and type of work

5.Name the principal team members of your Field Superintendence team if awarded the contract, summarize their experience here and attach their resumes:

Individual’s name:

Intended position:

Present position: