DON JULIAN ELEMENTARY SCHOOL & EDGEWOOD ACADEMY TRACK & FIELD IMPROVEMENTS

Location: California
Posted: Apr 14, 2026
Due: Apr 28, 2026
Agency: Bassett Unified School District
Type of Government: State & Local
Category:
  • 84 - Clothing, Individual Equipment, and Insignia
  • Y - Construction of Structures and Facilities
Publication URL: To access bid details, please log in.
BUSD-MEP-Sub-Prequal-Application

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BASSETT UNIFIED SCHOOL DISTRICT
PRE-QUALIFICATION APPLICATION FOR
FIRST-TIER MEP SUBCONTRACTORS
DON JULIAN ELEMENTARY SCHOOL & EDGEWOOD ACADEMY
TRACK & FIELD IMPROVEMENTS
Project/Bid No. 25-26-001
Date Issued: April 14, 2026
Deadline to Submit: April 28, 2026 by 2:00 P.M.
Submission: Electronic via email
BASSETT UNIFIED SCHOOL DISTRICT
904 N. WILLOW AVENUE, LA PUENTE, CA 91746
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

BASSETT UNIFIED SCHOOL DISTRICT
NOTICE TO PREQUALIFY FIRST-TIER MEP SUBCONTRACTORS
DON JULIAN ELEMENTARY SCHOOL & EDGEWOOD ACADEMY
TRACK & FIELD IMPROVEMENTS
PROJECT/BID NO. 25-26-001
Bassett Unified School District ("District"), on behalf of its prequalified general contractors (prime contractors), is
requiring prequalification of first-tier subcontractors intending to bid on the Don Julian Elementary School and
Edgewood Academy Elementary School Track & Field Improvements Project, Bid No. 25-26-001.
BRIEF DESCRIPTION OF THE PROJECT: BASSETT UNIFIED SCHOOL DISTRICT DON JULIAN ES & EDGEWOOD
ACADEMY ES TRACK & FIELD IMPROVEMENTS, the Project includes construction of new artificial turf fields for
football and soccer, rubber surface running tracks, associated bleachers, concession stands and restrooms, and
stadium lighting at each school location. Both projects will be part of one bid package. The estimated construction
duration is 275 calendar days.
Prequalification applications will be available on or about April 14, 2026, at the district website. To download the
application from www.bassettusd.org, Click on Departments, Business Services, Click on RFP/RFQ/Bids at the right
side of the page. Downloads are available at no charge.
PREQUALIFICATION. All subcontractors that intend to bid to perform under the following license classification(s)
as a first-tier subcontractor to a general contractor are required to be prequalified by the District: C-4, C-7, C-10, C-
16, C-20, C-34, C-36, C-38, C-42, C-43, and/or C-46. THESE SUBCONTRACTORS MUST SUBMIT THEIR
PREQUALIFICATION QUESTIONNAIRE ELECTRONICALLY TO THE DISTRICT VIA EMAIL TO
BRIANDA.RAMIREZ@BASSETTUSD.ORG AND ROBERT.SEGARRA@CUMMING-GROUP.COM ON OR BEFORE 2:00
P.M., APRIL 28, 2026.
The prequalification questionnaire with instructions is located at:
https://www.bassettusd.org/apps/pages/index.jsp?uREC_ID=1184493&type=d&pREC_ID=1792968
This is the only prequalification questionnaire acceptable for this Project; other prequalification documents are not
sufficient for this Project. Subcontractors are encouraged to complete the prequalification process as soon as
possible to expedite the District's evaluation.
Subcontractors must coordinate with the following prequalified general contractors that they wish to be a
subcontractor to:
Byrom-Davey, Inc., Kelley Parham, telephone: (858) 414-2477; email: kelleyp@byrom-davey.com
Paul C. Miller Construction Co., Inc., Todd Miller, telephone: (909) 484-1009; email: todd@millercon.com
The Nazerian Group, Greg Torosyan, telephone: (818) 990-5115 x8; email: greg@nazerian.net
Each subcontractor is responsible to ensure that its subcontractor bid is received by all of the general contractors it
wishes to contract with and pursuant to each general contractor's requirements.
Contract Documents will be available for review beginning April 20, 2026.
All questions regarding the Prequalification Application or Prequalification process must be submitted no later
than 1:00 P.M. on April 23, 2026. Questions will only be accepted in writing and sent via email to Brianda Ramirez,
brianda.ramirez@bassettusd.org and the District's Senior Director of Project Management, Robert Segarra,
robert.segarra@cumming-group.com.
PUBLICATION DATES: April 14, 2026 & April 21, 2026
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Submit To Deadline
BASSETT UNIFIED SCHOOL DISTRICT brianda.ramirez@bassettusd.org AND robert.segarra@cumming-group.com April 28, 2026 by 2:00 P.M. Electronic submission via email

