Transcript
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PETERBOROUGH UTILITIES INC.

2245 Keene Road, PO Box 4125, Station Main Peterborough ON K9J 6Z5

August 13, 2014

PROJECT SCOPE SUMMARY Peterborough Utilities Inc. (PUI) will be constructing one (1) rooftop and twelve (12) ground mount photovoltaic PV solar projects over the next eighteen (18) to thirty six (36) months. To execute these projects, PUI’s intent is to select one (1) to two (2) pre-qualified Design Builder(s). The Design Builder(s) selected shall have an opportunity to competitively bid on design, supply, install, and commission a fully operational utility interactive PV solar system for each project. Rooftop Solar Project Background: Project 1: Kinsmen Civic Centre is a 438 KW AC project located on the roof of

1 Kinsmen Way, Peterborough, Ontario. The GPS coordinates of the site are 44.293599, -78.342476. The PV system will cover the east and west facing slopes of the two (2) roof areas above the two (2) ice pads. The system will fasten to a standing seam metal roof and connect to a Peterborough Utilities Inc. 44kV distribution line.

Ground Mount Solar Projects Background*: Project 2: Forcier is a 500 kW AC ground mount PV solar project located at

28432 Highway 28 South, Faraday, Ontario. The GPS coordinates of the site are 45.001755,-77.944652.

Project 3: Antonia West is a 500 kW AC ground mount PV solar project located at

2994 Lower Faraday Road, Coe Hill, Ontario. The GPS coordinates of the site are 44.920373,-77.895108.

Project 4: Obrien is a 500 kW AC ground mount PV solar project located at

109 O’Brien Road, Wollaston, Ontario. The GPS coordinates of the site are 44.891391,-77.865951.

Project 5: Parish is a 500 kW AC ground mount PV solar project located at

1013 Odessa Trail, Haliburton, Ontario K0M 1S0. The GPS coordinates of the site are 44.921011,-77.913539

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Project 6: Paquette is a 500 kW AC ground mount PV solar project located at 320 Albert Road, Coe Hill, Ontario K0L 1P0. The GPS coordinates of the site are 44.87161,-77.827367.

Project 7: Painter is a 500 kW AC ground mount solar PV project located at

2707 Lower Faraday Road, Faraday, Ontario. The GPS coordinates of the site are 44.921011,-77.913539.

Project 8: Emma Cardiff 2 is a 500 kW AC ground mount PV solar project located at

27466 Hwy 28, Bancroft, Ontario. The GPS coordinates of the site are 44.972442,-77.98377.

Project 9: McCrea is a 500 kW AC ground mount PV solar project located at

18051 Highway 118, Tory Hill, Ontario. The GPS coordinates of the site are 44.992598,-78.295762.

Project 10: Lee 5 is a 500 kW AC ground mount PV solar project located at

1208 Essonville Line, Tory Hill, Ontario. The GPS coordinates of the site are 44.992598,-78.295762.

Project 11: Lee 3 is a 500 kW AC ground mount PV solar project located at

1561 Essonville Line, Tory Hill, Ontario. The GPS coordinates of the site are 45.012693,-78.269026.

Project 12: Donovan is a 500 kW AC ground mount PV solar project located at

28249 High 28, Faraday, Ontario. The GPS coordinates of the site are 45.000761,-77.956046.

Project 13: Lee 1 is a 500 kW AC ground mount PV solar project located at

1560 Essonville Line, Tory Hill, Ontario. The GPS coordinates of the site are 45.011343,-78.273704.

*NOTE: All ground mount solar projects will have a connection to a

Hydro One 44kV distribution line.

PRE-QUALIFICATION PROCESS Peterborough Utilities Inc. intends to pre-qualify Proponents based on pre-determined evaluation criteria. Only Proponents that have been successfully pre-qualified will be contacted to participate in the Request for Proposal process. Proponents not selected to move on to the Request for Proposal phase will be notified in writing.

