In all instances in this form, "qualifying project" means a project which must meet ALL of the following: Project work took place in a fully operational California hospital, defined as a licensed OSHPD Type 1, multi-story facility, operating 24 hours/7 days a week, providing patient care. Project work took place where infection prevention measures were required throughout construction following ICRA Class IV protocols. Project was substantially completed within the last five (5) years. Your firm’s construction contract cost was at least $500,000 as awarded (excluding change orders). I. License A. Does your firm hold the following California Contractors license, which is current, active and in good standing with the California Contractors State License Board for work you propose to bid? License Classification: General Building Contractor License Code: B YES: NO: If yes, provide the following information about your firm's contractor’s license: (1) Name of license holder exactly as on file with the California Contractors State License Board: (2) License number: (3) Date issued: (4) Expiration date: B. List other active Contractor License(s) held by your firm: Can you truthfully state that your firm's contractor’s license(s) listed above has not been suspended or revoked for any reason related to performance of work as a contractor by the California Contractors State License Board within the last ten (10) years? YES: NO: Is your firm registered with the Department of Industrial Relations (DIR)? YES: NO: Registration No.: II. Qualifying Project Experience Has your firm successfully completed at least one (1) qualifying project in the past five (5) years? Refer to top of page for the definition of "qualifying project". YES: NO: If yes, provide the following information for such project(s) on the following qualifying project data form pages only (attachments are not allowed):
In all instances in this form, "qualifying project" means a project which must meet ALL of the following: Project work took place in a fully operational California hospital, defined as a licensed OSHPD Type 1, multi-story facility, operating 24 hours/7 days a week, providing patient care. Project work took place where infection prevention measures were required throughout construction following ICRA Class IV protocols. Project was substantially completed within the last five (5) years. Your firm’s construction contract cost was at least $500,000 as awarded (excluding change orders). I. License A. Does your firm hold the following California Contractors license, which is current, active and in good standing with the California Contractors State License Board for work you propose to bid? License Classification: General Building Contractor License Code: B YES: NO: If yes, provide the following information about your firm's contractor’s license: (1) Name of license holder exactly as on file with the California Contractors State License Board: (2) License number: (3) Date issued: (4) Expiration date: B. List other active Contractor License(s) held by your firm: Can you truthfully state that your firm's contractor’s license(s) listed above has not been suspended or revoked for any reason related to performance of work as a contractor by the California Contractors State License Board within the last ten (10) years? YES: NO: Is your firm registered with the Department of Industrial Relations (DIR)? YES: NO: Registration No.: II. Qualifying Project Experience Has your firm successfully completed at least one (1) qualifying project in the past five (5) years? Refer to top of page for the definition of "qualifying project". YES: NO: If yes, provide the following information for such project(s) on the following qualifying project data form pages only (attachments are not allowed):
QualificationQuestionnaire.docx