Newspaper: San Gabriel Valley Tribune
DOCUMENT 00 32 00
PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE
FIRST-TIER MEP SUBCONTRACTORS
The BASSETT UNIFIED SCHOOL DISTRICT ("District") has determined that subcontractors ("Subcontractor(s)" or
"Firm(s)") seeking to bid as first-tier subcontractors on the construction of the DON JULIAN ES & EDGEWOOD
ACADEMY ES TRACK & FIELD IMPROVEMENTS must be prequalified prior to submitting a bid or proposal.
This Prequalification Application must be completed by:
A Subcontractor holding a valid California specialty contractor's license in one or more of the following
classifications: C-4, C-7, C-10, C-16, C-20, C-34, C-36, C-38, C-42, C-43, and/or C-46, that intends to bid as a
first-tier subcontractor to a prequalified general contractor (prime contractor) on this Project.
It is mandatory that all Subcontractors intending to submit a bid complete this Prequalification Application,
provide all materials requested herein, and be approved by the District. Bids will not be accepted from any
Subcontractor that has not been prequalified for this Project.
Project Description. BASSETT UNIFIED SCHOOL DISTRICT DON JULIAN ES & EDGEWOOD ACADEMY ES TRACK &
FIELD IMPROVEMENTS, the Project includes construction of new artificial turf fields for football and soccer, rubber
surface running tracks, associated bleachers, concession stands and restrooms, and stadium lighting at each school
location. Site improvements as indicated on the drawings. Both school projects will be bid as a single, bundled bid
package.
Form Submission. Subcontractors must complete this District form; no other prequalification documents
submitted by a Subcontractor will meet the District's requirements. All Subcontractors shall submit completed
questionnaires and financial statements electronically via email to brianda.ramirez@bassettusd.org and
robert.segarra@cumming-group.com.
Submit To Deadline
BASSETT UNIFIED SCHOOL DISTRICT April 28, 2026 by 2:00 P.M.
brianda.ramirez@bassettusd.org Electronic submission via email
AND
robert.segarra@cumming-group.com
Subcontractor List. The District will make available a list of prequalified subcontractors to the prequalified general
contractors prior to bid opening.
DSA Project References. The District reserves the right to contact any representative at the Subcontractor's
previous projects to gather information about the Subcontractor and/or to verify the information provided in this
application. Subcontractors must provide a minimum of three (3) DSA-regulated project references as detailed in
Part 4.
Project Size. For this Project, the District anticipates a construction value in excess of $20,000,000 and intends to
prequalify only those Subcontractors whose prior experience demonstrates capacity to perform work of
comparable complexity under DSA oversight. Subcontractors must demonstrate completion of a minimum of three
(3) DSA-regulated projects with individual subcontract values of $500,000 or greater within the past five (5) years.
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Updates. Subcontractors who are prequalified must update their prequalification questionnaire if or when the
Subcontractor's status or information changes from that previously disclosed to the District. The District reserves
the right to adjust, suspend, or rescind the prequalification rating of any Subcontractor based on subsequently
learned information.
Rejection/Waiver/Request. The District reserves the right, in its sole discretion, to reject any or all prequalification
questionnaires, to waive irregularities in any prequalification questionnaire or to request further information or
documentation from any Subcontractor.
Public Records. Although the names of Subcontractors seeking prequalification may be public information,
pursuant to, without limitation, Public Contract Code sections 20111.5(a) and 20111.6(b), each Subcontractor's
questionnaire and financial statements "shall not be public records and shall not be open to public inspection."
However, the contents of Subcontractor's prequalification questionnaires and financial statements may be
disclosed to third parties for purposes of clarification or investigation of material allegations or in any appeal
process.
Prequalification of Bidders. The District requires from prospective subcontractors answers to questions contained
in this Application including a complete statement of the prospective subcontractor's financial ability and
experience in performing public works, Division of State Architect (DSA) projects or projects with similar scope of
work. These documents will be the basis of rating subcontractors to determine whether a subcontractor is
qualified to bid on the Project.
DIR Registered Subcontractor Status. Each Subcontractor must be a DIR Registered Contractor to qualify as a Pre-
qualified Bidder. The Pre-Qualification Application of a Subcontractor who is not a DIR Registered Contractor will
be rejected as non-qualified.
Community Workforce Agreement (CWA) Compliance. This District is subject to a Community Workforce
Agreement (CWA) that governs the terms and conditions of employment for certain construction work performed
on district projects. All subcontractors of any tier awarded work under this prequalification must comply with the
requirements of the CWA. The successful subcontractor will be required to execute a Letter of Assent prior to
commencing work, agreeing to be bound by the terms and conditions of the CWA. A copy of the CWA will be made
available for review as part of the bid documents.
Contents of Application for Submission. The following Sections/Documents should be completed and submitted
to be considered a completed Prequalification Application:
Part 1: Subcontractor or Firm Information
Part 2: Pass/Fail Questions
Part 3: Scored Questions
Part 4: DSA Project References (minimum 3 projects)
DIR Registration Verification (Attachment 1)
Questions Regarding Prequalification Application. All questions regarding the Prequalification Application or
Prequalification process must be submitted no later than 1:00 P.M. on April 23, 2026. Questions will only be
accepted in writing and sent via email to Brianda Ramirez, brianda.ramirez@bassettusd.org and the District's
Senior Director of Project Management, Robert Segarra, robert.segarra@cumming-group.com.
Non-Responsiveness. Each Prequalification Application shall include those items listed above, any Prequalification
Application not containing the above-referenced requisite documents completed with all information required and
bearing the signature of the Subcontractor's duly authorized representative under penalty of perjury may render
the Prequalification Application non-responsive.
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Waiver of Irregularities. The District reserves the right to waive minor irregularities and omissions in the
information contained in the Prequalification Application submitted, to make all final determinations.
Late Applications. The District may refuse to grant prequalification where the requested information is not
provided by the specified date and time. There is no appeal from a failure to submit an incomplete application or
late application.
Confidentiality. The completed Prequalification Applications submitted by Subcontractors are not public records
and are not open to public inspection. All information provided will be kept confidential to the extent permitted by
law. However, the contents may be disclosed to third parties for purpose of verification, or investigation of
substantial allegations, or in the appeal process. State law requires, however, that the names of Subcontractors
applying for prequalification status shall be subject to disclosure.
Notification of Prequalification Results. Subcontractors will be notified by e-mail of their prequalification rating.
Prequalification status will remain valid for one year from the date of District notification, except that the District
reserves the right during the calendar year to adjust, increase, limit, suspend or rescind the prequalification ratings
based on subsequently learned information and after giving notice of the proposed action to the prequalified
Subcontractor.
Prequalification Determination of Responsibility. While it is the intent of this Prequalification Application to assist
the District in determining bidder responsibility prior to bid, neither the fact of prequalification, nor any
prequalification rating, will preclude the District from a post-bid consideration and determination of whether a
subcontractor has the quality, fitness, capacity and experience to satisfactorily perform the proposed work, and
has demonstrated the requisite trustworthiness.
Prequalification Scoring/Evaluation Sections. To prequalify, each prospective subcontractor must meet or exceed
the requirements outlined in the scored sections below:
Part 1 - Subcontractor or Firm Information. Fill out the information sheet fully.
Part 2 - Essential Requirements for Qualification (Pass/Fail). The questions within this section are evaluated
utilizing pass or fail approach. Subcontractors that do not meet all requirements in this section will not be
qualified to bid. Subcontractors receiving a fail score in this section will not be evaluated any further.
Part 3 - Scored Questions. Evaluation Criteria: The Maximum score for this section is 115 points. Note that
meeting the minimum score on the scored sections does not guarantee prequalification as there are non-
scored questions that will also be objectively evaluated.
Part 4: DSA Project References. Subcontractors must provide at least three (3) completed DSA-regulated
projects with individual subcontract values of $500,000 or greater, completed within the past five (5) years,
performed under the same license classification being prequalified. Failure to provide the minimum three (3)
qualifying references results in automatic disqualification. The District reserves the right to contact references
to verify information.
The maximum total score for the Scored Questions section is 115 points. To be prequalified, a responsive
subcontractor must achieve a minimum combined score of 80 points. Meeting the minimum score does not
guarantee prequalification.
Note that meeting the minimum score on the scored sections does not guarantee prequalification as there are
non-scored questions that will also be objectively evaluated.
Appeal. A Subcontractor may appeal the District's decision. If a Subcontractor decides to appeal the District's
prequalification decision, it must follow the following procedure:
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

