cc 2022 AR 09/13 permanent supportive housing request for qualifications

•
® CITY COUNCIL
AGENDA ® COMMUNITY DEVELOPMENT COMMISSION
REPORT ❑ SUCCESSOR AGENCY
❑ BUENA SANITATION DISTRICT
❑ JOINT POWERS FINANCING AUTHORITY
Department: City Manager Item No: D1
Prepared by: Sylvia Solis Daniels, Housing Program Manager Meeting Date: September 13, 2022 Amanda Lee, Assistant City Manager
Approved by: Patrick Johnson, City Manager Agenda Location: Discussion SUBJECT: PERMANENT SUPPORTIVE HOUSING REQUEST FOR QUALIFICATIONS RECOMMENDATION: Discuss the Permanent Supportive Housing Request for Qualifications and provide direction to staff.

CORRELATION TO CITY COUNCIL GOALS: (1) Homelessness and Housing, and (2) Public Safety.

PRIOR ACTION: On April 26, 2022, City Council directed staff to develop an RFP or RFQ for a Permanent Supportive Housing Development and to define a portion of City Funds to assist in this project (Vote: 5-0).

On January 25, 2022, discussed a year-round shelter and operator Request for Proposal. Directed staff to finalize an RFP to develop and operate a year-round shelter in Vista, based on the City Council input provided (No Vote).

STATEMENT ON THE SUBJECT: On January 25, 2022, the City Council discussed and reviewed a year-round shelter and operator Request for Proposal (RFP) and then directed staff to proceed with a revised proposal. On February 2, 2022, staff published an RFP for the development and operation of a year-round low-barrier shelter in Vista. The RFP was open for eight weeks and closed on March 30, 2022, and no proposals were submitted. On April 26, 2022, the City Council directed staff to develop a Request for Qualifications (RFQ) for Permanent Supportive Housing (PSH) and return to City Council for review at a future City Council meeting. Following the direction, staff spoke with affordable housing developers and researched permanent supportive housing options to draft a successful RFQ.

Draft RFQ. Staff evaluated and discussed permanent supportive housing with local jurisdictions and other affordable developers and has incorporated recommendations and best practices to create a successful RFQ with multiple, viable responses. The draft RFQ is included as Exhibit 1.

The RFQ describes the development project as a high-quality affordable permanent supportive housing project. The United States Department of Housing and Urban Development (HUD) defines Permanent Supportive Housing as, permanent housing in which housing assistance (e.g., long-term leasing or rental assistance) and supportive services are provided to assist households with at least one member with a disability in achieving housing stability. The development project is targeted to support the housing-ready, unsheltered community with a dedicated up to 10 percent of housing units set aside for unsheltered veterans.

ACTION: Discussed the Permanent Supportive Housing Request for Qualifications and provided direction to staff. Vote: No vote
Clerk/S retary
09/13/2022 D 1 Page 1 of 60

MEETING DATE: September 13, 2022 PAGE 2
SUBJECT: Permanent Supportive Housing Request for Qualifications Prospective developers are invited to submit a Statement of Qualifications (SOQ) to the Community Development Commission (Commission), who serves as the City's Housing Authority, expressing their interest in the City's identified development site and background information on their qualifications and comparable project experience. The Commission intends to compile a short list of developers, conduct interviews, and ultimately select a preferred developer. After this selection process, the Commission will proceed with the negotiation and execution of a Disposition and Development Agreement (DDA)for the development and subsequent operation of the project. The Commission seeks to develop a permanent supportive housing project, with a goal of entering into an agreement with a developer by 2023.

Funding. The draft RFQ identifies a financial contribution of$2 million in affordable housing funds to support the permanent supportive housing project in addition to the proposed project site. The Commission's financial contribution will be recorded as a loan due and payable at the end of a 55-year term. The developer is expected to identify a comprehensive financial projection package for the RFQ indicating various funding sources which could include state tax credits, grants, and conventional loans.

Site Location. The City currently owns the project site, 902 Vista Village Drive, Assessor's Parcel Number (APN)175-223-25-00. The 0.44-acre property is owned by the City and runs parallel to Vista Village Drive, east of Palm Drive and is located north of the Historic Downtown district. The property is parallel to Vista Village Drive and is located within the Downtown Vista Specific Plan in the Transit sub-district. Primarily residential neighborhoods surround the properties to the north and east and include medium to medium- high density and commercial properties. The site is zoned for mixed use and allows for 40 dwelling units per acre and a four-story building height. The proposed unit count and non-residential public service provider area will be proposed as part of this submittal. A majority of the units will need to be reserved at or below the 30 percent of the Area Median Income (AMI) to support the formerly unsheltered target population; however, the exact affordability mix will be negotiated during the DDA drafting process.

Evaluation Criteria. RFQ submissions will be evaluated based on the following criteria:
• Documented comparable experience
• Development team interviews
• Evaluation of the development team's past project performance • Financial capability
• Proposed development concept
• Other pertinent factors as presented in the SOQ and subsequent interviews Schedule. The solicitation, receipt, and evaluation of Statement of Qualifications, and the selection process, are anticipated to observe the following tentative time schedule:

Publishing of RFQ September 14, 2022
Submittal Deadline October 26, 2022
Review by Commission November 9, 2022
Interviews Week of November 28, 2022
Council Approval By January 2023
Next Steps. Based on the direction received, staff will post the RFQ as soon as September 14, 2022.

Staff will review responses and return to City Council with a recommendation by January 2023.

Additionally, staff will continue to identify other funding sources to support the project.

FISCAL IMPACT: There is no direct fiscal impact associated with the discussion. Any future impact will be based on direction received by the City Council upon recommendation of a selected developer.

EXHIBITS:

1. Draft Request For Qualifications (RFQ)
09/13/2022 D 1 Page 2 of 60

CITY OF VISTA
C A L I F 0 R N I A

REQUEST FOR QUALIFICATIONS
Permanent Supportive Housing
RFQ Publish Date September 14, 2022
RFQ Response Due Date October 26, 2022
EXHIBIT 1

I. INTRODUCTION
The Vista Community Development Commission (Commission) is pleased to announce a Request for Qualifications (RFQ) for an exciting development opportunity offered within the City of Vista.

The purpose of this RFQ is to describe the desired development project, development site offered by the Commission, and to solicit Statements of Qualification (SOQ's) from developers interested in developing a high-quality affordable, permanent supportive housing project. HUD defines Permanent Supportive Housing (PSH) as, permanent housing in which housing assistance (e.g., long-term leasing or rental assistance) and supportive services are provided to assist households with at least one member with a disability in achieving housing stability. This development project is targeted to support the housing-ready, unsheltered community with a dedicated set aside of up to 10 percent of housing units for unsheltered veterans.

Prospective developers are invited to submit a SOQ to the Commission expressing their interest in the City's identified development site and background information on their qualifications and comparable project experience. After the RFQ selection process, the Commission will proceed with the negotiation and execution of a Disposition and Development Agreement (DDA) for the development and subsequent operation of the project. The Commission seeks to develop a permanent supportive housing project in the near future, with a goal of entering into an agreement with a developer by 2023.

II. OVERVIEW OF DEVELOPMENT OPPORTUNITY
City of Vista
Located seven miles inland from the Pacific Ocean, Vista is a • FA �Ang"Os
thriving community in northern San Diego County and is the 56`ks 0—side
commercial heart of the fast-growing Highway 78 Corridor. .Va,ky�rlar The City's centralized location, with respect to major VISTA San Marcus
transportation corridors, employment centers, visitor destinations and renowned climate, makes this area an E..AdO attractive location for residential and retail development. The Vista Business Park, located in the southeast area of the City is home to more than 800 global, national, and local .F[anCM San4]Fe
companies, and provides over 23,000 jobs.

Vista is a dynamic and energetic community with a rich history and a clear vision for the future. Visitors to the City find many cultural, recreational, and shopping opportunities including the Vista Village complex and Historic Downtown. Residents and visitors alike enjoy a wide range of year-round outdoor activities, including the City's Moonlight Amphitheatre and the 2 Wave Waterpark. Incorporated in 1963, and becoming a Charter City in 2007, this mid-sized city is 19 square miles with a population of 100,659. The Vista Unified School District is the fourth largest in San Diego County and provides 29 schools for approximately 20,000 students in kindergarten through 12tn grade. The City of Vista provides services focusing on community needs to achieve a high quality of life for its residents through its day-to-day operations and proactive economic development strategy. Full demographics for the City can be viewed on the city web site: www.citvofvista.com/visitors .

1. Site Location
The City currently owns the project site, APN 175-223-25-00, located at 902 Vista Village Drive, the property runs parallel to Vista Village Drive east of Palm Drive and is located north of the Historic Downtown district. The parcel is 0.44 acres and is owned by the City of Vista. Please refer to the attached Project Area Map for further depiction of the site.

2. Site Description and Scope of Development
Located just north of the Historic Downtown community, in the urban core of the City of Vista, the area offers unique retail shops, restaurants, art, entertainment venues, a grocery store, health clinic and various public amenities including parks and the regional transit center. The City has implemented attraction and retention strategies to sustain a healthy and diverse local business community in the Historic Downtown neighborhood. The investment into the downtown community makes this an ideal location for residents to live, work and thrive.

The parcel is located .25 miles from the Vista Transit Station — Vista Village stop, which is served by the SPRINTER train and Breeze bus lines and is one mile from Highway 78. The Commission believes the site is well suited for a permanent supportive housing development with walkable access to several community resources including grocery, health, cultural, entertainment and transportation resources.

The property is located within the Downtown Vista Specific Plan in the Transit sub-district. The property is parallel to Vista Village Drive which functions as a key corridor running through Vista. Residential neighborhoods surround the property to the north and east and include medium to medium-high density and commercial properties. The property is zoned for mixed use and allows for 40 dwelling units per acre and a four-story building height. The number of units has not been established and the Commission is open to recommendation from the preferred developer. The proposed unit count and non-residential public service provider area should be proposed as part of this submittal. The Commission believes a majority of the units need to be reserved at or below the 30 percent of the Area Median Income (AMI) to support the formerly unsheltered target population to include up to 10 percent of the units dedicated to veterans; however, the exact affordability mix is open to recommendation. 3 }

3. Funding
The Commission will provide up to a $2 million contribution towards the permanent supportive housing development in addition to the land value contribution. The Commission's financial contribution will be recorded as a loan due and payable at the end of a 55-year term.

III. RFQ SUBMISSION REQUIREMENTS
A. Development Entity
• Identify the Design Build (DB) entity that would enter into negotiations with the Commission, including any joint venture and limited partners to the extent known at this time. Include design and engineering firms, project managers, contractors, and sub-contractors. • Explain the role of each of the development partners, name of the principal in charge. • A dated letter of interest must be submitted including the legal name of the Design Build (DB) entity, address, telephone and fax numbers, and the name, title, and signature of the person(s) authorized to submit the SOQ on behalf of the DB entity.

B. Executive Summary
• The executive summary should contain an outline of the DB entity's experience, qualifications, personnel, and sub-consultants. The summary should include a description of the DB entity's construction management approach, and any unique qualities that would enable the entity to work well in and with the City.
• Include resumes for all key staff that will be working on the Project that describes the persons experience and qualifications working on public works design-build projects and/or multi-family residential projects.

C. Financial Capacity/Pro Forma
• Describe the financial strength and capability of the development entity. • Submit a preliminary pro forma identifying potential funding sources and uses, detailing level of assistance requested of the Commission.
4 D. Examples of Comparable Projects Completed or Underway • Provide at least three examples of comparable projects completed or underway by principals of the developer team, and the role of that team member in the comparable project. • Describe how these comparable projects were financed.

E. Proposed Development
• Provide a narrative describing the DB entity's understanding of the Project and their proposed approach and work plan that will achieve the desired results within the specified timeline and budget.
• Describe the envisioned development concept and approach including on-site services and resources available for target population of unsheltered community. • Present a critical path schedule for project completion including methodology of due diligence including acquisition of financing, formulation of development concepts, community outreach, entitlements, pre-leasing, design, City planning reviews, and construction schedule.

IV. REVIEW PROCESS AND SCHEDULE
A. Process
The Commission is requesting Statements of Qualification (SOQ's) from qualified developers with experience in developing high quality residential, and/or mixed-use developments. After review of the SOQ's, the Commission will schedule interviews with one or more development teams. Prior to the interview, the Commission will notify development teams of the specific information that should be provided during the interview.

B. Schedule
The solicitation, receipt, and evaluation of SOQ's, and the selection process, are anticipated to observe the following time schedule:

Publishing of RFQ September 14, 2022
Question Deadline October 5, 2022
Submittal Deadline October 26, 2022
Review by Commission/Consultant November 9, 2022
Interviews Week of November 28, 2022
5 C. Evaluation Criteria
The Commission intends to select one or more development teams based on the criteria outlined in Attachment A (Qualification Questionnaire), Attachment B (Questionnaire Scoring Criteria) and other pertinent factors as presented in the SOQ and subsequent interviews.

D. Submittals and Further Questions
Qualified developers should submit all materials online via the City's Electronic Bidding System, OpenGov Procurement, https://secure.procurenow.com/portal/citVofvista . The submittal(s) should be limited to 20 pages plus attachments. Concise and focused responses are encouraged.

Statements of Qualification should be submitted through OpenGov Procurement no later than 5:00 pm on October 26, 2022.

All questions and requests for clarifications, changes, exceptions, and deviations to the terms and conditions set forth in this RFQ shall be submitted via "Q&A" through the City's Electronic Bidding System, OpenGov Procurement. Phone call questions will not be accepted. Answers to all submitted questions will be provided in an addendum through OpenGov Procurement. Questions must be submitted prior to the deadline specified in the RFQ Schedule, above.

V. OTHER TERMS AND CONDITIONS
A. Responsibility of the Commission
The information in this RFQ is intended to provide general information regarding the development site. This information is not intended or warranted to be a complete statement of potential land use issues and/or procedures to which the developer may be subject to. .

All facts and opinions stated herein and in any additional information provided by the Commission, its staff, or its consultants, including but not limited to surveys, statistical and economic data, and projections, are based on available information and no representation or warranty is made with respect thereto.

This RFQ does not commit the Commission to pay any costs incurred in the preparation of a response. The Commission further reserves the right to request and obtain from one or more of the developers who submit Statements of Qualification, supplementary information as may be necessary for the Commission staff and/or its consultants to analyze the submission.

In addition, the Commission may issue addenda to all participants of any changes to this RFQ, should the Commission determine, at its sole and absolute discretion, that such changes are necessary.
6 The Commission reserves the right to not move forward with this RFQ.

B. Responsibility of the Developer
The successful developer and the Commission will enter into a period of negotiations during which time a definitive Disposition and Development Agreement (DDA) will be negotiated. It will be the responsibility of the developer to advise and consult with the Commission and its consultant team on product definition during the entitlement phase and concurrently plan and design the project.

It will be the responsibility of the selected developer to undertake all site planning, engineering, tentative and final mapping, and all other required entitlements for the proposed development. It is the intent of the City that the subject parcel will be ground leased to the developer following the execution of a DDA and receipt of entitlements.

ATTACHMENTS
EXHIBIT A—QUALIFICATION QUESTIONNAIRE
EXHIBIT B —QUESTIONNAIRE SCORING CRITERIA
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ATTACHMENT A

QUALIFICATION QUESTIONNAIRE
09/13/2022 D1 Page 11 of 60

QUALIFICATION QUESTIONNAIRE

CITY OF VISTA AFFORDABLE HOUSING PROJECT

INFORMATION ABOUT THE DESIGN-BUILD ENTITY, ITS MEMBERS AND CORE

ORGANIZATIONS

IDENTIFICATION OF THE D-B ENTITY
D-B Entity Name:

Contact Person:

Address:

Phone: Fax:

Email Address:

Type of Entity (check one):
❑Corporation ❑ Partnership ❑ Sole Prop.❑ Joint Venture ❑ Other Association Member Firm(s) and Core Organizations
List all individuals and legal entities that are members of the D-B Entity. At a minimum, this must include a general contractor and Engineer of Record.

Discipline Name License

PUBLIC RECORD
QQ-1
09/13/2022 D1 Page 12 of 60

INFORMATION ABOUT THE D-B ENTITY
Entity Name:

Type of Entity (check one):
❑ Corporation ❑ Partnership ❑ Sole Prop. ❑ Joint Venture ❑ Other Association

1.a. Date of entity incorporation, formation or commencement:
b. State of formation or incorporation:
c. How many people does your organization currently employ:
2 a If the entity is a corporation, please complete the following table; provide information for each officer of the corporation or individuals with 10% or more of the cor orate stock:

Position Name Years %
with Co. Ownership
President
Vice-President
Secretary
Treasurer
b If the entity is a partnership, please complete the following table; provide information for each partner who owns 10% or more of the firm:

Position Name Years %with Co. Ownership General Partner
C. If the entity is a sole proprietorship, please provide the name of the company owner:

Name:

QQ-2
09/13/2022 D 1 Page 13 of 60

d If the entity is a joint venture, please complete the following table; provide information for each member of the joint venture:

Name of Name of Owner, General Partner, or President Ownership Firm of Joint
Venture
For each person listed in table 2a, 2b, 2c, or 2d, identify every construction company that the person has been associated with (as owner, general partner, limited partner, or e. officer) at any time during the last five (5) years:

NOTE: For this question, "owner" and "partner" refer to ownership of 10% or more of the business, or 10% or more of its stock, if the business is a corporation.