CLOSING DATE FOR PRE-QUALIFICATION SUBMISSIONS

By 2:00:00 p.m. on Friday, August 22, 2014

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INSTRUCTIONS TO PROPONENTS

(1) Interested Proponents must register with Peterborough Utilities Services Inc. by emailing Trina O’Brien ([email protected]) and providing the following information:

Name of Company

Mailing Address

Contact Name

Phone Number

Fax Number

Email Address (2) Upon registration, a pre-qualification package can either be emailed, upon

request, or a hard copy can be picked up at the following address:

1867 Ashburnham Drive, Peterborough ON K9L 1P8

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TABLE OF CONTENTS

Description Page

PRE-QUALIFICATION PROCESS - SOLAR PV SYSTEM DESIGN BUILD ................... 1

SECTION 1 Company Information ...................................................................... 2

SECTION 2 Organization Details ........................................................................ 3

SECTION 3 Financial Information ....................................................................... 4

SECTION 4 Quality Program .............................................................................. 5

SECTION 5A Equipment – Roof Top PV Solar ..................................................... 6

SECTION 5B Equipment – Ground Mount PV Solar ............................................. 7

SECTION 6A Similar Project Experence – Roof Top PV Solar ............................. 8

SECTION 6B Similar Project Experience – Ground Mount PV Solar .................... 9

SECTION 7 Safety ............................................................................................ 10

SECTION 8 Evaluation ..................................................................................... 17

SECTION 9 Authorization ................................................................................. 19

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PRE-QUALIFICATION PROCESS - SOLAR PV SYSTEM DESIGN BUILD Thank you for your interest in the pre-qualification process for our Solar PV System Design Build. An important phase in the process is for PUI to gain a better understanding of your business as it applies to the Solar PV System Design Build. In an effort to achieve this, we request that you please complete the following pre-qualification documents and submit all applicable documents requested. The intent of this pre-qualification document is to gather relative and current information that will allow PUI to effectively assess your Company’s suitability in providing goods and / or services to PUI. The evaluation process is based on a pre-determined set of criteria that will allow for an unbiased determination of your Company’s suitability to meet minimum requirements for the Solar PV System Design Build. Please mail your completed submission to:

Peterborough Utilities Services Inc. Attn: Jim Ayrheart, Purchasing and Materials Management Manager PO Box 4125 Stn Main Peterborough ON K9J 6Z5

NOTE: All MANDATORY questions and / or sections (identified with an *(asterisk))

must be completed and details provided when requested. Incomplete responses may result in your submission being deemed unacceptable. Please mark any section or question that is not applicable to your business, as “N/A”. PUI reserves the right to request additional supporting documentation from any Proponent without obligation to any other Proponent.

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SECTION 1

Company Information * COMPANY LEGAL NAME

* DIVISION OR SUBSIDIARY (if applicable)

* COMPANY ADDRESS

Street City Province Postal Code Country

* TELEPHONE * FAX

EMAIL ADDRESS COMPANY WEBSITE

* COMPANY CONTACT

Title / Position Telephone Fax Email

* BUSINESS STRUCTURE

Corporation Sole Proprietorship Joint Venture Partnership

* SENIOR EXECUTIVE

President CEO Owner

* HST #

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SECTION 2

Organization Details * NUMBER OF YEARS UNDER PRESENT NAME * APPROXIMATE # OF EMPLOYEES

* LIST FORMER NAMES OF ORGANIZATION

SIZE OF FACILITY(IES)

* NUMBER OF BRANCHES AND THEIR LOCATIONS

*PLEASE DEFINE GEOGRAPHICAL AREAS YOUR ORGANIZATION WORKS IN

* IS YOUR WORK FORCE UNIONIZED? * DATE COLLECTIVE AGREEMENT EXPIRES

DO ANY OF YOUR CURRENT EMPLOYEES WORK SHIFT?

If so, please specify type (ie. 12 hours, 10 hours, 8 hours, etc.)

* NAME AND TITLE OF INDIVIDUAL TO MANAGE & ADMINISTER THIS PROPOSED AGREEMENT

Please provide resume and / or details pertaining to individual’s experience and suitability

SKILLED TECHNICAL PERSONNEL CURRENTLY EMPLOYED BY YOUR ORGANIZATION

Number of Personnel Specific Discipline Title

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SECTION 3

Financial Information * BANK INFORMATION

Name Branch Address Contact Person

* WHAT IS YOUR COMPANY’S ANNUAL TARGET REVENUE?