1. Subcontractor shall submit, in writing, within five (5) Business Days from District's determination, a detailed
explanation of why it should be prequalified, with detailed and sufficient documentation supporting any and all
bases for the appeal, and a request for a written response from the District to explain the District's determination.
2. Within five (5) Business Days from receipt of the District's written response to the Subcontractor's request,
Subcontractor may submit, in writing, a request for a meeting with the District's staff. Subcontractor may submit
with the request any and all additional information not previously provided that is directly responsive to the
District's written response and that it believes supports a finding that District's determination should be changed.
3. The District will issue a final written determination of its decision on the appeal. The District staff may, at its
discretion, hold a telephonic, virtual, or in person meeting with the Subcontractor prior to issuing its final written
determination. The District's written determination shall be the final decision by the District, with no further right
to an appeal.
4. FAILURE OF A SUBCONTRACTOR TO TIMELY FOLLOW ALL APPEAL STEPS SHALL BE A WAIVER OF ANY FURTHER
REMEDY WITH CONCERNING PREQUALIFICATION WITH THE DISTRICT.
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Subcontractor's company name:
Address:
Telephone:
Mobile telephone:
E-mail:
Contact person and title:
Years in business under current company name:
Years at the above address:
Types of work performed with own forces:
Gross revenue of the Firm for the past three (3) years:
$ $ $
Name of license holder exactly as on file with the California State License Board:
License classification(s) being prequalified (C-4, C-7, C-10, C-16, C-20, C-34, C-36, C-38, C-42, C-43, C-46):
License Number(s):
License expiration date(s):
Department of Industrial Relations registration number (Per Labor Code section 1725.5):
Number of years license holder has held the listed license(s):
Number of years Subcontractor has done business in California under contractor's license law:
Number of years Subcontractor has done business in California under current contractor's license:
Has your Firm changed name(s) or license number(s) in the past five (5) years? ( Y / N ). If "yes," explain on a separate signed sheet, including the reason for the change.
Has there been any change in ownership of the Firm at any time in the past five (5) years? NOTE: A corporation whose shares are publicly traded is not required to answer this question. ( Y / N ). If "yes", explain on a separate signed sheet, including the reason for the change.
Is the Firm a subsidiary, parent, holding company, or affiliate of another construction firm? NOTE: Include information about other firms if one firm owns ten percent (10%) or more of another, or if an owner, partner, or officer of your Firm holds a similar position in another firm. ( Y / N ). If "yes", explain on a separate signed sheet.
Indicate the form of Subcontractor's firm (type of business entity): ___ Individual ___ Sole Proprietorship ___ Partnership ___ Limited Partnership ___ Limited Liability Company ___ Joint Venture ___ Corporation, State: ___ ___ Other: ___

