Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services

Pre-Qualification for Job Order Contract (JOC) for Pavement Maintenance Services

Background

Contractors shall perform and provide all adequate and competent labor, management, supervision, tools, and equipment to perform road work, structural work, utility adjustments, concrete and storm drain work per the project’s plans, special provisions and the latest version of the Greenbook, except for Sections 209, 214, 307 and 314.

Project Details

• Reference ID: IFB-080-3104003-SV PQ
• Department: OC Public Works
• Department Head: Kevin Onuma (Director)

Important Dates

• Questions Due: 2026-08-10T21:00:50.772Z

Evaluation Criteria

• Question 3.5 (5 pts) —

  Has any CSLB license held by your organization or its Responsible Managing Employee (RME) or Responsible Managing Officer (RMO) been suspended within the last five years?* 

  5 points = No 

  0 points = Yes

• Question 4.2 (5 pts) —

  Was your organization required to pay a premium of more than one percent for a performance and payment bond on any project(s) on which your organization worked at any time during the last three years?*

  5 points = rate is no more than one percent

  3 points = rate was no higher than 1.10 percent

  0 points = any other answer

• Question 4.4 (5 pts) —

  During the last five years, has your organization ever been denied bond credit by a surety company? * 

  5 points = No 

  0 points = Yes

• Question 4.5 (5 pts) —

  Has there ever been a period of time when your organization had no surety bond in place during a public construction project when one was required?

  5 points = No 

  0 points = Yes

• Question 6.5 (5 pts) —

  How many years has your organization been in business in California as a Contractor under your present business name and license number?*

  2 points = 3 years or less

  3 points = 4 years       

  4 points = 5 years          

  5 points = 6 years or more

• Question 6.6 (3 pts) —

  Is your organization currently the debtor in a bankruptcy case?*

  3 points = No 

  0 points= Yes

• Question 6.7 (3 pts) —

  Was your organization in bankruptcy at any time during the last five years?*

  (This question refers only to a bankruptcy action that was not described in answer to the previous question)

  3 points = No 

  0 points= Yes

• Question 7.1 (5 pts) —

  At any time in the last five years has your organization been assessed and paid liquidated damages after completion of a project under a construction contract with either a public or private owner?*

  5 points = No projects with liquidated damages of more than $50,000, or one project with liquidated damages

  3 points = Two projects with liquidated damages of more than $50,000

  0 points = Any other answer

• Question 7.2 (5 pts) —

  In the last five years has your organization, or any organization with which any of your company’s owners, officers or partners was associated, been debarred, disqualified, removed or otherwise prevented from bidding on, or completing, any government agency or public works project for any reason?*

  NOTE: “Associated with” refers to another construction organization in which an owner, partner or officer of your organization held a similar position, and which is listed in response to SECTION 5 on the questionnaire.

  5 points = No 

  0 points= Yes

• Question 7.3 (5 pts) —

  In the last five years has your organization been denied an award of a public works contract based on a finding by a public agency that your company was not a responsible bidder?*

  5 points = No 

  0 points= Yes

• Question 7.4 (5 pts) —

  In the past five years has any claim against your organization concerning your organization’s work on a construction project been filed in court or arbitration?*

  NOTE:  This question refers only to disputes between your organization and the owner of a project. You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

  If the organization’s average gross revenue for the last three years was less than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances 

  0 points = “Yes” if more than 2 such instances

   

  If your organization’s average gross revenue for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1, 2, or 3 such instances

  3 points = “Yes” indicating either 4 or 5 such instances 

  0 points = “Yes” if more than 5 such instances

• Question 7.5 (5 pts) —

  In the past five years has your organization made any claim against a general contractor or project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration?*

  NOTE:  This question refers only to disputes between your organization and the owner of a project. You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

  If the organization’s average gross revenue for the last three years was less than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances 

  0 points = “Yes” if more than 2 such instances

   

  If your organization’s average gross revenue for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1, 2, or 3 such instances

  3 points = “Yes” indicating either 4 or 5 such instances 

  0 points = “Yes” if more than 5 such instances

• Question 7.6 (10 pts) —

  At any time during the past five years, has any surety company made any payments on your organization’s behalf as a result of a default, to satisfy any claims made against a performance or payment bond issued on your organization’s behalf, in connection with a construction project, either public or private?*