Name Company Position with Dates of
Company Employment
QQ-3
09/13/2022 D1 Page 14 of 60

3. Has the D-B Entity changed its name or license number in the past five (5)years? ❑Yes ❑ No
If"yes," explain:

4. Has any owner, partner, or (for corporations) officer of the D-B Entity operated a design or construction company under any other name in the last five (5)years? ❑Yes ❑ No
If"yes," explain:

QQ-4
09/13/2022 D 1 Page 15 of 60

INFORMATION ABOUT THE GENERAL CONTRACTOR
Entity Name:

Contact Person:

Address:

Phone: Fax:

Email Address:

Type of Entity(check one):
❑Corporation ❑ Partnership ❑ Sole Prop.❑ Joint Venture ❑ Other Association

Position Name Years %with Co. Ownership President
Vice-President
Secretary
Treasurer
b If the entity is a partnership, please complete the following table; provide information for each partner who owns 10% or more of the firm:

Position Name Years %
with Co. Ownership
General Partner
c. If the entity is a sole proprietorship, please provide the name of the company owner:

Name:

QQ-5
09/13/2022 D 1 Page 16 of 60

d If the entity is a joint venture, please complete the following table; provide information for each member of the joint venture:

NOTE: For this question, "owner" and "partner" refer to ownership of 10% or more of the business, or 10% or more of its stock, if the business is a corporation.

Name Company Position with Dates of
Company Employment

3. List all license numbers, classifications and expiration dates of the California contractor licenses held by the General Contractor. General Contractor must have a Class B (General Building Contractor) License issued by the State of California:

Contractor License Number Classification(s) Expiration Date QQ-6
09/13/2022 D1 Page 17 of 60

4. If any of the General Contractor's license(s) are held in the name of a corporation, partnership, or other entity, list below the names of the qualifying individuals(s) listed on the CSLB records who meet(s)the experience and examination requirements for each license.

Contractor License Number Name of Qualifying Individual

5. Has the General Contractor changed its name or license number in the past five (5)years? ❑Yes ❑ No
If"yes," explain:

6. Has any owner, partner, or (for corporations) officer of the General Contractor operated a design or construction company under any other name in the last five (5) years? ❑Yes ❑ No
If"yes," explain:

7. Provide documentation from the General Contractor's surety identifying the following:

Bonding Co./Surety: Surety Agent:

Agent Address: Telephone#:

QQ-7
09/13/2022 D1 Page 18 of 60

8. List all other sureties (by name and with full address) that have written payment or performance bonds for the General Contractor during the last five (5) years, including the dates during which each wrote the bonds:

Date Surety Address
QQ-8
09/13/2022 D 1 Page 19 of 60

INFORMATION ABOUT THE ENGINEER OF RECORD
Entity Name:

Contact Person:

Address:

Phone: Fax:

Email Address:

Type of Entity (check one):
❑Corporation ❑ Partnership ❑ Sole Prop.❑ Joint Venture ❑ Other Association

Position Name Years %with Co. Ownership General Partner
QQ-9
09/13/2022 D 1 Page 20 of 60

c. If the entity is a sole proprietorship, please provide the name of the company owner:

Name:
d If the entity is a joint venture, please complete the following table; provide information for each member of the joint venture:

NOTE: For this question, "owner" and "partner" refer to ownership of 10% or more of the business, or 10% or more of its stock, if the business is a corporation.

Name Company Position with Dates of
Company Employment
QQ-10
09/13/2022 D1 Page 21 of 60

3. Has the Engineer of Record changed its name or license number in the past five (5) years? ❑Yes ❑ No
If"yes," explain:

4. Has any owner, partner, or (for corporations) officer of the Engineer of Record operated a design or construction company under any other name in the last five (5) years? ❑Yes ❑ No
If"yes," explain:

5. Provide the following information for the Engineer of Record (i.e., the architect(s) whose stamp will appear on the Project documents)for the Project:

Name License Number Years Licensed

6. Provide the following information for all known engineers who will be providing services the Project:

Name License Number Years Licensed
QQ-11
09/13/2022 D1 Page 22 of 60

ESSENTIAL REQUIREMENTS FOR THE DESIGN-BUILD ENTITY AS A WHOLE

ESSENTIAL REQUIREMENTS FOR THE D-B ENTITY AS A WHOLE
NOTE: A "No" response to question 1 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

1. If the D-B Entity is a joint-venture or partnership, has the D-B Entity attached a copy of the agreement creating the entity which specifies that all partners or association members agree to be fully liable for the performance under the design-build contract? NOTE: A corporation or sole proprietorship is not required to answer this question and should mark "N/A".
❑Yes ❑ No ❑ N/A
NOTE: A "Yes" response to questions 2 through 8 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

2. Has the D-B Entity ever defaulted or been found in default on a construction contract? ❑Yes ❑ No

3. Within the last five (5) years, has a surety firm completed a contract on behalf of the D-B Entity or any of its members, or paid for completion because the D-B Entity or one of its members was terminated for default by the project owner?
❑Yes ❑ No

4. At the time of submitting this Qualification Questionnaire, is the D-B Entity or any of its members ineligible to bid on, propose on, or be awarded a public works contract, or perform as a Subcontractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code section 1777.7?
❑Yes ❑ No

5. At any time during the last five (5) years, has the D-B Entity, or any of its members, been convicted of a crime involving the awarding of a contract for a government construction project, or the bidding or performance of a government contract? ❑Yes ❑ No

6. Has the D-B Entity or any of its members, or any of their owners or officers 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?
❑Yes ❑ No

7. Has the D-B Entity or any of its members, or any of their owners or officers ever been convicted of a crime involving any federal, state, or local law related to construction? ❑Yes ❑ No

8. Has the D-B Entity or any of its members, or any of their owners or officers ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty? ❑Yes ❑ No
QQ-12
09/13/2022 D 1 Page 23 of 60

ESSENTIAL REQUIREMENTS FOR THE GENERAL CONTRACTOR
NOTE: A "No" response to questions 1 through 6 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

1. Does the General Contractor possess a valid, current California contractor's license for the Project services for which it intends to submit a proposal? For this Project, the General Contractor must have a current and active California State Contractor's license with a General Building (B) Contractor classification. ❑Yes ❑ No

2. Does the General Contractor have a liability insurance policy with a policy limit of at least $1 million per occurrence and $2 million aggregate from a California admitted insurance company? D-B Entity must attach a statement from the insurer indicating the General Contractor's ability to provide the insurance.
❑Yes ❑ No

3. Does the General Contractor have current workers' compensation insurance policies as required by the Labor Code or legal self-insurance pursuant to Labor Code section 3700 et seq.?
❑Yes ❑ No

4. Has the General Contractor attached a copy of it most current reviewed or audited financial statement with accompanying notes and supplemental information, as well as reviewed or audited financial statements with accompanying notes and supplemental information for the past 3 years?
❑Yes ❑ No

5. Has the General Contractor attached a notarized statement from a surety insurer admitted and authorized to issue bonds in the State of California (i.e., approved by the California Department of Insurance), which states that the General Contractor's current payment and performance bonding capacity is sufficient for the Project?
NOTE: Required minimum performance and payment bonding capacity for the Project is equal to the estimated Project construction costs, excluding the estimated Project design costs.
❑Yes ❑ No
The notarized statement must be from the surety company, not an agent or broker.

