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AVC Informal Bidding Pre-Qualification Application

Application Instructions

The undersigned Applicant requests that Antelope Valley Community College District (“District”) pre-qualify the Applicant to bid on the District’s informally bid projects, as authorized by Public Contract Code §22030 et seq

* denotes a required field. Please enter NA if not applicable to you.

Applicant Information

Complete the following to provide information about the Applicant.

Applicant Contacts

Contact 1 Information

Contact 2 Information

Pre-Qualification

The Applicant requests to be pre-qualified for submitting proposals for the District’s informally bid projects in the classification(s) noted by the Applicant in Exhibit A (Pre-Qualification Classifications) attached to this Pre-Qualification Application.

Applicant Annual Revenue

*Complete the following. If the Applicant is engaged in business enterprises other than construction, responses to the following are limited to the Applicant’s construction operations (to add multiple revenue entries, click the "Add Revenue" button each time).

Applicant Insurance and Bonding

Complete the following for the Applicant’s current General Liability Insurance, Workers Compensation Insurance and bonding capacity.

General Liability Insurance

Bid, Performance and Labor & Materials Payment Bonds

Workers Compensation Insurance

Current and Prior Public Works Projects

For current projects, complete the following to identify all public works construction projects for which the Applicant is under contract as of the date of submitting this Application. Add as many entries as necessary to identify all of the Applicant’s current public works projects, and choose "current" from the project type drop down to submit a project as a current project.

For prior projects, complete the following to identify all public works construction projects for which the Applicant completed in the five (5) years preceding the date of submitting this Application. Add as many entries as necessary to identify all of the Applicant’s public works projects completed in the preceding five (5) years, and choose "prior" from the project type drop down to submit a project as prior project (to add multiple project entries, click the "Add Project" button each time).

Complete the following to identify Applicant references. Choose the reference type from the drop down

To add multiple reference entries, click the "Add Reference" button each time.

Essential Questions

An Applicant will not be pre-qualified if the response to any of the following essential questions results in a “Not Qualified” designation.

  1. The Applicant possesses a valid and currently in good standing California Contractors’ license for the trade category(ies) for which the Applicant requests pre-qualification.
    Yes No (Not Qualified)
  2. The Applicant is a DIR registered contractor.
    Yes No (Not Qualified)
  3. Applicant maintains a commercial general liability insurance policy with a coverage amount of at least $1,000,000 per occurrence and $2,000,000 in the aggregate.
    Yes No (Not Qualified)
  4. Applicant has a current workers’ compensation insurance policy as required by the Labor Code or is legally self-insured pursuant to Labor Code §3700.
    Yes No (Not Qualified) Applicant is exempt from this requirement, because it has no employees
  5. Applicant requests pre-qualification for asbestos abatement related work and the Applicant possesses a current and in good standing C-22 Contractors’ License issued by the California Contractors’ State License Board.
    Yes No (Not Qualified) Not Applicable
  6. Applicant requests pre-qualification for hazardous substance removal and the Applicant possess a current and in good standing HAZ-Hazardous Substance Removal Certification issued by the California Contractors’ State License Board.
    Yes No (Not Qualified) Not Applicable
  7. Applicant has bonding capacity of at least Two Hundred Thousand Dollars ($200,000) per project and One Million Dollars ($1,000,000) in the aggregate for all projects.
    Yes No (Not Qualified)
  8. Within the past twenty four (24) months, has the Applicant provided public works construction services under a direct contract with a public owner where the value of the construction services provided by the Applicant was greater than $50,000?
    Yes No (Not Qualified)
  9. The Applicant is ineligible or debarred from submitting bid proposals for public works projects or public works contracts pursuant Labor Code §1777.1 or Labor Code §1777.7.
    Yes (Not Qualified) No
  10. Within the past five (5) years a public agency has determined that the Applicant or any predecessor to the Applicant, is not a “responsible” bidder for a public works project or a public works contract?
    Yes (Not Qualified) No
  11. During the past five (5) years, the Applicant or any predecessor to the Applicant, or any of the equity owners of the Applicant been convicted of a federal or state crime involving fraud, theft, or any other act of dishonesty.
    Yes (Not Qualified) No
  12. During the past five (5) years a Surety has completed any project or the Applicant’s obligations under a construction contract.
    Yes (Not Qualified) No
  13. During the past five (5) years the Applicant been declared in default under a construction contract to which the Applicant was a party.
    Yes (Not Qualified) No
  14. The Applicant’s Worker’s Compensation Insurance prior five (5) year average Experience Modification Rating (“EMR”) rating over the past five (5) years is more than 1.5.
    Yes (Not Qualified) No
  15. The Applicant’s Worker’s Compensation Insurance current average Experience Modification Rating (“EMR”) rating is more than 1.5.
    Yes (Not Qualified) No
  16. CAL OSHA or OSHA has cited and assessed penalties against the Applicant for “serious,” “willful” or “repeat” violations of its safety or health regulations in the past five (5) years?
    Yes (Not Qualified) No

Asbestos Work; Hazardous Substance Removal Certifications

Each Applicant must respond to the following questions even if the Applicant does not request pre-qualification for asbestos work or hazardous material substance removal work.

  1. The Bidder possesses a current and in good standing ASB-Asbestos Certification issued by the California Contractors’ State License Board.
    Yes No
  2. The Bidder possess a current and in good standing HAZ-Hazardous Substance Removal Certification issued by the California Contractors’ State License Board.
    Yes No

Authority and Certification

The undersigned is duly authorized to execute this Pre-Qualification Application under penalty of perjury on behalf of the above-identified Applicant. The undersigned warrants and represents that he/she has personal knowledge of each of the responses to this Pre-Qualification Application and/or that he/she has conducted all necessary and appropriate inquiries to determine the truth, completeness and accuracy of responses to this Pre-Qualification Application. The undersigned declares and certifies that the responses to this Pre-Qualification Application are complete and accurate; there are no omissions of material fact or information that render any response to be false or misleading and there are no misstatements of fact in any of the responses. The Applicant acknowledges and agrees that if the District determines that any response herein is false or misleading or contains misstatements of fact, the Bidder will not be deemed qualified to participate in the District’s Informal Bidding procedures.

*Executed today at
City: State:

* By: Title:

Pre-qualification Application; Informal Bidding; Uniform Construction Cost Accounting Public Contract Code §22030 et seq.; Exhibit A; Pre-Qualification Classifications

Each Applicant must select each trade category for which the Applicant requests to be pre-qualified. An Applicant must be a California licensed contractor for the classification of Contractors’ License required for each trade category for which pre-qualification is requested.

Last updated: July 4, 2017