< $100K $100K-$500K $500K-$1M $1M-$5M $5M-$10M > $10M

WILL YOU SUPPLY YOUR LATEST BALANCE SHEET?

UNDER YOUR CURRENT STRUCTURE, PLEASE PROVIDE AN ESTIMATE OF YOUR CURRENT OPERATING CAPACITY

At Full Capacity 80%-90% 70% - 80% Less than 70%

* HAS YOUR ORGANIZATION BEEN INVOLVED IN ANY LAWSUITS OR REQUESTED CONTRACT ARBITRATION WITHIN THE LAST (5) YEARS?

* HAS YOUR ORGANIZATION FILED FOR BANKRUPTCY OR BANKRUPTCY PROTECTION WITHIN THE LAST (5) YEARS?

* DOES YOUR COMPANY UTILIZE SUBCONTRACTORS?

* IF SO, PLEASE PROVIDE SUBCONTRACTOR NAMES

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SECTION 4

Quality Program * DOES YOUR ORGANIZATION HAVE A QUALITY PROGRAM OR QUALITY MANAGEMENT SYSTEM?

* IS THE QUALITY PROGRAM REGISTERED? IF SO, PLEASE PROVIDE CERTIFICATION DOCUMENT.

* DOES YOUR ORGANIZATION HAVE A QUALITY POLICY?

* DOES YOUR ORGANIZATION HAVE A FULL-TIME EMPLOYEE COMMITTED TO MANAGEMENT OF THE QUALITY PROGRAM? (IE. QUALITY CONTROL MANAGER)

* DOES YOUR ORGANIZATION HAVE A PROCEDURES MANUAL OR WRITTEN PROCEDURES FOR SPECIFIC OPERATIONS?

* DOES YOUR ORGANIZATION HAVE A CONTINUOUS IMPROVEMENT PROCESS?

* DOES YOUR ORGANIZATION HAVE A LESSONS LEARNED PROCESS?

* DOES YOUR ORGANIZATION PRE-QUALIFY SUPPLIERS?

* DOES YOUR ORGANIZATION TRACK ANY METRICS? IF SO, PLEASE PROVIDE EXAMPLE WITH SUBMISSION.

* DOES YOUR COMPANY HAVE A CALIBRATION PROGRAM FOR ITS MEASURING EQUIPMENT?

* DOES YOUR ORGANIZATION PRACTICE INTERNAL AUDITS OF THE QUALITY PROGRAM? IF SO, PLEASE PROVIDE THE FREQUENCY OF THE AUDITS.

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SECTION 5A

Equipment – Roof Top PV Solar *PLEASE PROVIDE TYPICAL MANUFACTURERS DETAILS. AT THIS TIME WE DO NOT EXPECT YOU TO SUPPLY EXACT MODELS, SIZE AND TYPES; WE ARE MORE INTERESTED IN THE MANUFACTURERS THAT YOU REPRESENT AND THE TYPES, MODELS AND POTENTIAL CONFIGURATIONS THAT ARE CURRENTLY AVAILABLE.

SOLAR PV PANEL

MANUFACTURER MODEL # TYPE / STYLE SIZE

INVERTER

MANUFACTURER MODEL # TYPE / STYLE SIZE

RACKING SYSTEM

MANUFACTURER MODEL # TYPE / STYLE SIZE

MONTORING AND FAULT PROTECTION

MANUFACTURER MODEL # TYPE / STYLE SIZE

*WHEN PROVIDING INFORMATION BE SPECIFIC OF WHAT BRANDS OF EQUIPMENT YOUR COMPANY SOURCES AND RANK THE EQUIPMENT ACCORDING TO YOUR PREFERRED SOURCE. PLEASE FEEL FREE TO PROVIDE ADDITIONAL INFORMATION OR BROCHURES ON PREVIOUS PROJECTS.