6. Within the last five(5)years, has the General Contractor completed a project with a total contract value of$1 million or more that included work of similar size and complexity as the Project? NOTE: You will be required to identify specific projects and complete a Project Information Form in Part W.A. Failure to identify a qualifying project will result in a "No" response to this question and the D-B Entity will be automatically disqualified without further consideration.
❑Yes ❑ No
QQ-13
09/13/2022 D 1 Page 24 of 60

NOTE: A "Yes" response to questions 7 through 13 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

7. At any time during the last five (5) years, has any Contractors State Licensing Board license of the General Contractor (or the responsible managing officer/employee thereof) been revoked orsuspended?
❑Yes ❑ No

8. Within the last five (5) years, has a surety firm completed a contract on behalf of the General Contractor, or paid for completion because the Contractor or Subcontractor was terminated for default by the project owner?
❑Yes ❑ No

9. At the time of submitting this Qualification Questionnaire, is the General Contractor ineligible to submit a proposal on or be awarded a public works contract, or perform as a Subcontractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code section 1777.7?
❑Yes ❑ No

10. At any time during the last five (5) years, has the General Contractor, 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? ❑Yes ❑ No

11. Has the General Contractor, or any of its owners or officers, 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?
❑Yes ❑ No

12. Has the General Contractor, or any of its owners or officers, ever been convicted of a crime involving any federal, state, or local law related to construction? ❑Yes ❑ No

13. Has the General Contractor, or any of its owners or officers, ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty? ❑Yes ❑ No
QQ-14
09/13/2022 D 1 Page 25 of 60

ESSENTIAL REQUIREMENTS FOR THE ENGINEER OF RECORD
NOTE: A "No" response to questions 1 through 5 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

1. Does the Engineer of Record possess valid and current professional licenses for the services for which they intend to provide on the Project?
❑Yes ❑ No

2. Does the Engineer of Record have a professional liability insurance policy with a policy limit of at least$1 million per occurrence and $2 million aggregate from a California admitted insurance company?
D-B Entity must attach a statement from the insurer indicating the Engineer of Record's ability to provide the insurance.
❑Yes ❑ No

3. Does the Engineer of Record have a current workers' compensation insurance policy as required by the Labor Code or is legally self-insured pursuant to Labor Code section 3700 et seq.?
❑Yes ❑ No

4. Has the Engineer of Record attached a copy of its most current reviewed or audited financial statement with accompanying notes and supplemental information, as well as reviewed or audited financial statements with accompanying notes and supplemental information for the past 3 years?
❑Yes ❑ No
A financial statement that is not either reviewed or audited is not acceptable. A letter verifying availability of a line of credit is not a substitute for the required financial statement.

5. Within the last five (5) years, has the Engineer of Record completed a project with a total construction contract value of $1 million or more that included work of similar size and complexity as the Project?
NOTE: You will be required to identify specific projects and complete a Project Information Form in Part IV.B. Failure to identify a qualifying project will result in a "No" response to this question and the D-B Entity will be automatically disqualified without further consideration.
❑Yes ❑ No
NOTE: A "Yes" response to questions 6 through 10 will result in a "Fail" rating and the D-B Entity will be automatically disqualified without further consideration.

6. Has any professional license, credential, or registration of Engineer of Record been revoked or suspended at any time in the last five (5) years?
❑Yes ❑ No
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7. At any time during the last five (5) years, has the Engineer of Record, or any of its owners or officers, been convicted of a crime involving the awarding of a contract of a government construction project, or performance of a government contract? ❑Yes ❑ No

8. Has the Engineer of Record 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?
❑Yes ❑ No

9. Has the Engineer of Record or any of its owners, officers, or partners ever been convicted of a crime involving any federal, state, or local law related to construction? ❑Yes ❑ No

10. Has the Engineer of Record 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? ❑Yes ❑ No
QQ-16
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SCORED QUESTIONS FOR MEMBERS OF THE D-B ENTITY AND CORE ORGANIZATIONS

SCORED QUESTIONS FOR THE GENERAL CONTRACTOR
The term "GC Associates"shall mean all of the following:
■ The current qualifiers for all current Contractors State License Board licenses held by the contractor. ■ All current officers of a contractor which is a corporation. ■ All current partners of a contractor which is a partnership. ■ All current joint ventures of the joint venture contractor which is seeking qualification.

A-1. How many years has the General Contractor been in business in California as a General Contractor under its present business name and license number? NOTE: If the General Contractor is a joint-venture, enter the average of the qualifying years for each partner to the joint-venture.

Years:

A-2. Are the General Contractor or GC Associates currently the debtor in a bankruptcy case? ❑Yes ❑ No
If"yes," for each case, indicate the case number, and the date on which the petition was filed (attach additional sheets as necessary).

Case M Date filed:

A-3. Were the General Contractor or GC Associates 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 question A-2, above)
❑Yes ❑ No
If"yes," for each case, indicate the case number and the date on which the petition was filed, and the Bankruptcy Court's discharge order number(attach additional sheets as necessary).

Case Date filed: Discharge M
A-4. In the past five years, have the General Contractor or GC Associates been cited for violations of the Contractors State License Law (Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code), excluding alleged violations of federal or state law including the payment of wages, benefits, apprenticeship requirements, or personal income tax withholding?
❑Yes ❑ No
If "yes," describe the nature of each violation, identify the name of the project, the date of its completion, the owner for which it was constructed, and give a brief explanation (attach additional sheets if necessary).

Violation: Project:

Completion: Owner:

Explanation:

QQ-17
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A-5. At any time in the last five years have the General Contractor or GC Associates been assessed and paid liquidated damages of more than $10,000 after completion of a project under a construction contract with either a public or private owner? ❑Yes ❑ No
If yes, identify all such projects by owner, owner's address, completion date of the project, amount of liquidated damages assessed and all other information necessary to fully explain the assessment of liquidated damages (attach additional sheets as necessary):

Owner: Address:

Completed Amount:

Other:

NOTE: For purposes of questions 6 and 7, the term "Associated Firm" refers to another construction firm in which an owner, partner or officer of the GC firm held a similar position, and which is listed in response to question 3 or 4 of Part LC of this form.

A-6. Have the General Contractor or an Associated Firm, or any firm with which any of the General Contractor's owners, officers or partners was associated, ever defaulted on a construction contract?
❑Yes ❑ No
If"yes,"for each instance, identify the company, the person within the General Contractor who was associated with that company, the year of the event, the owner of the project, the project and the basis for the default (attach additional sheets as necessary).:

Company: Person:

Year: Owner: Project:

Basis:

QQ-18
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A-7. In the last five years, have the General Contractor or an Associated Firm, or any firm with which any of the General Contractor'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?
❑Yes ❑ No
If"yes," for each instance, identify the company, the person within the General Contractor who was associated with that company, the year of the event, the owner of the project, the project and the basis for the action (attach additional sheets as necessary).

Company: Person:

Year: Owner: Project:

Basis:

A-8. Have the General Contractor or its GC Associates, or any firm with which any of the General Contractor's owners, officers or partners was associated ever 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?
❑Yes ❑ No
If"yes,"for each instance, identify the year of the event, the owner, the project, the name of the public agency, and the basis for the finding by the public agency (attach additional sheets as necessary):

Year: Owner: Project:

Basis:

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A-9. In the past five years has any claim in excess of $10,000 been made against the General Contractor or its GC Associates arising from or related to a design or construction contract (including claims for violation of the Federal or California False Claims Act)that was not resolved by change order?
❑Yes ❑ No
If "yes," identify each claim 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 (if applicable) and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution). Attach additional sheets if necessary:

Project: Date:

Claimant: Court:

Nature:

Description:

A-10. In the past five years have the General Contractor or its GC Associates made any claim in excess of $10,000 against a project owner arising from or related to a design or construction contract that was not resolved by change order?
❑Yes ❑ No
If"yes," identify each 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 or venue 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). Attach additional sheets as necessary:

Project: Date:

Entity: Defendant:

Description:

QQ-20
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A-11. In the last five years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for the General Contractor or its GC Associates? ❑Yes ❑ No
If"yes,"for each carrier, give name the insurance carrier, the form of insurance and the year of the refusal (attach additional sheets as necessary):

Year: Carrier: Form:

Comments:

A-12. Have the General Contractor or its GC Associates been required to pay a premium of more than one percent(1%)for a performance and payment bond on any project(s) on which the General Contractor or its GC Associates worked at any time during the last five years? ❑Yes ❑ No
If"yes"for each relevant year, state the percentage that your firm was required to pay; you may provide an explanation for a percentage rate higher than one percent(1%), if you wish to do so (attach additional sheets as necessary):

NOTE: Score will be based on the highest single year.