SUBCONTRACTOR (OR "FIRM") INFORMATION
Subcontractor's company name:
Address:
Telephone:
Mobile telephone:
E-mail:
Contact person and title:
Years in business under current company name:
Years at the above address:
Types of work performed with own forces:
Gross revenue of the Firm for the past three (3) years:
$ $ $
Submit an audited or reviewed financial statement for the past two (2) full fiscal years. A letter verifying availability of
a line of credit may also be attached; however, it will be considered as supplemental information only, and is not a
substitute for the required financial statement.
Name of license holder exactly as on file with the California State License Board:
License classification(s) being prequalified (C-4, C-7, C-10, C-16, C-20, C-34, C-36, C-38, C-42, C-43, C-46):
License Number(s):
License expiration date(s):
Department of Industrial Relations registration number (Per Labor Code section 1725.5):
Number of years license holder has held the listed license(s):
Number of years Subcontractor has done business in California under contractor's license law:
Number of years Subcontractor has done business in California under current contractor's license:
Has your Firm changed name(s) or license number(s) in the past five (5) years? ( Y / N ). If "yes," explain on a separate
signed sheet, including the reason for the change.
Has there been any change in ownership of the Firm at any time in the past five (5) years? NOTE: A corporation whose
shares are publicly traded is not required to answer this question. ( Y / N ). If "yes", explain on a separate signed sheet,
including the reason for the change.
Is the Firm a subsidiary, parent, holding company, or affiliate of another construction firm? NOTE: Include information
about other firms if one firm owns ten percent (10%) or more of another, or if an owner, partner, or officer of your
Firm holds a similar position in another firm. ( Y / N ). If "yes", explain on a separate signed sheet.
Indicate the form of Subcontractor's firm (type of business entity):
___ Individual ___ Sole Proprietorship
___ Partnership ___ Limited Partnership
___ Limited Liability Company ___ Joint Venture
___ Corporation, State: ___ ___ Other: ___
List the following for each corporation officer, general partner, limited partner, owner, etc. (as applicable) for the
Subcontractor's type of entity. Attach all additional information on separate signed sheets as needed.
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Name Position Years with Co. % Ownership
Name of Person at Associated Firm Name of Associated Firm Contractor's License No. of Associated Firm Dates of Participation with Associated Firm
Name(s) of bonding company(ies) your Firm has utilized over the past five (5) years (not broker or agency):
Address(es) of those bonding company(ies):
Number of years Subcontractor has been with those bonding company/surety:
Name of broker/agent:
Address of broker/agent:
Telephone number of broker/agent:
E-mail of broker/agent:
Subcontractor's total current bonding capacity: $
Name of insurance company(ies) your Firm has utilized over the past five (5) years (not broker or agency):
Address of those insurance company(ies):
"Best" rating(s) for those insurance company(ies):
Number of years Subcontractor has been with those insurance company(ies):
Name of broker/agent:
Address of broker/agent:
Telephone number of broker/agent:
E-mail of broker/agent:

Name Position Years with Co. % Ownership
Identify every construction firm that the Subcontractor or any person listed above has been associated with at any time
during the past five (5) years ("Associated Firm"). NOTE: For this question, "owner" and "partner" refers to ownership of
ten percent (10%) or more of the business.
Name of Person at Name of Associated Firm Contractor's License No. of Dates of Participation with
Associated Firm Associated Firm Associated Firm
SUBCONTRACTOR'S BONDING COMPANY (SURETY) INFORMATION
Name(s) of bonding company(ies) your Firm has utilized over the past five (5) years (not broker or agency):
Address(es) of those bonding company(ies):
Number of years Subcontractor has been with those bonding company/surety:
Name of broker/agent:
Address of broker/agent:
Telephone number of broker/agent:
E-mail of broker/agent:
Subcontractor's total current bonding capacity: $
SUBCONTRACTOR'S INSURANCE INFORMATION
Name of insurance company(ies) your Firm has utilized over the past five (5) years (not broker or agency):
Address of those insurance company(ies):
"Best" rating(s) for those insurance company(ies):
Number of years Subcontractor has been with those insurance company(ies):
Name of broker/agent:
Address of broker/agent:
Telephone number of broker/agent:
E-mail of broker/agent:
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Commercial General Liability Each occurrence $
General aggregate $
Product Liability & Completed Operations Each occurrence $
General aggregate $
Automobile Liability - Any Auto Combined Single Limit (per occurrence) $
Employer's Liability $
Sexual Molestation and Abuse $
Builder's Risk (Course of Construction)
(1) Current year: (2) (3)
(4) (5)

Subcontractor's current insurance limits for the following types of coverage:
Commercial General Liability Each occurrence $
General aggregate $
Product Liability & Completed Each occurrence $
Operations
General aggregate $
Automobile Liability - Any Auto Combined Single Limit (per $
occurrence)
Employer's Liability $
Sexual Molestation and Abuse $
Builder's Risk (Course of
Construction)
Workers' Compensation Experience Modification Rate for the past five (5) premium years:
(1) Current year: (2) (3)
(4) (5)
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