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SECTION 5B

Equipment – Ground Mount PV Solar *PLEASE PROVIDE TYPICAL MANUFACTURERS DETAILS. AT THIS TIME WE DO NOT EXPECT YOU TO SUPPLY EXACT MODELS, SIZE AND TYPES; WE ARE MORE INTERESTED IN THE MANUFACTURERS THAT YOU REPRESENT AND THE TYPES, MODELS AND POTENTIAL CONFIGURATIONS THAT ARE CURRENTLY AVAILABLE.

SOLAR PV PANEL

MANUFACTURER MODEL # TYPE / STYLE SIZE

INVERTER

MANUFACTURER MODEL # TYPE / STYLE SIZE

RACKING SYSTEM

MANUFACTURER MODEL # TYPE / STYLE SIZE

MONTORING AND FAULT PROTECTION

MANUFACTURER MODEL # TYPE / STYLE SIZE

*WHEN PROVIDING INFORMATION BE SPECIFIC OF WHAT BRANDS OF EQUIPMENT YOUR COMPANY SOURCES AND RANK THE EQUIPMENT ACCORDING TO YOUR PREFERRED SOURCE. PLEASE FEEL FREE TO PROVIDE ADDITIONAL INFORMATION OR BROCHURES ON PREVIOUS PROJECTS.

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SECTION 6A – NOTE – ENTIRE SECTION IS MANDATORY

Similar Project Experience – Roof Top PV Solar *PLEASE PROVIDE DETAILS SPECIFIC TO YOUR ORGANIZATIONS EXPERIENCE IN TH E DESIGN BUILD OF SLOPED STANDING SEAM METAL ROOFTOP PV SOLAR PROJECTS OVER THE LAST (5) YEARS. FEEL FREE TO INCLUDE ADDITIONAL INFORMATON/BROCHURES ON PREVIOUS PROJECTS.

EXAMPLE NO. 1 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE * PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

EXAMPLE NO. 2 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE * PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

EXAMPLE NO. 3 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE * PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

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SECTION 6B – NOTE – ENTIRE SECTION IS MANDATORY

Similar Project Experience – Ground Mount PV Solar *PLEASE PROVIDE DETAILS SPECIFIC TO YOUR ORGANIZATIONS EXPERIENCE IN TH E DESIGN BUILD OF 100 KW OR GREATER GROUND MOUNT PV SOLAR PROJECTS OVER THE LAST (5) YEARS. FEEL FREE TO INCLUDE ADDITIONAL INFORMATON/BROCHURES ON PREVIOUS PROJECTS.

EXAMPLE NO. 1 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE * PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

EXAMPLE NO. 2 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE * PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

EXAMPLE NO. 3 * PROJECT TYPE * PROJECT LOCATION * PROJECT MANAGER

* PROJECT SIZE *PROJECT COST * % OF WORK SUB-CONTRACTED

* TOTAL CAPACITY IN KW AC INSTALLED

* DESCRIBE THE SCOPE OF WORK

(ie. engineering, procurement, construction and commissioning)

* REFERENCE FOR THIS PROJECT * CONTACT INFORMATION (phone, fax, email)

P: F: E:

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SECTION 7 – NOTE – ENTIRE SECTION IS MANDATORY

Safety

Please complete the attached Safety Qualification Document and ensure that all applicable requested documents are included in your submission.

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CONTRACTOR SAFETY QUALIFICATION

Peterborough Utilities Group (PUG) wishes to emphasize to all subcontractors the importance of maintaining Health & Safety work practices while working in conjunction with us. All work is to conform to the Occupational Health & Safety Act & Regulations and any other applicable legislation or regulations. In order to achieve this goal, all contractors must complete the Contractor Safety Qualification in its entirety. Contractors will be evaluated on the information requested in this questionnaire and supporting safety documents submitted.