  10 points = either “Yes” or “No” indicating 1 such claim

  8 points = “Yes” indicating no more than 2 such claims          

  0 points = “Yes” if more than 2 such claims

• Question 7.7 (5 pts) —

  In the last five years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your organization?*

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances

  0 points = “Yes” if more than 2 such instances

• Question 8.1 (10 pts) —

  Has your organization or any of its owners, officers or partners ever been found liable in a civil suit or found guilty in a criminal action for making any false claim or material misrepresentation to any public agency or entity?*

  10 points = No    

  0 points = Yes

• Question 8.2 (10 pts) —

  Has your organization or any of its owners, officers or partners ever been convicted of a crime involving any federal, state, or local law related to construction?*

  10 points = No    

  0 points = Yes

• Question 8.3 (10 pts) —

  Has your organization or any of its owners, officers or partners ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?*

  10 points = No    

  0 points = Yes

• Question 9.1 (5 pts) —

  Has CAL OSHA cited and assessed penalties against your organization for any “serious,” “willful” or “repeat” violations of its safety or health regulations in the past five years? *

  NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.

  If the organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances 

  0 points = “Yes” if more than 2 such instances

   

  If the organization’s average gross revenues for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1, 2, or 3 such instances

  3 points = “Yes” indicating either 4 or 5 such instances

  0 points = “Yes” if more than 5 such instances

• Question 9.2 (5 pts) —

  Has the federal Occupational Safety and Health Administration cited and assessed penalties against your organization in the past five years? *

  NOTE:   If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

  If the organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances 

  0 points = “Yes” if more than 2 such instances

   

  If the organization’s average gross revenues for the last three years was more than $50  million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1, 2, or 3 such instances

  3 points = “Yes” indicating either 4 or 5 such instances 

  0 points = “Yes” if more than 5 such instances

• Question 9.3 (5 pts) —

  Has the EPA or any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either your organization or the owner of a project on which your organization was the Contractor, in the past five years?*

  NOTE:   If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

  If the organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No” or “Yes” indicating 1 such instance

  3 points = “Yes” indicating 2 such instances 

  0 points = “Yes” if more than 2 such instances

   

  If the organization’s average gross revenues for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating 1, 2, or 3 such instances

  3 points = “Yes” indicating either 4 or 5 such instances 

  0 points = “Yes” if more than 5 such instances

• Question 9.4 (3 pts) —

  How often do you require documented safety meetings to be held for construction employees and field supervisors during the course of a project?*

  3 points = an answer of once each week or more often.

  0 points = any other answer

• Question 9.5 (5 pts) —

  List your organization’s Experience Modification Rate (EMR) (California workers’ compensation insurance) for each of the past three premium years and this premium year:*

  NOTE:   An Experience Modification Rate is issued to your organization annually by your workers’ compensation insurance carrier.

  Current year rate:                     

  Previous year rate:                   

  Year prior to previous year rate:                        

  5 points = three-year average EMR of .95 or less

  3 points = three-year average of EMR of more than .95 but no more than 1.00 

  0 points = any other EMR

• Question 9.7 (5 pts) —

  Within the last five years has there ever been a period when your organization had employees but was without workers’ compensation insurance or state-approved self-insurance?*

  5 points = either “No” or “Yes” indicating 1 such instance 

  0 points = any other answer

• Question 10.1 (5 pts) —

  Has there been more than one occasion during the last five years in which your organization was required to pay, either, back wages or penalties for your own organization’s failure to comply with the state’s prevailing wage laws? *

  NOTE:   This question refers only to your own organization’s violation of prevailing wage laws, not to violations of the prevailing wage laws by a sub-contractor. 

