DR9401-CS 950223February 23, 1995
John Copeland Enterprises, Inc.
406 South Broadway
Joshua, Texas 76058
Fax # 817 645 1067
Re: Pre-Qualification Statement
Dear Mr. Copeland:
Several day ago, I had requested additional information concerning your company. To help
assist you in providing the information I have enclosed a Pre-Qualification Form. Please
complete this statement and return to my office no later than March 3rd, 1995.
Thank you for your cooperation in this matter.
Kenneth M. Griffin, P.E.
Assistant City Manager/City Engineer
P.O. Box 478
Coppell, Texas 75019
The City With A Beautiful Future 214-462-0022
BIDDER'S INSTRUCTIONS
There are three (3) documents which must be completed and forwarded to the Engineering
Department in order to pre-qualify:
a. Pre-qualification Statement of Prospective Bidders. If additional space is needed,
please use attachments.
b. Pre-qualification Statement of Prospective Bidder's Surety.
c. Current Financial Statement submitted by the sole proprietor, partnership or
corporation.
All three (3) documents must be forwarded to this department at one time. No one form
or statement will be accepted individually.
If a project is a 'joint venture', both contractors must complete the pre-qualification forms.
Mail documents to the Engineering Department at:
City of Coppell
255 Parkway Blvd.
P.O. Box 478
Coppell, Texas 75019
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 2
DEFINITIONS
FOR PRE-QUALIFICATION FORMS
1. Concrete Paving - Includes the setting of forms and batching, transporting, placing,
consolidation, finishing and curing of concrete used for road surface.
2. Concrete Structures - Includes such items as inlets, box cul culverts, junction boxes,
headwalls, wing walls, retaining walls, vaults.
3. Bridge Work - A bridge shall be defined as a drainage structure of over twenty (20') foot
span measured from face to face of abutments; the work shall include layout and control;
driving piling, pouring piers, columns, caps, abutments, approaches, wing walls, parapet
walls and slabs; steel erection; setting precast, pre-stressed concrete members and
installation of handrails.
4. Channel Lining - Includes the excavation and forming; and the placing, finishing and
curing of concrete.
5. Miscellaneous Concrete - Includes such items as curb and gutter, driveways, valley gutters,
sidewalks.
6. Storm Drains - Includes the excavation, bedding, laying and jointing and backfill of
reinforced concrete culvert pipe, corrugated metal pipe or cast in place storm pipe.
7. Earthwork - Includes preparing of right-of-way, clearing and grubbing, removal of existing
concrete, excavation, embankment, placing of gravel base, lime treatment, Portland
Cement treatment, placing of top soil, seeding, sodding and fertilizin.
8. Water and Sanitary_ Sewer Lines and Appurtenances - Includes excavation, bedding, laying
and jointing, backfilling and testing.
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 3
Submitted to: City Engineer Date Received
Reviewed by: Date
Contractor:
Circle one: SOLE PROPRIETOR PARTNERSHIP CORPORATION JOINT VENTURE
Name: Partner:
Address: Address:
City: City:
Phone: Phone:
Principal Place of Business: Principal Place of Business:
County State County State
If the contractor is a corporation, fill out the following:
State of incorporation:
Location of principal office:
Comact persons at office:
Person executing contracts on behalf of corporation:
Name: Address:
Title:
City State Zip
Phone:
Names of Officers: (if applicable)
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 4
Contractor wishes to bid on the following type(s) of work: (circle)
Channel Lining Earth Work Water & Sanitary Sewer Lines
Concrete Paving Storm Sewer Concrete Structures
Misc. Concrete Bridge Work
Number of years in business as a general contractor on above types of work:
Type(s) of work done: (circle)
Channel Lining Earth Work Water & Sanitary Sewer Line
Concrete Paving Storm Sewer Concrete Structures
Misc. Concrete Bridge Work
Greatest number of contracts in excess of $100,000 under construction at one time in company's
history:
Greatest number of contracts in excess of $200,000 under construction at one time in company's
history:
Approximate average of dollar volume of incomplete work outstanding under contract at any one
time:
List completed projects of the type of work pre-qualifying for or similar work, plus the
following information for each project:
Project:
Owner/Engineer:
Year Built: Contract Price:
Contact Person: Phone:
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 5
Project:
Owner/Engineer:
Year Built: Contract Price:
Contact Person: Phone:
List incomplete projects, plus the following information for each project listed:
Project:
Owner/Engineer:
Year Built: Contract Price:
Contact Person: Phone:
Project:
Owner/Engineer:
Year Built: Contract Price:
Contact Person: Phone:
Project:
Owner/Engineer:
Year Built: Contract Price:
Contact Person: Phone:
(Use attachments if necessary)
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 6
If company is under new management, please list names of staff and qualification and/or
experience of said persons. (Please use attachment)
Have you or any present partner(s) or officer(s) failed to complete a contract?
If so, name of owner and/or surety:
Contact person: Phone:
Are there any unsatisfied demands upon you as to your accounts payable?
If so, give names, amounts and explanations:
Bank Reference: City:
Address: Phone:
Contact Officer:
Municipality Reference: City:
Contact Person: Position:
Address: Phone:
Other Credit References:
Name:
Address: Phone
Name:
Address: Phone
PRE-QUALIFICATION STATEMENT
OF PROSPECTIVE BIDDERS
Page 7
Pursuant to advertisement for bids and information for prospective bidders for above mentioned
types of projects, the undersigned is submitting the information as required with the
understanding that the purpose is for your confidential use, only to assist in determining the
qualifications for this organization to perform the type and magnitude of work designated, and
further, guarantee the truth and accuracy of all statements made, and will accept your
determination of qualifications without prejudice. The surety herein named, any other bonding
company, bank, sub-contractor, supplier, or any other person(s), firm(s), or corporations with
whom I (we) have done business, or who have extended any credit to me (us) are hereby
authorized to furnish you with any information you may request concerning performance on
previous work and my (our) credit standing with any of them; and I (we) hereby release any and
all such parties from any legal responsibility whatsoever on account of having furnished such
information to you.
Signed: Title:
Company: Date:
COPY TO LOCAL UNDERWRITING OFFICE OF PROPOSED SURETY
Name: Phone:
Address: City: State:
PRE-QUALIFICATION STATEMENT
OF
PROSPECTIVE BIDDER'S SURETY
Submitted to: City Engineer
Bidder:
Address:
1. Has this surety furnished contract bonds on contracts now complete?
2. Has this surety furnished contract bonds on contracts now incomplete?
3. What is the maximum bonding capacity of this contractor?
4. Is the current financial information on this contractor satisfactory?
5. Does information obtained indicate accounts are paid when due?
6. Is it your opinion that the bidder has sufficient experience and financial resources to
satisfactorily perform the contract?
7. Provided this bidder does not assume other commitments or that you do not acquire further
information that in your opinion will materially affect the bidder's capacity to perform this
contract, will you furnish the bonds as specified?
Remarks:
Surety:
Signed:
Title:
Address:
City State Zip
(in duplicate)