General Contractor Documents - DOC by nmq16533

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									To:      Prospective Contractor                                                               November 22, 2010

From: Laurie James, Strategic Sourcing & Central Procurement

Re:      Application for H-E-B Construction Qualified Contractor Status (GC)

Thank you for your interest in becoming a qualified contractor for H-E-B Construction projects.
In order to be qualified and placed on the Qualified Contractor List, the following information must be provided:

         a) Completed AIA Document A305, Contractor’s Qualification Statement [1986 edition or more recent -
            available from local chapter of American Institute of Architects, SA office (210)226-4979].
         b) Current financial statement
         c) Completed H-E-B Construction Contractor Application (see attached)
         d) Copy of your current liability insurance certificate.

* Your A305 application must be filled out completely. We will not accept incomplete attached documents
that are requested from this form. If your application is not approved due to inaccurate information, you
must wait one full year to re-submit.

      Mail required documents to:       H-E-B Seasonal Warehouse 2nd Floor
                                        Strategic Sourcing & Central Procurement
                                        4300 Industry Park
                                        San Antonio, Texas 78218
                                                             Attn: Laurie James

The General Contractor qualification process involves two levels of review. In the first tier of qualification, a
thorough review of the documents submitted will be conducted. If you meet the minimum requirements, your
application will be forwarded to the Project Management Department for a second tier qualification, and a personal
interview. Upon completion of both reviews, a final decision will be made by the Project Management Department.
If approved, you will receive further documentation for signature and submission, to include a Master Contract,
insurance requirements, and W-9 form. If declined, we will send you a notification letter.

Thank you for your interest to support H-E-B Construction in “Building a Texas Tradition.”                   If you
have any questions, please contact us at (210) 938-6922.




Laurie James
Senior Coordinator
H-E-B Strategic Sourcing & Central Procurement

Attachments:
Contractor Application
Minimum Requirements

Version 05.04.09 LJ
                                       General Contractor
                                     Minimum Requirements
May 4, 2009


Re: New HEB Store & Retail Center projects

Insurance Requirements:
Workers Compensation - Statutory Limits, Employers Liability $1 Million.
Commercial General Liability - for Bodily Injury/Property Damage
$1 Million each occurrence. (Occurrence Basis)
Umbrella Excess Liability - for Bodily Injury/Property Damage
$3 Million per Occurrence - ($4 Million Aggregate)
Builders Risk - Subject to a deductible per loss not to exceed $25,000.
Comprehensive Automotive Liability - Combined single limit of $1 Million per occurrence.

HEB shall be named as Additional Insured on policies.
HEB requires 30 days notice of cancellations.

Financial:
   1. Financial Stability (Minimum 1.5/1 Working Capital Ratio)
   2. No pending judgments.
   3. Bondable for the amount of contract.
   4. Must have current Texas Sales and Use Tax Permit

Experience:
   1. Doing business for the past five years under your current company name.
   2. Annual average of $15 Million in contracts for the past 5 years.
   3. Must have new grocery store construction experience in the past 5 years under your current
      company name.

Staffing:
   1. Staffed office in the State of Texas established for one full year to date.




Version 05.04.09 LJ
                         H-E-B CONSTRUCTION
                   GENERAL CONTRACTOR APPLICATION

             * AIA 305 Document Must Be Included with this Application.
COMPANY NAME


STAFFED OFFICE IN TEXAS         -Select-   If Yes, What City:

CONTACT INFORMATION
CONTACT NAME
MAILING ADDRESS
CITY                                       STATE                      ZIP CODE
PHYSICAL ADDRESS
CITY                                        STATE                     ZIP CODE
PHONE #                                          FAX #
EMAIL                                            CELL #

PREFERRED WORK AREA (CHECK ALL THAT APPLY)
REGION:    CENTRAL     GULF COAST      HOUSTON                  NORTH            WEST
SAN ANTONIO      STATEWIDE       OTHER:

ARE YOU A MINORITY/WOMAN OWNED BUSINESS ENTERPRISE?
(If YES, you must attach copies of MWBE certification documents)        -Select-

IF YES, WHAT MINORITY GROUP?
NEW GROCERY STORE EXPERIENCE                                            -Select-
HAVE YOU PERFORMED WORK FOR NEW GROCERY STORES?                         -Select-
HAVE YOU PERFORMED WORK FOR H-E-B BEFORE?                               -Select-
IF YES, LIST PROJECTS & DATES


RM USE ONLY

DATE RCVD            COMPLETE          MISSING INFO        LTR SENT      INFO RCVD

 A305     FINANCIALS       WORK HIST        MWBE CERT            OTHER
REVIEW1                REVIEW2                  REVIEW3         PM -
YES     QUAL DATE              LTR 2 SENT                       NO     NQL SENT
INFO RCVD            INS      W-9        MC    TRADES
DB UPDATED            COMMENTS
NOTES
                                          Contractor Qualification
                                           Safety Questionnaire

Company:

Date:


   1. List your company’s interstate Experience Modification Rate for the three most recent years.

                Current

                Last Year

                Year before Last

   2. Provide your company’s injury experience for the past four years as reported on your OSHA 200 logs. (As
      an alternative, you may submit copies of your logs.)

                                                       Yr 1        Yr 2        Yr 3        Yr 4

        Number of OSHA recordable cases:

        Number of lost workday cases:

        Number of lost workdays:

        Number of restricted workday cases:

        Number of fatalities (last 4 years):

        Number of man-hours worked:

   3. Do you have a written safety program, including a Hazard Communication Policy? -Select-

        (If yes, enclose a copy of your program).

   4. Are the costs of individual accidents kept? -Select-

        If yes, how are they reported?

   5. Do you hold site safety meetings for field supervisors? -Select-

        If yes, how often?




                                                Continued….
                          Contractor Safety Questionnaire (Cont.)

6. Do you hold “tool box” safety meetings? -Select-

    If yes, how often?

7. Will the safety representative for this project be on the site full time? -Select-

    Who?

8. Do you conduct project safety inspections? -Select-

    How often?

9. Do you have an orientation program for new hires? -Select-

    How often?

10. Has your organization been cited by OSHA in the last 5 years? -Select-

    How often?

    If yes, for what?

11. The undersigned warrants and represents the data provided in this document is accurate in all respects.

    Name of Firm:

    Preparer:

                                        Date:                 Title:

								
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