HomeMy WebLinkAbout30-44117 - S Tahoe PUD Bid Docs_Redacted5. Contractor's General Information
This form is to be submitted with the Pre -Qualification Packet, along with the submittals
required in Part 6 through 8 completed. The Pre -Qualification Packet must be received
by the District no later than: 5:00 PM on Wednesday, February 5, 2025.
Company Name:
Telstar Instruments
Owner of Company (if sole proprietorship):
Contact Person: Mickie Gardiner
Address:
Phone: Fax:
E-Mail:
Contractor's License No.: No. 422364
(if applicable)
Has any owner, partner or (for corporations) officer of your firm operated a Control
Systems Integration firm under any other name in the last five years?
Yes 0 No
If "yes," explain on a separate signed page, including the reason for the change.
Page 7 of 17
6. Criteria Essential for Pre -Qualification
In order to be considered by the District for pre -qualification for the Project, the Contractor must answer all
of the following questions.
Contractor will be immediately disqualified if any answer to Questions 6.1- 6.4 is "NO".
Contractor will be immediately disqualified if the answers to Questions 6.6-6.7 is "YES". If the answer to
Question 6.5 is "YES" and if debarment would be the sole reason for denial of pre -qualification, any pre -
qualification issued will exclude the debarment period.
6.1 Does Contractor have at least 5 years of experience in the YesFv]No
installation and programming of all of the following hardware
and software?
Allen-Bradley ControlLogix PLCs
Rockwell Studio 5000
AVEVA System Platform/Wonderware Window Viewer
running in a Terminal Services Environment
Microsoft Terminal Services
6.2 (1) Does Contractor have a home office for systems YesONo
integration/programming personnel within 150 driving miles
from the District's Customer Service Facility, or
(2) Can the Contractor otherwise demonstrate an ability for
personnel to reach the project site within 3 hours of
receiving a request for emergency response for the duration
of the project and 3-year warranty period?
If the answer to (1) is Yes then mark "Yes". If the answer to
(1) is No, but the answer to (2) is Yes, then mark "Yes" and
provide explanation on a separate sheet. If the answer to
both (1) and (2) is No, then mark "No".
6.3 (1) Does Contractor have a fabrication panel shop within Yes ONo
150 driving miles from the District's Customer Service
Facility, or
(2) Can the Contractor otherwise demonstrate an ability for
fabricated items to reach the project site within 3 hours of
receiving a request for emergency response for the duration
of the project and 3-year warranty period?
If the answer to (1) is Yes then mark "Yes". If the answer to
(1) is No, but the answer to (2) is Yes, then mark "Yes" and
provide explanation on a separate sheet. If the answer to
both (1) and (2) is No, then mark "No".
Page 8of17
6.4 Has the firm completed within the past five (5) years controls YesF--,-]No
integration work within existing systems for at least three (3)
Public Works infrastructure projects valued at least $1
million each in California or Nevada?
For purposes of this question, controls integration work shall
include those activities bulleted in Part 2 of this document.
Contractor will be required to provide information regarding
the three projects in response to question 7.16.
6.5 At the time of submittal of the Pre -qualification Packet, has Yes _ No0
the Contractor been found ineligible to bid on or be awarded
a public works contract, or perform as a subcontractor on a
public works contract pursuant to either Labor Code section
1771.1 or Labor Code section 1777.7?'
If the answer is "Yes," state the beginning and ending dates
of the period of debarment:
6.6 In the last ten (10) years, has your firm or any of its owners, Yes _ Now
officers or partners, ever been found liable in a civil suit, or
convicted/found guilty in a criminal action: (a) involving the
awarding of a contract of a government construction project,
(b) involving the bidding or performance of a government
contract, or (c) involving fraud, theft or any other act of
dishonesty, including but not limited to the California False
Claims Act, or Federal False Claims Act?
6.7 Has the Contractor been cited and assessed by CAL OSHA Yes _ No0
penalties for any "serious," "willful," or "repeat" violations of
its safety or health regulations in the past five (5) years?'
This does not include ineligibility based upon any violations prior to January 1, 1998, if the violation was based on a
subcontractor's failure to comply with these Labor Code provisions and the Contractor had no knowledge of the subcontractor's
violations.
2 NOTE: If you have filed an appeal of a citation, and the Occupational Safety and Health Appeals Board has not yet ruled on your
appeal, you need not include information about it.
Page 9of17
7. Pre -Qualification Questionnaire (Attach Explanations as Necessary)
7.1 Association Membership: Is Contractor a member of the Control System Integrators Association
(CSIA)?