  If your organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No,” or “Yes” indicating either 1 or 2 such instance

  3 points = “Yes” indicating 3 such instances

  0 points = “Yes” for more than 3 such instances

   

  If your organization’s average gross revenues for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating no more than 4 such instances

  3 points =  “Yes” indicating either 5 or 6 such instances

  0 points = “Yes” if more than 6 such instances

• Question 10.2 (5 pts) —

  During the last five years, has there been more than one occasion in which your own organization has been penalized or required to pay back wages for failure to comply with the federal Davis-Bacon prevailing wage requirements? *

  If your organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No,” or “Yes” indicating either 1 or 2 such instance

  3 points = “Yes” indicating 3 such instances

  0 points = “Yes” for more than 3 such instances

   

  If your organization’s average gross revenues for the last three years was more than $50 million, scoring is as follows:

  5 points = either “No” or “Yes” indicating no more than 4 such instances

  3 points =  “Yes” indicating either 5 or 6 such instances

  0 points = “Yes” if more than 6 such instances

• Question 10.3 (5 pts) —

  Provide the name, address and telephone number of the apprenticeship program (approved by the California Apprenticeship Council) from whom you intend to request the dispatch of apprentices to your company for use on any public works project for which you are awarded a contract by the County. *

  5 points = at least one approved apprenticeship program is listed.

  0 points = any other answer

• Question 10.4 (5 pts) —

   If your organization operates its own State-approved apprenticeship program:*

  (a)  Identify the craft or crafts in which your organization provided apprenticeship training in the past year.

  (b) State the year in which each such apprenticeship program was approved, and attach evidence of the most recent California Apprenticeship Council approval(s) of your apprenticeship program(s). 

  (c)  State the number of individuals who were employed by your organization as apprentices at any time during the past three years in each apprenticeship and the number of persons who, during the past three years, completed apprenticeships in each craft while employed by your organization.

  5 points = one or more persons completed an approved apprenticeship while employed by your organization.

  0 points = no persons completed an approved apprenticeship while employed by your organizations

• Question 10.5 (5 pts) —

   At any time during the last five years, has your organization been found to have violated any provision of California apprenticeship laws or regulations, or the laws pertaining to use of apprentices on public works? *

  NOTE: You may omit reference to any incident that occurred prior to January 1, 1998, if the violation was by a sub-contractor and your organization, as a general contractor on a project, had no knowledge of the sub-contractor’s violation at the time they occurred. 

  If your organization’s average gross revenues for the last three years was less than $50 million, scoring is as follows:      

  5 points = either “No,” or “Yes” indicating either 1 or 2 such instance

  3 points = “Yes” indicating 3 such instances

  0 points = “Yes” for more than 3 such instances

   

  If your organization’s average gross revenues for the last three years were more than $50 million, scoring is as follows:

  5 points =  either “No” or “Yes” indicating no more than 4 such instances

  3 points = “Yes” indicating either 5 or 6 such instances 

  0 points = “Yes” if more than 6 such instances

Submission Requirements

• Contractor Information Form (required) —

  Please download the below documents, complete, and upload.

• Essential Requirements for Qualifications —

  NOTE:

  • Contractor will be immediately disqualified if the answer to any of Questions 2.1, 2.2, 2.3, or 2.4 ¹, is “no.”
    
    • ¹ An additional notarized statement from the surety may be requested by Department Name at the time of submission of a bid, if this pre-qualification package is submitted more than 60 days prior to submission of the bid.
  • Contractor will be immediately disqualified if the answer to any of Questions 2.5, 2.6, 2.7, 2.8, or 2.9 is “yes.”² If the answer to question 2.7 is “yes,” and if debarment would be the sole reason for denial of Pre-Qualification, any Pre-Qualification issued will exclude the debarment period.
    • ² A Contractor disqualified solely because of a “Yes” answer given to question 2.5, 2.6, or 2.8 may appeal the disqualification and provide an explanation of the relevant circumstances during the appeal procedure.
  • NOTICE OF APPEAL RIGHT: In the event that Contractor is disqualified due to any answers provided in this section, Contractor may appeal this disqualification in writing within seven (7) calendar days, pursuant to the County's Contract Policy Manual, Section 3.5-118, available from County of Orange.

   

  Pass/Fail Questions: 2.1 - 2.9

• Contractor possesses a valid and current California Contractor’s license for the project for which it intends to submit a bid. (required)
• General Liability Insurance Policy (required) —

  Contractor has a general liability insurance policy with a policy limit of at least $3,000,000 per occurrence and $3,000,000 aggregate. 

• Contractor has current workers’ compensation insurance policy as required by the Labor Code or is legally self-insured pursuant to Labor Code section 3700 et. seq. (required)
• Notarized Statement from an admitted surety insurer (required) —

  Have you attached a notarized statement from an admitted surety insurer (approved by the California Department of Insurance) and authorized to issue bonds in the State of California, which states: (a) that your current bonding capacity is at least 5,000,000, (b) the bonding company name, address, and telephone number? Notarized statement must be dated within six (6) months of the Pre-qualification packet submittal. 