Year: Rate:

Explanation:

A-13. During the last five (5) years, have the General Contractor or its GC Associates been denied payment or performance bond coverage by a surety company, or has there ever been a period of time when General Contractor or its GC Associates had no surety bond in place during a public construction project when one was required?
❑Yes ❑No
If yes, for each instance, indicate the date when General Contractor or its GC Associates were denied coverage and the name of the company or companies that denied coverage; and the period during which you had no surety bond in place (attach additional sheets as necessary):

Date: Surety: Duration Period:

Explanation:

QQ-21
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A-14. Has CAL OSHA cited and assessed penalties against the General Contractor or its GC Associates for any "serious," "willful" or "repeat" violations of CAL OSHA safety or health regulations in the past five (5) years?
NOTE: If the General Contractor or its GC Associates have filed an appeal of a citation that has not yet been ruled on, it need not include information about that claim. ❑Yes ❑ No
If "yes," for each citation, describe the citations, including information about the dates of the citations, the nature of the violation, the project on which the citation(s)was or were issued, 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 (attach additional sheets as necessary):

Description: Date: Nature:

Project: Amount:

A-15. In the past five years, has the federal Occupational Safety and Health Administration cited and assessed penalties against the General Contractor or its GC Associates? NOTE: If the General Contractor or its GC Associates have filed an appeal of a citation that has not yet been ruled on, it need not include information about that claim. ❑Yes ❑ No
If"yes," describe each citation (attach additional sheets as necessary):

Explanation:

A-16. In the past five (5) years, has the EPA or any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either the General Contractor or its GC Associates, or the owner of a project on which the General Contractor was part of the D-B Entity, in the past five (5)years?
❑Yes ❑ No
If"yes," describe each citation (attach additional sheets as necessary):

Explanation:

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A-17. In the past five (5) years, have the General Contractor or its GC Associates been cited for violations of the Federal Insurance Contributions Act (FICA; 26 U.S.C. Sec. 3101 et seq.) withholding requirements?
❑Yes ❑ No
If "yes," describe the nature of each violation, identify the name of the project, the date of its completion, the owner for which it was constructed, and give a brief explanation (attach additional sheets as necessary):

Violation: Project:

Completion: Owner:

Explanation:

A-18. Please obtain a letter from the contractor's insurance carrier(or state fund if applicable)with the contractor's interstate Experience Modification Rate (EMR) for the for each of the past three premium years. If the contractor does not have an interstate rating, obtain the contractor's intrastate EMRs. Attach the letter as part of this package. List your firm's EMIR below(available from the contractor's insurance carrier).

Year EMIR
2019
2018
2017
Three Year Average =
Are the above rates interstate or intrastate?
NOTE: Any of the following methods of"obtaining a letter" are acceptable:
(1) Furnish a letter from the contractor's insurance agent, insurance carrier or state fund (on their letterhead)verifying the EMIR data listed above; or (2) Furnish a photocopy of the applicable Experience Rating Calculation Sheets, which the contractor's insurance carrier should forward to the contractor annually.

Documentation must be attached. Additionally, for each year during the past three years that your EMIR was 1.00 or higher, provide an explanation (attach additional sheets as necessary):

Year: Rate:

Explanation:

QQ-23
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A-19. Within the last five (5) years, has there ever been a period when the General Contractor or its GC Associates had employees, but was without workers' compensation insurance or state- approved self-insurance?
❑Yes ❑ No
If "yes," provide the following information, explaining the reason for the absence of workers' compensation insurance (attach additional sheets as necessary):

Time Period: to
Explanation:

A-20. During the last five (5) years have the General Contractor or its GC Associates been required to pay either back wages or penalties for the General Contractor's failure to comply with California's prevailing wage laws?
❑Yes ❑ No
If"yes," describe 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 (attach additional sheets as necessary):

Violation: I Project:

Completion: Agency:

Employees: Amount:

A-21. During the last five (5)years, have the General Contractor or its GC Associates been penalized or required to pay back wages forfailure to comply with the Federal Davis-Bacon Act prevailing wage requirements?
❑Yes ❑ No
If "yes," describe the nature of the 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 along with the amount of any penalty paid (attach additional sheets as necessary):

Violation: Project:

Completion: Agency:

Employees: Amount:

A-22. Do the General Contractor and its GC Associates and each proposed Subcontractor know and understand their obligations regarding the employment of apprentices on public works under Labor Code section 1777.5 and California Code of Regulations, Title 8, section 230.1? ❑Yes ❑ No
QQ-24
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A-23. At any time during the last five(5)years, have the General Contractor or its GC Associates been found to have violated any provision of California apprenticeship laws or regulations, or the laws pertaining to use of apprentices on public works?
You may omit reference to any incident that occurred prior to January 1, 2015, if the violation was by a Subcontractor and the General Contractor or its GC Associates, as general contractor on a project, had no knowledge of the Subcontractor's violation at the time they occurred.
❑Yes ❑ No
If "yes," provide the date(s) of such findings, and attach copies of the Department's final decision(s).

Date Department Finding Decision #
A-24. Do the General Contractor and its GC Associates require documented safety meetings to be held for construction employees and field supervisors during the course of a project? ❑Yes ❑ No
If"yes," identify how often the meetings are required.

Weekly Bi-Weekly Monthly Less Frequent
❑ ❑ ❑ ❑
A-25. Do the General Contractor and its GC Associates have a written Injury and Illness Prevention Program (IIPP) that complies with California Code of Regulations, Title 8 Sections 1509 and 3203?
❑Yes ❑ No
A-26. Do the General Contractor and its GC Associates have personnel permanently assigned to safety?
❑Yes ❑ No
If yes, state the names of all personnel who are assigned and list their specific duties:

Name Title Specific Duties
QQ-25
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A-27. Do the General Contractor and its GC Associates have a substance abuse testing program? ❑Yes ❑ No
If"yes," identify the testing included.

Pre-Hire Random Probable Cause Post-Incident ❑ ❑ ❑ ❑
A-28. Do the General Contractor and its GC Associates have a written Quality Assurance/Quality Control ("QA/QC") program?
❑Yes ❑ No
A-29. Do the General Contractor and its GC Associates have personnel permanently assigned to QA/QC?
❑Yes ❑ No
If yes, state the names of all personnel who are assigned and list their specific duties:

Name Title Specific Duties
A-30. Based on the financial statement required in Part 11.13, provide the following information about the General Contractor:

Current Assets:

Current Liabilities:

Total Net Worth:

Current Asset/Liability Ratio:

Working Capital
(Current Assets— Current Liabilities)
QQ-26
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SCORED QUESTIONS FOR THE ENGINEER OF RECORD
"Engineer of Record"shall mean the engineer whose stamp will appear on Project documents.

B-1. How many years has the Engineer of Record or Firm been in business in California as an engineer operating under its present business name and license number? Years:

B-2. Is the Engineer of Record or Firm currently the debtor in a bankruptcy case? ❑Yes ❑ No
If"yes," indicate the case number, and the date on which the petition was filed.

Case number: Date filed:

B-3. Was the Engineer of Record or Firm in bankruptcy at any time during the last five (5) years? (This question refers only to a bankruptcy action that was not described in answer to question B-2, above)
❑Yes ❑ No
If"yes," indicate the case number and the date on which the petition was filed, and the Bankruptcy Court's discharge order number.

Case number: Date filed: Discharge M
B-4. In the past ten (10) years has the Engineer of Record or Firm operated without professional liability insurance?
❑Yes ❑ No
If"yes," explain on a separate sheet.

B-5. In the past five (5) years has any claim in excess of$10,000 been made against the Engineer of Record or Firm arising from or related to a design or construction contract (including claims for violation of the Federal or California False Claims Act)that was not resolved by change order or contract amendment?
❑Yes ❑ No
If "yes," for each claim, 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). Attach additional sheets as necessary:

Project Name: Date:

Claimant: Court:

Nature:

Description:

QQ-27
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B-6. In the past five (5) years has the Engineer of Record or Firm made any claim in excess of $10,000 against a project owner arising from or related to a design or construction contract that was not resolved by change order or contract amendment? ❑Yes ❑ No
If"yes,"for each claim, 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). Attach additional sheets as necessary:

Project Name: Date:

Entit s : Court:

Nature:

Description:

B-7. In the last five (5) years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for the Engineer of Record or Firm? ❑Yes ❑ No
If"yes"for each instance, give name of the insurance carrier, the form of insurance and the year of the refusal (attach additional sheets as necessary):

Year: Carrier: Form:

Comments:

B-8. Based on the financial statement required in Part II.C, provide the following information about the Engineer of Record:

Current Assets:

Current Liabilities:

Total Net Worth:

Current Asset/Liability Ratio:

Working Capital
(Current Assets—Current Liabilities)
QQ-28
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RECENT CONSTRUCTION PROJECTS COMPLETED

GENERAL CONTRACTOR EXPERIENCE
The D-B Entity shall submit information describing projects completed in the past five (5) years by the D-B Entity or its General Contractor that demonstrate that the D-B Entity and its General Contractor have the experience, competency, capability, and capacity to design and complete projects of similar size, type, and complexity to the Project; a single project may fulfill more than one required experience criterion.

Only information, experience, and work performed by the D-B Entity or General Contractor that will perform the Project, if selected, will be considered for qualification unless otherwise indicated below.

1. How many public works design-build projects with a total contract value of$1 million or more has the General Contractor completed in the last five (5)years? Number of public works Design-Build projects $1 M+
List the following information for the (up to five) most recent of these projects. For each project, provide information in the Project Information Form located at the end of this section.