Yes / No Level of Membership: Certified Member
7.2 Training and Certification: Is Contractor a Certified Member of CSIA?
Yes / No Date: March 3, 2020 - March 3, 2026
7.3 Training and Certification: Has the Contractor been Endorsed or Certified by
AVEVA/Wonderware in Systems Integration?
Yes / No Date: expires April 6, 2025
7.4 Training and Certification: Has the Contractor been Certified by AVEVA/Wonderware for Systems
Platform Integration?
Yes / No Date:
7.5 Training and Certification: Has the Contractor been Certified by AVEVA/Wonderware for InTouch
Integration?
Yes / No Date: effective October 22, 2019
7.6 Training and Certification: Has the Contractor received formal training by AVEVA/Wonderware for
InTouch Integration?
Yes / No
7.7 Security: How many times in the last 5 years has the Contractor been denied work because its
staff has failed to pass a required background check?
Number of instances: 0
7.8 Security: How many times in the last 5 years has the Contractor had to change the members of a
project team because its staff has failed to pass a required background check?
Number of instances: 0
7.9 Security: How many times in the last five years has the Contractor been denied work because it
has refused to sign a confidentiality agreement?
Number of instances: 0
7.10 Financial Capacity: In the past 10 years has Bidder reorganized under the protection of
bankruptcy laws?
Yes _ NoF'J If yes, please state when
Page 10 of 17
7.11 Staffing: How many full-time engineers and programmers does the firm currently staff from local
offices (within 150 miles)?
Number of Engineers: 15
Number of Programmers: 188
7.12 DBE/MBE/WBE Status: Is your firm a qualified Disadvantaged Business Enterprise (DBE); Minority
Business Enterprise (MBE); and/or a Women's Business Enterprise (WBE) with a US
Environmental Protection Agency (EPA) accepted certification? If Yes, please provide the certifying
agency and certificate number in the spaces provided below.
Certifying Agency: N/A
7.13 Insurance: In the last five years has any insurance carrier, for any form of insurance, refused to
renew the insurance policy for the contractor?
Yes _ No 0 If "yes," explain on a separate signed page. Name the insurance carrier, the
form of insurance and the year of each refusal.
7.14 Prevailing Wage: During the last five years, has there been any occasion in which the contractor
was required to pay either back wages or penalties for the contractor's own firm's failure to comply
with California's prevailing wage laws?
Yes _ No0 If "yes," attach a separate signed page or pages, describing the nature of
each violation, identifying the name of the project, the date of its completion,
the public agency for which it was constructed, the number of employees who
were initially underpaid and the amount of back wages and penalties that the
contractor was required to pay.
7.15 Prevailing Wage: During the last five years, has there been any occasion in which the contractor's
own firm has been penalized or required to pay back wages for failure to comply with the federal
Davis -Bacon prevailing wage requirements?
Yes _ No0 If "yes," attach a separate signed page or pages describing 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 the contractor was
required to pay along with the amount of any penalty paid.
Page 11 of 17
7.16 Controls Integration Experience
The unique nature of the Project requires that the Control Systems Integrator have experience within the past five (5) years in
controls integration within existing systems for at least three (3) Public Works infrastructure projects similar to the Project of at least
$1 million each in California or Nevada. Please provide the requested information for the 3 projects most similar to the Project which
the Contractor has COMPLETED in the last 5 vears.
Project Name/Owner
Project
`o
w N
o m
Years: Started
Name of Contractor's
Name of Contractor's
Type
of Project
Check all that apply)
Amount
U
and Completed
Project Manager
Programmer
CU
3
Owner's Contact / Phone Number
�$M)
"
�_
w
CU
w
If Other, Specify
P o
0_ c
`o
O
o O
m
o
j
�. City of Chico;
$1,000,
28%
2021
2024
Ben Herston
Ryan Bowman
X
000.00
A. Did project require integration of new controls into an existing system? Yes X No
B. Did the project include programming control strategies for aeration
blower systems including blower vendor control panels? Yes X No
C. Approximately how many PLC 1/0 were required for the Project? Number 400
D. Approximately how many equipment loops were programmed for the Project? Number 100
E. Approximately how many equipment tags were used for the Project? Number 12,000
F. Which of the following products were used in the Project? (Check all that apply)
0 AVEVA/Wonderware InTouch 0 AVEVA/Wonderware Historian 0 Rockwell Studio 5000
0 Microsoft SQL Server
0 Microsoft Terminal Services
Page 12 of 17
0 Allen Bradley ControlLogix PI -Cs
Project Name/Owner
Project
`o
w N
o
Years: Started
Name of Contractor's
Name of Contractor's
Type
of Project
Check all that apply)
°
Amount
U
and Completed
Project Manager
Programmer
3
'1
Owner's Contact / Phone Number
$M )
°
a
u
0
w
If Other, Specify
_
P oco
0_ c
`o
O
o °
m
o
j
City of Manteca
$2,000,
25%
2020
2024
Suresh Patil
Brett Stickler
X
2
WQCF PLC-SCADA
000.00
Upgrade;