Contractor Firm Legal Name:

Address:

Phone No: ( ) Fax No: ( )

Type of Work: Nature of Business:

Corporate Officer Responsible for Safety:

Number of Employees:

1) SAFETY DOCUMENT CHECKLIST

Signed and Dated Company Safety Policy Attached? Yes No

Copy of Written Safety Manual / Documents Attached? Yes No

Proof of Insurance (As per “Appendix A”) Attached? Yes No

WSIB Clearance Certificate Attached? Yes No

WSIB Injury Summary Report

NOTE: A Workplace Injury Summary Report, otherwise known as (eWISR) can be obtained one of two ways:

1. Call WSIB at 1-800-387-0750 and request a copy. 2. Create an online WSIB eServices Account for eWISR

and download one at www.wsib.on.ca

Attached? Yes No

Violence and Harassment Policy Attached? Yes No

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2) SAFETY PROGRAM YES NO N/A

Does your company have a written safety manual? (If yes, attach a copy containing the following if applicable)

a) Health & Safety Policy Statement

b) Violence & Harassment Policy

c) WHMIS Policy / Program

d) Safety Rules / Enforcement Procedures

e) Fall Protection Policy / Program

f) Management, Supervisor & Worker Responsibilities

g) Injury Treatment Procedures – Medical Aid / First Aid

h) Use of Personal Protective Equipment

i) Orientation Policy / Program

j) Trenching / Excavation Procedures

k) Electrical Safety & Lockout / Tagout

l) Confined Space Entry Procedures

m) Welding / Burning Permit Procedures (hot work)

n) Arc Flash Procedures

o) Incident Reporting and Investigation Procedures

p) Diving Operations

q) Hazard Assessment

r) Daily Tailboard / Safety Meetings

Other:

Other:

3) SAFETY PROFESSIONALS & REPRESENTATIVES

Highest ranking safety professional in your organization:

Name: Title:

Number of full or part time safety professionals employed by your company?

Titles:

Number of WSIB certified members employed by your company?

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4) SAFETY ASSOCIATION MEMBER YES NO

Are you a member of a recognized Safety Association?

Electrical Contractors Association of Ontario (ECAO)?

Infrastructure Health and Safety Association (IHSA)?

Workplace Safety North (WSN)?

Workplace Safety and Prevention Services (WSPS)?

WSIB Safety Groups?

Other? Please State:

5) SAFETY PERFORMANCE RECORD

a) Number of Lost Time Injuries in the last (4) years:

b) Number of lost workdays, due to workplace injury or accident, in the past four (4) years:

c) Number of reported workplace injuries and accidents in past four (4) years:

d) Number of stop work orders issued by the MOL in the past four (4) years:

(If yes, provide a brief explanation including resolution for compliance.)

Attach details if applicable.

e) Number of charges under the Occupational Health & Safety Act or Regulations in the past four (4) years:

(If yes, provide a brief explanation including current status and resolution.)

Attach details if applicable.

6) SAFETY MEETING YES NO FREQUENCY

Do you have a JHSC Committee? N/A

Do you hold regular Joint Health & Safety Committee Meetings? What is the meeting frequency?

Do you conduct daily tailboard / safety talk / meetings? N/A

Do you conduct weekly safety talks / meetings? N/A

Do you conduct monthly safety talks / meetings? N/A

Do you conduct quarterly safety talks / meetings? N/A

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7) JOB SITE SAFETY INSPECTIONS YES NO FREQUENCY

Do you conduct job site safety inspections?

Who conducts these inspections? Name(s): Title(s):

8) REPORTING REQUIREMENTS

Who conducts accident investigations? Name(s): Title(s):

Who reviews accident and investigation reports as well as corrective actions?

Name(s): Title(s):

Who is accountable for safety on the job site? Name(s): Title(s):

9) TRAINING RECORDS Contractor to attach a sample of training records for (1) or (2) employees in accordance with the below-listed Work Activity Chart entitled “Appendix B”. This list is not to be taken as an all-inclusive of training required. The Contractor is responsible to ensure all labour is properly trained for the work being undertaken and considering the local site environment. Proponent should provide any additional training records required for this work but not listed in “Appendix B”.

Attached? Yes No

10) ADDITIONAL INFORMATION

Please feel free to attach any other programs, activities or information that you believe demonstrates or promotes your Company in performing work safely and in accordance with all Provincial Health & Safety requirements.