Project Name Location Construction Cost

2. How many projects with a total contract value of$1 million or more have the General Contractor and Engineer of Record for the proposed Design-Build Entity completed together in the last five (5)years?
Number of projects with same Contractor / Engineer of
Record Team $1 M+
List the following information for the (up to five) most recent of these projects. For each project, provide all information requested on the Project Information Form located at the end of this section.

Project Name Location Construction Cost
QQ-29
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3. How many multi-family residential projects with a total contract value of$1 million or more that included work of similar size and complexity as the Project? Number of similar projects $1 M+
List the following information for the (up to five) most recent of these projects. Please specify whether or not the project was a public works project. For each project, provide information in the Project Information Form located at the end of this section.

Project Name Location Public Works Construction Project Y or N Cost
QQ-30
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PROJECT INFORMATION FORM

GENERAL CONTRACTOR
VERIFY ALL CONTACTS PRIOR TO SUBMITTAL. D-B Entities are advised that the Town reserves the right to verify all Project information submitted below. It is the D-B Entity's responsibility to ensure contacts are available to the Town for verification. Material inaccuracies may result in reduced qualification scores and disqualification.

Do not leave any spaces blank.

If not applicable, state "Not Applicable"and explain why. If none, state "NONE." Reference Informatior,-.

Project Name:

Project or Contract Number:

Project Location:

Street Address District& State Zip Code
Owner Information: Contact Person:

Owner's Name Name &Title
Address:

Street Address District&State Zip Code
Telephone: Facsimile: Email:

Address of D-B Entity or General Contractor's Office that Performed the Work:

Street Address District&State Zip Code
Name of D-B Entity or General Contractor's
Project Manager for project:

Name of D-B Entity or General Contractor's
Superintendent for project:

Contractor:

Contact Person:

Address:

Street Address District&State Zip Code
Telephone: Facsimile: Email:

QQ-31
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Design Firm: Contact Person:

Name &Title
Address: I ,
Street Address District&State Zip Code
Telephone: Facsimile: Email:

Name of Design Firm's Project Manager for project:

Contract Time:

Start Date: Scheduled Completion Date:

Month/Day/Year Month/Day/Year
Actual Completion Date: Days Extended due to Unexcused Delays:

Month/Day/Year
Contract Amount:

Base Amount Adjustment Due to Change Orders Final Contract Amount Project Information:

Was the project a Design-Build project? Yes❑ No[] Type of Project: ❑ Other ❑
Type of Owner: Public❑ Private❑ Other
What was the building area of the project(square footage)? SF
Was the project built in California? Yes❑ No[-] Project Description: (Provide a brief description including project photo) QQ-32
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ENGINEER OF RECORD EXPERIENCE
The Engineer of Record shall submit projects completed in the past five (5) years that demonstrate that the Engineer of Record has the experience, competency, capability, and capacity to design and complete, projects of similar size, type, and complexity to the Project; a single project may fulfill more than one required experience criterion.

Only information, experience and work performed by the Engineer of Record participating in the Design-Build Entity will be considered for qualification unless otherwise indicated below.

1. How many public works design-build projects with a total construction cost of$1 million or more has the Engineer of Record designed in the last five (5) years? Number of public works design-build projects $1 M+
List the following information for the (up to five) most recent of these projects. For each project, provide information in the Project Information Form located at the end of this section.

Project Name Location Construction Cost

2. How many multi-family residential projects with a total contract value of$1 million or more that included work of similar size and complexity as the Project has the Engineer of Record designed in the last five (5) years?
Number of similar projects $1 M+
List the following information for the (up to five) most recent of these projects. Please specify whether or not the project was a public works project. For each project,provide information in the Project Information Form located at the end of this section.

Project Name Location Public Works Construction Project Y or N Cost
QQ-33
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PROJECT INFORMATION FORM

ENGINEER OF RECORD
VERIFY ALL CONTACTS PRIOR TO SUBMITTAL. D-B Entities are advised that the Town reserves the right to verify all Project information submitted below. It is the D-B Entity's responsibility to ensure contacts are available to the Town for verification.

Material inaccuracies may result in reduced qualification scores and disqualification.

Do not leave any spaces blank. If not applicable, state "Not Applicable"and explain why. If none,state "NONE."
Reference Info=rmation.:

Project Name:

Project or Contract Number:

Project Location: ,
Street Address District&State Zip Code
Owner Information: Contact Person:

Owner's Name Name &Title
Address:

Street Address District&State Zip Code
Telephone: Facsimile: Email:

I
Address of Engineer of Record's Office that Performed the Work:

Street Address District&State Zip Code
Name of Engineer of Record's Project Manager for
Project:

Contractor:

Contact Person:

Address:

Street Address District&State Zip Code
Telephone: Facsimile: Email:

I
QQ-34
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Contract Time:

Start Date: Scheduled Completion Date:

Month/Day/Year Month/Day/Year
Actual Completion Date: Days Extended due to Unexcused Delays:

Month/Day/Year
Contract Amount:

Base Amount Adjustment Due to Change Orders Final Contract Amount Project Information:

Was the project a Design-Build project? Yes❑ No[] Type of Project: Other
El
Type of Owner: Public Project❑ Other Private Project❑ ❑ What was the area of the project(acres)? SF
Was the project built in California? Yes❑ No❑ Project Description: (Provide a brief description including project photo) QQ-35
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CERTIFICATION
Part VI requires verification under oath by the D-B Entity and each Core Organization in a manner consistent with the verification requirements for civil pleadings pursuant to Code of Civil Procedure section 446. District will not review Qualification Questionnaires that are not properly verified.

I, the undersigned, am authorized to make this verification on behalf of I have read the foregoing Qualification Questionnaire and responses thereto. I am familiar with its contents and, based upon information available to me, the contents are true and correct.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed at on
(City) (State) (Date)
(Signature)
(Printed Name)
(Firm)
(Position)
QQ-36
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ATTACHMENT B

QUESTIONNAIRE SCORING CRITERIA
(For reference purposes only)
09/13/2022 D1 Page 48 of 60

SCORING WORKSHEETS

DETAILED SCORING WORKSHEETS
D-B Entity Name:

PART ILA Essential Requirements For the D-B Entity as a Whole:

Question Requirement/Question Yes No
No.

A"Yes" response is required for the following questions:
1 If the D-B Entity is a joint-venture or partnership, has the D-B Entity attached a copy of the agreement creating the entity which specifies that all partners or association members agree to be fully liable for the performance under the design-build contract?
NOTE: A corporation or sole proprietorship is not required to answer this question and should mark"N/A". ❑ N/A
A"No" res onse is required for the following questions:
2 Has the D-B Entity ever defaulted or been found in default on a construction contract?
3 Within the last five (5) years, has a surety firm completed a contract on behalf of the D-B Entity or any of its members, or paid for completion because the D-B Entity or one of its members was terminated for default by the project owner? 4 Is the D-B Entity or any of its members ineligible to bid on, propose on, or be awarded a public works contract, or perform as a Subcontractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code
section 1777.7?
5 At any time during the last five (5) years, has the D-B Entity, or any of its members, been convicted of a crime involving the awarding of a contract for a government construction project, or the bidding or performance of a government contract?
6 Has the D-B Entity or any of its members, or any of their owners or officers 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?
7 Has the D-B Entity or any of its members, or any of their owners or officers ever been convicted of a crime involving any federal, state, or local law related to construction?
8 Has the D-B Entity or any of its members, or any of their owners or officers ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?
Pass this section?
SC-1 11/22/2021
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PART 11.113 Essential Requirements For the General Contractor:

Question Requirement/Question Yes TNo
No.