A. Did project require integration of new controls into an existing system?
B. Did the project include programming control strategies for aeration
blower systems including blower vendor control panels?
C. Approximately how many PLC 1/0 were required for the Project?
D. Approximately how many equipment loops were programmed for the Project?
E. Approximately how many equipment tags were used for the Project?
F. Which of the following products were used in the Project? (Check all that apply)
❑ AVEVA/Wonderware InTouch
0 Microsoft SQL Server
Yes X No
Yes X No
Number 450
Number 150
Number 15,000
❑ AVEVA/Wonderware Historian ❑ Rockwell Studio 5000
0 Microsoft Terminal Services
Page 13 of 17
❑ Allen Bradley ControlLogix PLCs
Project Name/Owner
Project
`o
w N
o
Years: Started
Name of Contractor's
Name of Contractor's
Type
of Project
Check all that apply)
°
Amount
U
and Completed
Project Manager
Programmer
3
Owner's Contact / Phone Number
$M )
a
W
0
w
If Other, Specify
_
P o
d c
`o
O
o °
m
o
j
s EID DCWWTP
$1,240,
100%
2021
2022
James Harper
Ryan Bowman
X
Process Controls IMP
000.00
Project;
A. Did project require integration of new controls into an existing system?
B. Did the project include programming control strategies for aeration
blower systems including blower vendor control panels?
C. Approximately how many PLC 1/0 were required for the Project?
D. Approximately how many equipment loops were programmed for the Project?
E. Approximately how many equipment tags were used for the Project?
F. Which of the following products were used in the Project? (Check all that apply)
0 AVEVA/Wonderware InTouch 0 AVEVA/Wonderware Historian
0 Microsoft SQL Server 0 Microsoft Terminal Services
Page 14 of 17
Yes X No
Yes X No
Number 800
Number 150
Number 20,000
0 Rockwell Studio 5000
0 Allen Bradley ControlLogix PLCs
7.17 Recent Past Experience
Identify the most recent 3 projects AWARDED to the Contractor, regardless of type.
Project Name/Owner
Project Amount
% of Project Cost for
Name of Contractor's
Name of Contractor's
Type of Work
Owner's Contact / Phone Number
($M)
Controls Integration
Project Manager
Programmer
City of Chico SCADA
$1,800,
65%
Ben Herston
Ryan Bowman
SCADA Upgrade
1.
Upgrade;
000.00
Golden State Water
2.
$2,500,
25%
Suresh Patil
Nick Fisher
PLC & SCADA Upgrade
(Cordova);
000.00
Golden State Water
3.
$1,600,
30%
Suresh Patil
Nicole Herston
SCADA Upgrade
(Baypoint);
000.00
Note: The District will select at least three (3) of the six (6) identified projects (questions 7.16 and 7.17) for a scored interview,
following the process and questionnaire included in the scoring packet. Responses to the interviews will be considered as part of the
prequalification evaluation.
Page 15 of 17
8. Contractor's Certification
CERTIFICATION UNDER PENALTY OF PERJURY
I, the undersigned, certify and declare that I know the contents of all documents
submitted pursuant to the Pre — Qualification Policy, have read all the foregoing answers
to the Criteria Essential for Pre -Qualification and the Pre — Qualification Questionnaire
included in the Pre — Qualification Packet and any attached sheets and know their
contents. The matters contained in, or submitted pursuant to the Pre — Qualification
Policy, and all answers to the Criteria Essential for Pre -Qualification and the Pre —
Qualification Questionnaire are true of my own knowledge and belief, except as to those
matters stated on information and belief, as to those matter I believe them to be true.