Attached? Yes No

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APPENDIX A – CERTIFICATE OF INSURANCE

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APPENDIX B – WORK ACTIVITY CHART

NOTE 1: Contractor to attach a sample of training records for (1) or (2) employees in accordance with the following Work Activity Chart.

NOTE 2: In lieu of a Supervisor Competency Certificate, a signed statement on company letterhead by a Senior Official stating that supervisors are competent as defined in OHSA is acceptable.

NOTE 3: This list is not to be taken as an all-inclusive of training required. The Contractor is responsible to ensure all labour is properly trained for the work being undertaken and considering the local site environment. Proponent should provide any additional training records required for this work but not listed in “Appendix B - Work Activity Chart”.

WORK ACTIVITY

RECORD OF

TRAINING

Po

werl

ine

Con

str

uctio

n

Su

bsta

tion

Con

str

uctio

n

PV

Syste

m

Insta

llatio

n

Sn

ow

Rem

oval

Sp

ill

Ma

nag

em

en

t

Wa

ste

Re

mo

val

Tre

e T

rim

min

g

Cra

ne

or

Hois

t

Op

era

tion

Ove

r (8

) T

on

s

Ele

ctr

ical

Civ

il W

ork

Rackin

g

Con

str

uctio

n

WHMIS

Supervisor Competency

Trade License

Rescue Techniques

Utility Arborist

Arc Flash Hazard Awareness

Electrical Safety Awareness

Mobile Crane Op 0-8 Ton

Book 7 / Work Area Protection

First Aid & CPR / AED

Fall Protection

Transportation of Dangerous Goods

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SECTION 8

Evaluation

The Evaluation Process provides a fair and transparent means by which PUI will determine successful Pre-Qualification Submissions. The criteria and weighting schemes will vary based on the particular product or service being sought. An Evaluation Committee will analyze and assess submissions in accordance with weighted evaluation criteria as indicated in Section 8.01 below. Criteria will be scored based on a ranking of 1 - 10 (1 being the lowest score and 10 being the highest score) which will be applied to each criteria based on a consensus reached by the Committee. The weighing factor for each criterion will be applied to the score and a criteria final score will be determined. All final criteria scoring will be totaled and an overall Proponent score will be determined. Prequalification analysis and assessment will be performed by the Evaluation Committee utilizing the following means but not limited to:

Evidence / Data / Information provided by Proponent in bid submission

References / Past performance obtained both internally as well as externally

Or by any other means as deemed necessary by PUI The Evaluation Committee may consist of:

Individual(s) from the End User department

Individual(s) from the Purchasing department

Other Stakeholders

3rd Party Consultants Decision of PUI is final. This decision is not subject to appeal or protest.

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SECTION 8

Evaluation – Continued

Prequalifications will be evaluated, at the sole discretion of PUI, on the following criteria:

SCORING CRITERIA DETAIL WEIGHTING

Experience of Key Project Personnel

The Design Builder shall provide a list of key personnel for the project and include a resume showing experience in similar work.

30%

Company Experience Provide details on your companies project experience in the past (5) years

30%

Health & Safety Program and Performance

Since safety on the job is of prime concern to PUSI, the Proponent is required to submit a copy of the firm’s Health and Safety Policy and Safety Programs with the proposal. This shall be considered as part of the evaluation for prequalification.

20%

References

References shall include work performed over the last (5) years of a similar nature. The reference shall include a current contact name, company, telephone number and email address.

10%

Company Overview

The Contractor shall provide a company overview which includes the number of years in business, financial information, quality program and organizational details.

10%

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SECTION 9 – NOTE – ENTIRE SECTION IS MANDATORY

Authorization

By signing this form, I certify that the information provided therein is accurate, correct and true.

* COMPANY NAME

* MAILING ADDRESS

Street City Province Postal Code Country

* PHONE NUMBER * FAX NUMBER

* EMAIL ADDRESS * WEBSITE ADDRESS

* DATE * WSIB ACCOUNT NUMBER

* TYPED / PRINTED NAME & TITLE * SIGNATURE OF AUTHORIZED PERSONNEL


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