  Please note this requirement is based on the maximum contract amount the County’s Board of Supervisors can award. The bond amounts required will be equal to the contract amount actually awarded.

  Note: Notarized statement must be from the surety company, not an agent or broker.

• Has your Contractor’s license been revoked at any time in the last five years? (required)
• Has a surety firm completed a contract on your behalf, or paid for completion because your firm defaulted or was terminated by the project owner within the last five (5) years? (required)
• At the time of submitting this Pre-Qualification form, is your firm ineligible to bid on or be awarded a public works contract, or perform as a contractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code section 1777.7? (required)
• At any time during the last five years, has your firm, or any of its owners or officers, been convicted of a crime involving the awarding of a contract of a government construction project, or the bidding or performance of a government contract? (required)
• At any time during the past five (5) years, has your firm, or any of its owners or officers been a named party to an active case in a court of law with the County of Orange, any County of Orange Department or special district, any County of Orange elected official or any current or former member(s) of the Board of Supervisors? (required)
• Licenses —

  Non-Scorable Questions: 3.1 - 3.4,  4.1,  4.3

  Points Questions: 3.5,  4.2,  4.4,  4.5

• List all California construction license numbers, classifications and expiration dates of the California Contractor licenses held by your organization: (required) —

  Please download the below documents, complete, and upload.

  Non-Scorable Question

• If any of your organization’s license(s) are held in the name of a corporation or partnership, list below the names of the qualifying individual(s) listed on the California State Licensing Board (CSLB) records who meet(s) the experience and examination requirements for each license. —

  Non-Scorable Question

• Has your organization changed names or license number in the past five years? (required) —

  Non-Scorable Question

• Explain, including the reason for the change. (required)
• Has any owner, partner, or (for corporations) officer of your organization operated a construction organization under any other name in the last five years? (required) —

  Non-Scorable Question

• Explain, including the reason for the change. (required)
• Has any CSLB license held by your organization or its Responsible Managing Employee (RME) or Responsible Managing Officer (RMO) been suspended within the last five years? (required)
• Explain, including the reason for the change. (required)
• Bonding —

  Non-Scorable Questions: 4.1,  4.3

  Points Questions: 4.2,  4.4,  4.5

• Bonding capacity: Provide documentation from your surety, on their official letterhead, identifying the following: (required) —
  • Name of bonding company/surety.
  • Name of surety agent, address and telephone number.
• Was your organization required to pay a premium of more than one percent for a performance and payment bond on any project(s) on which your organization worked at any time during the last three years? (required)
• State the percentage that your organization was required to pay and explain the reason. (required)
• List all other sureties (name and full address) that have written bonds for your organization during the last five years, including the dates during which each wrote the bonds. (required)
• During the last five years, has your organization ever been denied bond credit by a surety company? (required)
• Provide details indicating the date when your organization was denied credit and the name of the company or companies which denied credit. (required)
• Has there ever been a period of time when your organization had no surety bond in place during a public construction project when one was required? (required)
• State the period during which you had no surety bond in place and explain the reason. (required)
• Current Organization and Structure of the Business —

  Non-Scorable Questions: 5.1 - 5.5

• For organizations that are Corporations —

  Please download the below documents, complete, and upload.

• For organizations that are Partnerships —

  Please download the below documents, complete, and upload.

• For organizations that are Sole Proprietorships —

  Please download the below documents, complete, and upload.

• For organizations that intend to make a bid as part of a joint venture —

  Please download the below documents, complete, and upload.

• For organizations that are Limited Liability Companies —

  Please download the below documents, complete, and upload.

• History of the Business and Organizational Performance —

  Non-Scorable Questions: 6.1 - 6.4

  Points Questions: 6.5 - 6.7

• Has there been any change in ownership of the organization at any time during the last five years? —

  NOTE:   A corporation whose shares are publicly traded is not required to answer this question

• Explain
• Is the organization a subsidiary, parent, holding company, or affiliate of another construction organization? (required)
• Explain (required) —

  NOTE:   Include information about the other organization(s) if one organization owns 50 percent or more of another, or if an owner, partner, or officer of your organization holds a similar position in another organization.