Pass/Fail Questions (Essential Criteria)
1a. FIRST-TIER MEP SUBCONTRACTORS: Has your Firm contracted for and completed construction as a first-tier subcontractor of a minimum of: * Three (3) DSA-regulated public school district or public works projects, * Each with an individual subcontract value of not less than $500,000, * All within the past five (5) years? (Please circle one) NOTE: You must list these projects in the "DSA Project References" Section. YES NO NO = cannot prequalify
1b. Can your Firm provide a letter from an admitted surety confirming a minimum single-project bonding capacity of at least $1,000,000 for this Project? (Please circle one) YES NO NO = cannot prequalify
2. Does your Firm currently hold all contractors' license(s) necessary to perform the work and have those license(s) been consistently active for at least five (5) years without revocation or suspension? (Please circle one). YES NO NO = cannot prequalify
3. Has your Firm, or an Associated Firm or any person listed in the "SUBCONTRACTOR (OR 'FIRM') INFORMATION" section above, been found non-responsive, debarred, disqualified, forbidden, ineligible or otherwise prohibited from performing work and/or bidding on work for any public agency within California within the past five (5) years? (Please circle one). YES NO YES = cannot prequalify
4. Has your Firm or an Associated Firm defaulted on a contract or been terminated for cause by any public agency on any project within California within the past five (5) years and, if so and if challenged, has that default or termination been upheld by a court or an arbitrator? (Please circle one). YES NO YES = cannot prequalify
5. Has your Firm or an Associated Firm or any of their owners or officers been convicted of a crime under federal, state, or local law involving: (1) Bidding for, awarding of, or performance of a contract with a public entity; (2) Making a false claim(s) to any public entity; or (3) Fraud, theft, or other act of dishonesty to any contracting party within the past five (5) years? (Please circle one). YES NO YES = cannot prequalify
6. Has a performance bond surety for your Firm or a performance bond surety for an Associated Firm had to: (1) Takeover or complete a project, or (2) Supervise the work of a project, or (3) Pay amounts to third parties to satisfy claims against your performance bond related to construction activities of your Firm or an Associated Firm within the past five (5) years? (Please circle one). YES NO YES = cannot prequalify
If you answered: "NO" to questions 1a, 1b or 2 or "YES" to questions 3-6, then STOP. You are not eligible for prequalification at this time.

QUESTIONS
Pass/Fail Questions (Essential Criteria)
1a. FIRST-TIER MEP SUBCONTRACTORS: YES NO
NO = cannot
Has your Firm contracted for and completed construction as a first-tier subcontractor of a prequalify
minimum of:
* Three (3) DSA-regulated public school district or public works projects,
* Each with an individual subcontract value of not less than $500,000,
* All within the past five (5) years? (Please circle one)
NOTE: You must list these projects in the "DSA Project References" Section.
1b. Can your Firm provide a letter from an admitted surety confirming a minimum single-project YES NO
bonding capacity of at least $1,000,000 for this Project? (Please circle one) NO = cannot
prequalify
2. Does your Firm currently hold all contractors' license(s) necessary to perform the work and have YES NO
those license(s) been consistently active for at least five (5) years without revocation or NO = cannot
suspension? (Please circle one). prequalify
3. Has your Firm, or an Associated Firm or any person listed in the "SUBCONTRACTOR (OR 'FIRM') YES NO
INFORMATION" section above, been found non-responsive, debarred, disqualified, forbidden, YES = cannot
ineligible or otherwise prohibited from performing work and/or bidding on work for any public prequalify
agency within California within the past five (5) years? (Please circle one).
4. Has your Firm or an Associated Firm defaulted on a contract or been terminated for cause by YES NO
any public agency on any project within California within the past five (5) years and, if so and if YES = cannot
challenged, has that default or termination been upheld by a court or an arbitrator? prequalify
(Please circle one).
5. Has your Firm or an Associated Firm or any of their owners or officers been convicted of a crime YES NO
under federal, state, or local law involving: YES = cannot
(1) Bidding for, awarding of, or performance of a contract with a public entity; prequalify
(2) Making a false claim(s) to any public entity; or
(3) Fraud, theft, or other act of dishonesty
to any contracting party within the past five (5) years? (Please circle one).
6. Has a performance bond surety for your Firm or a performance bond surety for an Associated YES NO
Firm had to: YES = cannot
(1) Takeover or complete a project, or prequalify
(2) Supervise the work of a project, or
(3) Pay amounts to third parties to satisfy claims against your performance bond
related to construction activities of your Firm or an Associated Firm within the past five (5)
years? (Please circle one).
If you answered:
"NO" to questions 1a, 1b or 2
or
"YES" to questions 3-6, then STOP.
You are not eligible for prequalification at this time.
BASSETT UNIFIED SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE
DOCUMENT 00 32 00

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