A"Yes" response is required for the following questions:
1 Does the General Contractor possess a valid, current California contractor's license for the Project services for which it intends to submit a proposal?
2 Does the General Contractor have a liability insurance policy with a policy limit of at least$1 million per occurrence and $2 million aggregate from a California admitted insurance company? 3 Does the General Contractor have current workers' compensation insurance policies as required by the Labor Code or legal self- insurance pursuant to Labor Code section 3700 et seq.?
4 Has the General Contractor attached a copy of its most current reviewed or audited financial statement with accompanying notes and supplemental information, as well as reviewed or audited financial statements with accompanying notes and supplemental information for the past 3 years?
5 Has the General Contractor attached a notarized statement from a surety insurer admitted and authorized to issue bonds in the State of California (i.e., approved by the California Department of Insurance), which states that the General Contractor's current payment and performance bonding capacity is sufficient for the Project?
6 Within the last five (5) years, has the General Contractor completed a project with a total contract value of$1 million or more that included work of similar size and complexity as the Project?
A"No" response is required for the following questions:
7 At any time during the last five (5) years, has any Contractors State Licensing Board license of the General Contractor(or the responsible managing officer/employee thereof) been revoked or suspended?
8 Within the last five (5) years, has a surety firm completed a contract on behalf of the General Contractor, or paid for completion because the Contractor or Subcontractor was
terminated for default by the project owner?
9 At the time of submitting this Qualification Questionnaire, is the General Contractor ineligible to submit a proposal on or be awarded a public works contract, or perform as a Subcontractor on a public works contract, pursuant to either Labor Code section 1777.1 or Labor Code section 1777.7?
10 At any time during the last five (5)years, has the General Contractor, 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?
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PART 11.113 Essential Requirements For the General Contractor:

Question Requirement/Question Yes No
No.
11 Has the General Contractor, or any of its owners or officers, 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?
12 Has the General Contractor, or any of its owners or officers, ever been convicted of a crime involving any federal, state, or local law related to construction?
13 Has the General Contractor, or any of its owners or officers, ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?
Pass this section?
PART II.0 Essential Requirements For the Engineer of Record:

Question Requirement/Question Yes No
No.

A "Yes" response is required for the following questions:
1 Does the Engineer of Record possess valid and current professional licenses for the services for which they intend to provide on the Project?
2 Does the Engineer of Record have a professional liability insurance policy with a policy limit of at least $1 million per occurrence and $2 million aggregate from a California admitted insurance company?
3 Does the Engineer of Record have current workers' compensation insurance policy as required by the Labor Code or is legally self- insured pursuant to Labor Code section 3700 et seq.?
4 Has the Engineer of Record attached a copy of its most current reviewed or audited financial statement with accompanying notes and supplemental information, as well as reviewed or audited financial statements with accompanying notes and supplemental information for the past 3 years?
5 Within the last five (5) years, has the Engineer of Record completed a project with a total construction contract value of$1 million or more that included work of similar size and complexity as the Project?
A "No" res onse is required for the following questions:
6 Has any professional license, credential, or registration of Engineer of Record been revoked or suspended at any time in the last five (5) years?
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PART II.0 Essential Requirements For the Engineer of Record:

Question Requirement/Question Yes No
No.
7 At any time during the last five (5)years, has the Engineer of Record or any owner or officer of either been convicted of a crime involving the awarding of a contract of a government construction project, or performance of a government contract?
8 Has the Engineer of Record 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?
9 Has the Engineer of Record 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 Has the Engineer of Record 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?
Pass this section?
PART III.A Scored Questions for the General Contractor Minimum re uired total score = 125points; Maximum possible score = 187 points):

Question Requirement/Question Score
No.

A-1 How many years has the General Contractor been in business in California as a General Contractor under its present business name and license number?
5 yrs or less = O pts
6 yrs = 1 pts
7 yrs = 3pts
8yrs + = 5pts
A-2 Are the General Contractor or GC Associates currently the debtor in a bankruptcy case?
Yes = Opts
No = 10 pts
A-3 Were the General Contractor or GC Associates in bankruptcy at any time during the last five years?
Yes = Opts
No = 10 pts
A-4 In the past five years, have the General Contractor or GC Associates been cited for violations of the Contractors State License Law (Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code), excluding alleged violations of federal or state law including the payment of wages, benefits, apprenticeship requirements, or personal income tax withholding? 5 pts for 0 or 1 instances
3 pts for 2 instances
0 pts for more than 2 instances
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PART III.A Scored Questions for the General Contractor (Minimum required total score = 125 points; Maximum possible score = 187 points):

Question Requirement/Question Score
No.

A-5 At any time in the last five years have the General Contractor or GC Associates been assessed and paid liquidated damages of more than $10,000 after completion of a project under a construction contract with either a public or private owner?
0-1 Projects = 10 pts
2 Projects = 3 pts
More than 2 Projects = 0 pts
A-6 Have the General Contractor or an Associated Firm, or any firm with which any of the General Contractor's owners, officers or partners was associated, ever defaulted on a construction contract? Yes = Opts
No = 5pts
A-7 In the last five years, have the General Contractor or an Associated Firm, or any firm with which any of the General Contractor'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? Yes = Opts
No = 10 pts
A-8 Have the General Contractor or its GC Associates, or any firm with which any of the General Contractor's owners, officers or partners was associated ever 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?
Yes = Opts
No = 5pts
A-9 In the past five years has any claim in excess of$10,000 been made against the General Contractor or its GC Associates arising from or related to a design or construction contract (including claims for violation of the Federal or California False Claims Act) that was not resolved by change order?
5 pts for 0 or 1 instances
3 pts for 2 instances
0 pts for more than 2 instances
A-10 In the past five years have the General Contractor or its GC Associates made any claim in excess of$10,000 against a project owner arising from or related to a design or construction contract that was not resolved by change order?
5 pts for 0 or 1 instances
3 pts for 2 instances
0 pts for more than 2 instances
A-11 In the last five years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for the General Contractor or its GC Associates?
Yes = Opts
No = 5 pts
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PART III.A Scored Questions for the General Contractor (Minimum required total score = 125 points; Maximum possible score = 187 points):

Question Requirement/Question Score
No.

A-12 Have the General Contractor or its GC Associates been required to pay a premium of more than one percent (1%) for a performance and payment bond on any project(s) on which the General Contractor or its GC Associates worked at any time during the last five years? Yes = Opts
No = 5pts
A-13 During the last five (5) years, have the General Contractor or its GC Associates been denied payment or performance bond coverage by a surety company, or has there ever been a period of time when General Contractor or its GC Associates had no surety bond in place during a public construction project when one was required? Yes = Opts
No = 5pts
A-14 Has CAL OSHA cited and assessed penalties against the General Contractor or its GC Associates for any "serious," "willful" or "repeat" violations of CAL OSHA safety or health regulations in the past five (5) years?
5 pts for 0 or 1 instance
3 pts for 2 instances
0 pts for more than 2 instances
A-15 In the past five years, has the federal Occupational Safety and Health Administration cited and assessed penalties against the General Contractor or its GC Associates?
5 pts for 0 or 1 instance
3 pts for 2 instances
0 pts for more than 2 instances
A-16 In the past five (5) years, has the EPA or any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either the General Contractor or its GC Associates, or the owner of a project on which the General Contractor was part of the D-B Entity, in the past five (5) years? 5 pts for 0 or 1 instance
3 pts for 2 instances
0 pts for more than 2 instances
A-17 In the past five (5) years, have the General Contractor or its GC Associates been cited for violations of the Federal Insurance Contributions Act(FICA; 26 U.S.C. Sec. 3101 et seq.)withholding requirements?
5 pts for 0 or 1 instance
3 pts for 2 instances
0 pts for more than 2 instances
A-18 List your firm's EMR below (available from the contractor's insurance carrier).
5 points for three-year average EMR of.95 or less
3 points for three-year average of EMR of more than .95 but no more than

1.25 0 points for any other EMR
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PART III.A Scored Questions for the General Contractor (Minimum required total score = 125 points; Maximum possible score = 187 points):

Question Requirement/Question Score
No.

A-19 Within the last five (5) years, has there ever been a period when the General Contractor or its GC Associates had employees, but was without workers' compensation insurance or state-approved self- insurance?
5 pts for 0 instances
0 pts for greater than 0 instances
A-20 During the last five (5) years have the General Contractor or its GC Associates been required to pay either back wages or penalties for the General Contractor's failure to comply with California's prevailing wage laws?
5 pts for 0 to 2 instances
3 pts for 3 instances
0 pts for more than 3 instances
A-21 During the last five (5) years, have the General Contractor or its GC Associates been penalized or required to pay back wages for failure to comply with the Federal Davis-Bacon Act prevailing wage requirements?
5 pts for 0 to 2 instances
3 pts for 3 instances
0 pts for more than 3 instances
A-22 Do the General Contractor and its GC Associates and each proposed Subcontractor know and understand their obligations regarding the employment of apprentices on public works under Labor Code section 1777.5 and California Code of Regulations, Title 8, section 230.1?
Yes = 5pts
No = Opts
A-23 At any time during the last five (5) years, have the General Contractor or its GC Associates been found to have violated any provision of California apprenticeship laws or regulations, or the laws pertaining to use of apprentices on public works?
5 pts for 0 to 2 instances
3 pts for 3 instances
0 pts for more than 3 instances
A-24 Do the General Contractor and its GC Associates require documented safety meetings to be held for construction employees and field supervisors during the course of a project?
Yes = 2pts
No = Opts
A-25 Do the General Contractor and its GC Associates have a written Injury and Illness Prevention Program (IIPP) that complies with California Code of Regulations, Title 8 Sections 1509 and 3203? Yes = 2pts
No = Opts
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PART III.A Scored Questions for the General Contractor (Minimum required total score = 125 points; Maximum possible score = 187 points):

Question Requirement/Question Score
No.