• Are any corporate officers, partners or owners connected to any other construction organizations? (required)
• Explain (required) —

  NOTE:   Include information about the other organizations if an owner, partner, or officer of your organization holds a similar position in another organization.

• State your organization’s gross revenues for each of the last three years: (required) —

  Current year: ________________ 

  Previous year:________________

  Year prior to previous year:________________

• How many years has your organization been in business in California as a Contractor under your present business name and license number? (required)
• Is your organization currently the debtor in a bankruptcy case? (required)
• Please attach a copy of the bankruptcy petition, showing the case number and the date on which the petition was filed. (required)
• Was your organization in bankruptcy at any time during the last five years? (required) —

  (This question refers only to a bankruptcy action that was not described in answer to the previous question)

• Please attach a copy of the bankruptcy petition, showing the case number and the date on which the petition was filed and a copy of the Bankruptcy Court’s discharge order, or of any other document that ended the case, if no discharge order was issued. (required)
• Disputes —

  Points Questions: 7.1 - 7.7

• At any time in the last five years has your organization been assessed and paid liquidated damages after completion of a project under a construction contract with either a public or private owner? (required)
• Explain and Identify all such projects by the owner, the owner’s address, the date of completion of the project, the amount of liquidated damages assessed, and all other information necessary to fully explain the assessment of liquidated damages. (required)
• In the last five years has your organization, or any organization with which any of your company’s owners, officers or partners was associated, been debarred, disqualified, removed or otherwise prevented from bidding on, or completing, any government agency or public works project for any reason? (required) —

  NOTE: “Associated with” refers to another construction organization in which an owner, partner or officer of your organization held a similar position, and which is listed in response to SECTION 5 on the questionnaire.

• Explain and State whether the organization involved was the organization applying for pre-qualification here, or another organization. Identify the name of the company, the name of the person within your organization who was associated with that company, the year of the event, the owner of the project, the project, and the basis for the action. (required)
• In the last five years has your organization been denied an award of a public works contract based on a finding by a public agency that your company was not a responsible bidder? (required)
• Explain and Identify the year of the event, the owner, the project and the basis for the finding by the public agency. (required)
• In the past five years has any claim against your organization concerning your organization’s work on a construction project been filed in court or arbitration? (required) —

  NOTE:  This question refers only to disputes between your organization and the owner of a project. You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

• Identify the claim(s) by providing the project name, date of the claim, name of the claimant, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution). (required)
• In the past five years has your organization made any claim against a general contractor or project owner concerning work on a project or payment for a contract and filed that claim in court or arbitration? (required) —

  NOTE:  This question refers only to disputes between your organization and the owner of a project. You need not include information about disputes between your organization and a supplier or another contractor or sub-contractor. You need not include information about “pass-through” disputes in which the actual dispute is between a sub-contractor and a project owner. Also, you may omit reference to all disputes about amounts less than $50,000.

• Identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court in which the case was filed and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution). (required)
• At any time during the past five years, has any surety company made any payments on your organization’s behalf as a result of a default, to satisfy any claims made against a performance or payment bond issued on your organization’s behalf, in connection with a construction project, either public or private? (required)
• Explain the amount of each such claim, the name and telephone number of the claimant, the date of the claim, the grounds for the claim, the present status of the claim, the date of resolution of such claim if resolved, the method by which such was resolved if resolved, the nature of the resolution and the amount, if any, at which the claim was resolved. (required)
• In the last five years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your organization? (required)
• Explain and include the name of the insurance carrier, the form of insurance and the year of the refusal. (required)
• Compliance with Civil and Criminal Laws —

  Points Questions: 8.1 - 8.3

• Has your organization or any of its owners, officers or partners ever been found liable in a civil suit or found guilty in a criminal action for making any false claim or material misrepresentation to any public agency or entity? (required)
• Explain who was involved, the name of the public agency, the date of the investigation and the grounds for the finding. (required)
• Has your organization or any of its owners, officers or partners ever been convicted of a crime involving any federal, state, or local law related to construction? (required)
• Explain who was involved, the name of the public agency, the date of the conviction, and the grounds for the conviction. (required)
• Has your organization or any of its owners, officers or partners ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty? (required)
• Identify the person or persons convicted, the court (the county if a state court, the district or location of the federal court), the year and the criminal conduct. (required)
• Compliance with Occupational Safety and Health Laws, Workers’ Compensation and other Labor Legislation —

  Points Questions: 9.1 - 9.7

• Has CAL OSHA cited and assessed penalties against your organization for any “serious,” “willful” or “repeat” violations of its safety or health regulations in the past five years? (required)
• Attach a document describing each citation, the dates of the citations, the nature of the violation, the project on which the citation(s) was or were issued and the amount of penalty paid, if any. If the citation was appealed to the Occupational Safety and Health Appeals Board and a decision has been issued, state the case number and the date of the decision. —

  NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.