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Date: January 31, 2025
Signed:
Name: Kyle A. Johnsen
Title: Vice President
(Signature must be notarized)
Page 16 of 17
Notary Acknowledgment
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF Si crarrtcMu
On Jd4 Varq 31 . 20 Zr , before me, JL+I;nnn 1. (1Wi riW. Nata.4 Public , NotaryPublic, personally
Date Name And Title Of Omer (e.g. °Jane One, Notaty Public')
appeared KqIf A. Tti yls:p , who proved to me on the basis of satisfactory
Name(s) of Signers)
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed
the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
�e. JULIANN L. WRDINER
,j Notary Public • California
W c Sacramento County
Commission M 2458512
Wly 159M im@npires Aug 10, 2027
ESS my hand nd official seal.
Sig V
ure of Notary Publi
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ Individual
❑ Corporate Officer
❑ Partner(s) ❑ Limited Z
❑ General Number of Pages
❑ Attorney -In -Fact
❑ Trustee(s) t 1 at Z n2C
❑ Guardian/Conservator Date of oocumem
❑ Other:
Signer is representing:
Name Of Person(s) Or Entity(ies)
Signer(s) Other Than Named Above
Page 17 of 17
8. Contractor's Certification
CERTIFICATION UNDER PENALTY OF PERJURY
I, the undersigned, certify and declare that I know the contents of all documents
submitted pursuant to the Pre — Qualification Policy, have read all the foregoing answers
to the Criteria Essential for Pre -Qualification and the Pre — Qualification Questionnaire
included in the Pre — Qualification Packet and any attached sheets and know their
contents. Furthermore, I certify and declare that I have received Addendum No. 1
to the Pre -Qualification Policy, and have incorporated all requirements contained
therein. The matters contained in, or submitted pursuant to the Pre — Qualification
Policy, and all answers to the Criteria Essential for Pre -Qualification and the Pre —
Qualification Questionnaire are true of my own knowledge and belief, except as to those
matters stated on information and belief, as to those matter I believe them to be true.
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Date:
Signe
Name: Kyle A. Johnsen
Title: Vice President
CALIFORNIA ACKNOWLEDGMENT
CIVIL. CODE § 1189
A notary public or other officer completing this certificate verifies only the identity ofthe individual who signedthe document
to which this certificate Is attached, and not the truthfulness; accuracy, or validity of that document.
State of California
County of �D�C Y"At/ ID
On �'2i7� V( before me, JVt�1aYM� �•C1(NiG�IN�Y�n�OtO�Y� �lC
Date y Here Insert Name andTitfe of the bfficer
personally appeared
Names) of
who proved. to me on the basis of satisfactory evidence to be the persoo(s) whose name(s) is/are subscribed
to the. within instrument and acknowiedged.to me that he./she/they executed the same in his/herAheir
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the Instrument.
*MyComm,
JULIANN L, GARDINER
Notary Public -California
Sacramento County
Commission 0 2A58512 Expires Aug f0, 2027
Place Notary Seal andfor Stomp Above
I certify under PENALTY OF PERJURY under the
laws of the State of Califomia that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
OPTIONAL.
Signature of Notary Public
Completing this information can deter alteration of the document or
fraudulent reattachmentof this.Mrm to an unintended document
Description of Attached Document
Title or Type of Document: �, 0 'i�E MT-VLC6 Uri � CaJ)*0n
DocumentDate: 21 0 7-67 NumberofPages:
Sigrier(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
0 Corporate Officer — Title(s):
❑ Partner — 0 Limited ❑ Cenral
0 Individual ❑ Attorney In Fact
❑ Trustee 0 Guardlan or Conservator
n• difia'r
Signer. Is Representing:
02019 National Notary Association.
Signer's Name:
O.Corporate Officer. — Title(s):
0 Partner—.0 Limited ❑ General
❑ Individual ❑ Attorney In Fact
❑ Trustee ❑ 6uardlan or Conservator
❑ Other:
Signer Is Representing:
Wastewater Treatment Plant Aeration Blower System Improvements Project
Control Systems Integrator Pre -Qualification Checklist
Contractor Name:
Qualified Disqualified
Part 5: Contractor's General Information
Has Contractor filled out the form completely? Yes X No
Part 6: Criteria Essential for Pre -Qualification
6.1 Meets product experience requirements?
Yes X
No _
6.2 Meets home office location requirement?
Yes X
No _
6.3 Meets fabrication shop location requirement?
Yes X
No _
6.4 Meets project experience requirements?
Yes X
No _
6.5 Ineligible to bid (debarred) during project period?
No X
Yes
6.6 Convicted of criminal action?
No X
Yes
6.7 Cited by OSHA?
No X
Yes
Part 8: Contractor's Certification
Is all the requested information provided? Yes X No
Has the form been Notarized? Yes X No