A-26 Do the General Contractor and its GC Associates have personnel permanently assigned to safety?
Yes = 2pts
No = Opts
A-27 Do the General Contractor and its GC Associates have a substance abuse testing program?
Yes = 2pts
No = Opts
A-28 Do the General Contractor and its GC Associates have a written Quality Assurance/Quality Control ("QA/QC") program?
Yes = 2pts
No = Opts
A-29 Does the General Contractor have personnel permanently assigned to QA/QC?
Yes = 2pts
No = Opts
Total Net Worth:

Less than $4 million = 0 pts
$4 million <_Total Net Worth < $12 million = 5 pts
$12 million <_Total Net Worth < $20 million = 10 pts
Greater than orequal to $20 million = 15 pts
Current Asset/Liability Ratio:

A-30 Less than 1.0 = Opts

1.0 <_Asset/Liability Ratio < 1.15 = 5 pts
Greater than orequal to 1.15 = 10 is
Working Capital:

Less than $3 million = 0 pts
$3 million <_Working Capital < $10 million = 5 pts
$10 million <_Working Capital < $15 million = 10 pts
Greater than or equal to $15 million = 15 pts
Subtotal Part III.A
PART 111.13 Scored Questions for the Engineer of Record Minimum required total score = 49 points; Maximum possible score = 85 points):

Question Requirement/Question Score
No.

B-1 How many years has Engineer of Record been in business in California?
Less than 5 yrs = 0 pts
5 yrs = 1 pts
6 yrs = 3pts
7yrs + = 5pts
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PART 111.13 Scored Questions for the Engineer of Record Minimum re uired total score = 49points; Maximum possible score = 85 points):

Question Requirement/Question Score
No.

B-2 Is the Engineer of Record or Firm currently the debtor in a bankruptcy case?
Yes = Opts
No = 10 pts
B-3 Was the Engineer of Record or Firm in bankruptcy at any time during the last five (5) years? (This question refers only to a bankruptcy action that was not described in answer to question B-2, above) Yes = Opts
No = 10 pts
B-4 In the past ten (10) years has the Engineer of Record or Firm operated without professional liability insurance?
Yes = Opts
No = 5 pts
B-5 In the past five (5) years has any claim in excess of$10,000 been made against the Engineer of Record or Firm arising from or related to a design or construction contract (including claims for violation of the Federal or California False Claims Act) that was not resolved by change order or contract amendment?
5 pts for 0 to 1 instances
3 pts for 2 instances
0 pts for more than 2 instances
B-6 In the past five (5) years has the Engineer of Record or Firm made any claim in excess of$10,000 against a project owner arising from or related to a design or construction contract that was not resolved by change order or contract amendment?
5 pts for 0 to 2 instances
3 pts for 3 instances
0 pts for more than 3 instances
B-7 In the last five (5) years has any insurance carrier, for any form of insurance, refused to renew the insurance policy for the Engineer of Record or Firm?
Yes = -5 pts
No = 5pts
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Total Net Worth:

Less than $2 million = 0 pts
$2 million <_Total Net Worth < $7 million = 5 pts
$7 million <_Total Net Worth < $15 million = 10 pts
Greater than or equal to $15 million = 15 pts
Current Asset/Liability Ratio:

B 8 Less than 1.0 = Opts

1.0 <_Asset/Liability Ratio < 1.15 = 5 pts
Greater than orequal to 1.15 = 10 is
Working Capital:

Less than $2 million = 0 pts
$2 million <_Working Capital < $6 million = 5 pts
$6 million <_Working Capital < $10 million = 10 pts
Greater than orequal to$10 million = 15 pts
Subtotal Part 11LB
PART IV.A General Contractor Experience
(Minimum required total score = 16 points; Maximum possible score = 24 points):

Question Requirement/Question Score
No.
1 How many public works Design-Build projects with a total contract value of$1 million or more has the General Contractor completed in the last five (5) years?
Award 2 points per project(Max 10 points)
Note: In order to receive points, the Project Information Form must be completed and reference checks must be satisfactory
2 How many projects with a total contract value of$1 million or more have the General Contractor and Engineer of Record on your proposed Design-Build team completed together in the last five (5) years?
0 Projects = 0 pts
1 Project= 2 pts
2+ Projects = 4 pts
3 How many multi-family residential projects with a total contract value of$1 million or more that included work of similar size and complexity as the Project has the General Contractor completed in the last five (5) years?
Award 1.5 points per project. Award an additional 0.5 points if the project was a public works project. (Max 10 points)
Note: In order to receive points, the Project Information Form must be completed and reference checks must be satisfactory
Subtotal Part IV.A
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PART IV.I3 Engineer of Record Experience
Minimum re uired total score = 12points; Maximum possible score = 20 points):

Question Requirement/Question Score
No.
1 How many public works design-build projects with a total construction cost of$1 million or more has the Engineer of Record designed in the last five (5)years?
Award 2 points per project(Max 10 points)
Note: In order to receive points, the Project Information Form must be completed and reference checks must be satisfactory
2 How many multi-family residential projects with a total construction contract value of$1 million or more that included work of similar size and complexity as the Project has the Engineer of Record designed in the last five (5) years?
Award 1.5 points per project. Award an additional 0.5 points if the project was a public works project. (Max 10 points)
Note: In order to receive points, the Project Information Form must be completed and reference checks must be satisfactory
Subtotal Part IV.B
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EVALUATION SUMMARY
D-B Entity Name:

Maximum Minimum D-B Entity
Section Points Required to Score
Available Pass
Part II — Essential Requirements
Part II A. Essential Requirements For the Design- Pass Pass Build Entity as a Whole Pass/Fail
Part II B. Essential Requirements For the General Pass Pass Contractor (Pass/Fail)
Part II C. Essential Requirements For the Engineer Pass Pass of Record (Pass/Fail)
Essential Requirements (Pass/Fail)
Part III—Scored Questions
Part I I I A. Scored Questions for the General 187 125 Contractor
Part III B. Scored Questions for the Engineer of 85 49 Record
Subtotal Part III
Part IV— Relevant Experience
Part IV A. Relevant Experience D-B Entity/ 24 16 General Contractor
Part IV B. Relevant Experience Engineer of Record 20 12 Subtotal Part IV
Total Score (Part III + Part IV)
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CITY OF VISTA C A L I F 0 R N I A
CITY OF VISTA D1 , Discuss Permanent
REQUEST FOR QUALIFICATIONS Supportive Housing
Permanent Supportive Housing
RFQ Publish Date September 2 Request forQualifications RFQ Response Due Date October 6,202 2022
September 13 , 2022

CITY OF VISTA
D1. Discuss Permanent Supportive Housing Request for Qualifications January January -
hm I Pro
arch 2022
• City Council • Shelter RFPr�_• City Council directed staff was directed staff
to finalize a unsuccessful, to develop a
year-round and no RFQ for
shelter RFP proposals Permanent
were Supportive
submitted Housing

CITY OF VISTA
C A L I F 0 R N I A
D1. Discuss Permanent Supportive Housing Request for Qualifications Target Population
Development targeted to support
housing
.; - -ready, unsheltered
X,MA, community
Set-aside of up to 10 percent of
housing units for unsheltered
veterans

CITY OF VISTA

CITY OF VISTA
L A l I F 0 . . I A
D1. Discuss Permanent Supportive Housing Request for Qualifications Compile short Select 00
�Kill
Developers to list and developer and
Enter into agreement by 2023
1 submit SOQ conduct negotiate a � � � � interviews DDA

CITY OF VISTA

CITY OF
PermanentD1. Discuss • Request
207
926
66 � RFQ Details
16d '
5 140 City providing land (0.44 acres) and $2M Ss'.wf
4 4 0. iS ZB
3° �R
' Y
924, Minimum of 55- ear affordability covenant - �;XE: 902
could increase depending on funding sources
Unit count and public services to be proposed
by developer
• Evaluation based on experience, interview,
- ' ` financial capability and criteria outlined in RF .�F OF
CITY

CITY OF VISTA
L A l I F 0 . . I A
D1. Discuss Permanent Supportive Housing Request for Qualifications Schedule
Activity Date
F 'Er
RPQ Published on Procu11 re 111 iiii September • Submittal Deadline October •
Review by CommissionNovember • 2022
Interviews Week of • - • - 2022 Council Approval •

CITY OF VISTA

Vista City CouncilSeptember 13, 2022

Vista City Council
September 13, 2022