• Has the federal Occupational Safety and Health Administration cited and assessed penalties against your organization in the past five years? (required)
• Describe each citation —

  NOTE: If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

• Has the EPA or any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either your organization or the owner of a project on which your organization was the Contractor, in the past five years? (required)
• Describe each citation —

  NOTE: If you have filed an appeal of a citation and the Appeals Board has not yet ruled on your appeal, or if there is a court appeal pending, you need not include information about the citation.

• How often do you require documented safety meetings to be held for construction employees and field supervisors during the course of a project? (required)
• List your organization’s Experience Modification Rate (EMR) (California workers’ compensation insurance) for each of the past three premium years and this premium year: (required) —

  NOTE:   An Experience Modification Rate is issued to your organization annually by your workers’ compensation insurance carrier.

  Current year rate:                     

  Previous year rate:                   

  Year prior to previous year rate:                        

• If your EMR for any of these three years is or was 1.00 or higher, you may, if you wish, attach a letter of explanation on a separate signed page, or pages.
• Within the last five years has there ever been a period when your organization had employees but was without workers’ compensation insurance or state-approved self-insurance? (required)
• Please explain the reason for the absence of workers’ compensation insurance on a separate signed page, or pages. (required)
• Please provide a statement by your current workers’ compensation insurance carrier that verifies periods of workers’ compensation insurance coverage for the last five years. (required) —

  If your organization has been in the construction business for less than five years, provide a statement by your workers’ compensation insurance carrier verifying continuous workers’ compensation insurance coverage for the period that your organization has been in the construction business.

• Prevailing Wage and Apprenticeship Compliance Record —

  Points Questions: 10.1 - 10.5

• Has there been more than one occasion during the last five years in which your organization was required to pay, either, back wages or penalties for your own organization’s failure to comply with the state’s prevailing wage laws? (required) —

  NOTE:   This question refers only to your own organization’s violation of prevailing wage laws, not to violations of the prevailing wage laws by a sub-contractor. 

• Attach a separate signed page, or pages, describing the nature of each violation, identifying the name of the project, the date of its completion, the public agency for which it was constructed; the number of employees who were initially underpaid and the amount of back wages and penalties that you were required to pay. (required)
• During the last five years, has there been more than one occasion in which your own organization has been penalized or required to pay back wages for failure to comply with the federal Davis-Bacon prevailing wage requirements? (required)
• Attach a separate signed page, or pages, describing the nature of each violation, identifying the name of the project, the date of its completion, the public agency for which it was constructed, the number of employees who were initially underpaid, the amount of back wages you were required to pay, and the amount of any penalty paid. (required)
• Provide the name, address and telephone number of the apprenticeship program (approved by the California Apprenticeship Council) from whom you intend to request the dispatch of apprentices to your company for use on any public works project for which you are awarded a contract by the County. (required)
• Does your organization operates its own State-approved apprenticeship program? (required)
• Your organization operates its own State-approved apprenticeship program. (required) —

  (a)  Identify the craft or crafts in which your organization provided apprenticeship training in the past year.

  (b) State the year in which each such apprenticeship program was approved, and attach evidence of the most recent California Apprenticeship Council approval(s) of your apprenticeship program(s). 

  (c)  State the number of individuals who were employed by your organization as apprentices at any time during the past three years in each apprenticeship and the number of persons who, during the past three years, completed apprenticeships in each craft while employed by your organization.

• At any time during the last five years, has your organization been found to have violated any provision of California apprenticeship laws or regulations, or the laws pertaining to use of apprentices on public works? (required) —

  NOTE: You may omit reference to any incident that occurred prior to January 1, 1998, if the violation was by a sub-contractor and your organization, as a general contractor on a project, had no knowledge of the sub-contractor’s violation at the time they occurred. 

• Provide the date(s) of such findings and attach copies of the Department's final decision(s). (required)
• Recent Projects Completed —

  Non-Scorable Question: 11

  (Reference Questions)

• Describe construction experience/expertise of key personnel who will be working on the specified project herein (construction foreman, project superintendent, construction project manager, and/or on-site inspector) and what qualifies them to work on this project. (required)
• Contractor shall provide information for six (6) public projects completed within the last ten (10) years under Contractors’ current California State License, that are of similar size and nature to the one for which Contractor is herein requesting Pre-Qualification.  These references should be from different entities and must be verifiable. (required)
• Reference Submission Acknowledgement (required) —

  By selecting “Confirm” the Respondent certifies that it has provided the required number of references in accordance with Section 11.4 and has instructed each reference contact to complete and submit the Reference Questionnaire Template directly to OC Public Works Procurement by the IFB Submittal Closing deadline.

  The Respondent further acknowledges that it is solely responsible for ensuring that all reference responses are received by OC Public Works Procurement by the deadline.

  Failure of reference contacts to submit completed reference questionnaires as required may result in the proposal being deemed non-responsive.

• Recent Construction Projects Completed —

  Contractor shall provide information for completed projects as described in Item No. 5 on the ‘Checklist of Required Submittals.

  The references provided should be a project for which your company was listed as a prime contractor, not a subcontractor performing work. These must be projects that were not County of Orange projects and no less than 4 projects should be from another municipality. These should not be projects from the same entity.

  Provide a minimum of references (5) references. At least three (3) references must be from public sector entities comparable in size and scope to the County of Orange for which similar services have been performed within the past ten (10) years. 

  Each reference contact must complete the attached Reference Questionnaire Template and submit it directly to OC Public Works Procurement assigned Buyer Suchi Vattyam via email Suchitra.Vattyamsuchitra.vattyam@pw.oc.govby the IFB Submittal Closing deadline.

  Reference responses must be transmitted from an official email account of the entity providing the reference (e.g., company or agency domain email address). Submissions from personal email accounts (e.g., Gmail, Yahoo, etc.) will not be accepted.

  Reference questionnaires must address all required questions in full using the attached template.

  It is the Respondent’s sole responsibility to ensure that all required reference responses are received by OC Public Works Procurement by the deadline.

  Failure to receive the required number of completed reference questionnaires, submitted in accordance with these requirements, by the deadline may result in the proposal being deemed non-responsive.

• Certification —

  Please download the below documents, complete, and upload.

• Campaign Contribution Disclosure Form (required) —

  Please download the below documents, complete, and upload.

• Is your firm a County of Orange Local Small Business (OCLSB) or a Disabled Veteran Business Enterprise (DVBE)?* (required) —

  To participate as an OCLSB and/or DVBE, the requirements in the OCLSB AND DVBE PREFERENCE POLICIES CERTIFICATION REQUIREMENTS must be met

• OC Local Small Business (OCLSB) Preference And Disabled Veteran Business Enterprise (DVBE) Certifications (required) —

  Instructions are located here: https://cpo.ocgov.com/doing-business-oc/preference-policies

• Other Documents
• Project Name (required)
• Select one to describe your project. (required)
• Type of Long Form (required)
• Does your project require FAA solicitation language? (required)
• Pre-Qualification # (required)
• Estimated construction cost (required)
• Estimated solicitation date (required) —

  Answer format: mo/yr

• Is this for a JOC? (required)
• Select the License(s)/Certification(s) required for this project. (required) —

  Choose from the selection below. If more clarification is needed, please visit: https://www.cslb.ca.gov/about_us/library/licensing_classifications/

• General Liability Insurance Policy per Occurrence (required) —

  Please enter the minimum policy limit for the General Liability Insurance Policy per Occurrence.

  Answer Format: $<insert amount>

• General Liability Insurance Policy per Aggregate (required) —

  Please enter the minimum policy limit for General Liability Insurance Policy per aggregate.

  Answer Format: $<insert amount>

• Current bonding capacity (required) —

  Please enter the minimum current bonding capacity that is required for this project.

  Answer Format: $<insert amount>

• Require a Pre-Qualification Evaluation? (required)