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HomeMy WebLinkAboutContractor's Qualification Statement 1986 Edition \t'./:..o: "-i'; -~" 1 I '/- ~. t I I I I I I .E' , I: "11 , ':1' ~. , AlA Document A305 - Electronic Format Contractorls Qualification Statement 1986 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES: CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AlA DOCUMENT MAY BE MADE BY USING AlA DOCUMENT D401. This form is approved and recommended by The American Institute of Architects (AlA) and The Associated General Contractors of American (AGe) for use in evaluating the qualifications of contractors. No endorsement of the submitting party or verification of the information is made by AlA or AGC. Copyright 1964. 1969. 1979. @ 1986 by The American Institute of Architects. 1735 New York Avenue N.W. Washington D.C. 20006-5292. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AlA violates the copyright laws of the United States and will be subject to legal W"o~ecut;on The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. SUBMITTED TO: ADDRESS: SUBMITTED BY: THE ESTOPINAL GROUP 903 Spring street, Jeffersonville, IN 47130 SMITH CONCRETE CONSTRUCTIO~orporation [Xl o o D o NAME: H.A. (Butch) Faust ADDRESS: P.O. Bob 788 Hillview, KY 40129 PRINCIPAL OFFICE: . Same Partnership Individual Joint Venture Other NAME OF PROJECT (if applicable): KEN ELLI S SENIOR CENTER TYPE OF WORK (file separate form for each Classification ?fWork): x General Construction HVAC Plumbing Other (please specify) Electrical 1. ORGANIZATION 1.1 How many years has your organization been in business as a Contractor? Five 1.2 How many years has your organization been in business under its present business name? Five 1.2.1 Under what other or former names has your organization operated? None 1.3 If your organization is a corporation, answer the following: 1.3.1 Date of incorporation: 3 January 2002 1.3.2 State of incorporation: Ken~ucky. 1.3.3 President's name: Rob1r: Sml ~h 1.3.4 Vice-president's name(s) Cral g Sml th 1.3.5 1.3.6 Secretary's name: Treasurer's name: None None @ 1 HE A INSTITU ITEClS, 1 35 RK AVEN , .., I GTO, .. -5. 305 - CONTRACTOR'S QUALIFICATION STATEMENT _ 1986 EDITION - AIM) - WARNING: Unlicensed photocopying violates U.s. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AlA and can be reproduced in accordance with your license without violation until the date of expiration as noted below. User Document: a305mast.doc - 8/112002. AlA License Number 1001232, which expires on 1/31/2003. Electronic Format A305-1986 1 .- ~ j , , ' 1.4 If your organization is a partnership, answer the foll~wing: 1.4.1 Date of organization: 1.4.2 Type of partnership (if applicable): 1.4.3 Name(s) of general partner(s) ~ 1.5 If your organization is individually owned, answer the following: 1.5.1 Date of organization: 1.5.2 Name of owner: 1.6 If the form of your organization is other than those listed above, describe it and name the principals: 2. LICENSING 2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable. 2.2 List jurisdictions in which your organization's partnership or trade name is fIled. 3. EXPERIENCE 3.1 List the categories of work that your organization normally performs with its own forces. Concrete and Carpentry 3.2 Claims and Suits. (If the answer to any of the questions below is yes, please attach details.) 3.2.1 Has your organization ever failed to complete any work awarded to it? NO (', 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? NO 3.2.3 Has your organization fIled any law suits or requested arbitration with regard to construction contracts within the last five years? NO 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, please attach details.) NO 3.4 On a separate sheet, list major construction projects your organization has in progress, giving the name of project, owner, architect, contract amount, percent complete and scheduled completion date. See At tachmen t 3.4.1 State total worth of work in progress and under contract: $ 2 , 4 5 1 , 0 6 3 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of project, owner, architect, contract amount, date of completion and percentage of the cost of the work performed with your own forces. See Attachment 3.5.1 State average annual amount of construction work performed during the past five years: $ 2 , 880 , 827 3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. See Attachment 4. REFERENCES IRVING MATERIALS MILLS SUPPLY CO (502) 456 6930 (502) 561 0700 t' 4.1 Trade References: Torn Thomas] Greg Mills (Q 1986 THE AMERICAN INSTITUTE OF ARCHITECTS, 173S NEW ~ORK AVENUE, N.W., WASHINGTON, D.C. 20006-S292. AlA DOCUMENT A30S . CONTRACTOR'S QUALIFICATION STATEMENT - 1986 EDITION - AIA@ - WARNING: Unlicensed photocopying violates U.s. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AlA and can be reproduced in accordance with your license without violation until the date of expiration as noted below. User Document: a30Smast.doc -- 811/2002. AlA license Number 1001232, which expires on 1/31/2003. Electronic Format A30S-1986 2 - , . , ~ t t t/~ I I I Ii I , I ~\ , I Ii! " " ,,1\ 4.2; Bank References: FIFTH THIRD BANK (502) 968 1135 Dan Cline 4.3 Surety: 4.3.1 Name of bonding company: OHIO FAR'MERS INSURANCE COMPANY 4.3.2 Name and address of agent: GARRETT S TOT Z COMPANY (502) 894 3373 5. FINANCING Jeff Brown 5.1 Financial Statement. See Attachment 5.1.1 Attach a financial statement, preferably audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory and prepaid expenses); Net Fixed Assets; Other Assets; Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes); Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). 5.1.2 Name and address of firm preparing attached financial statement, and date thereof: 7 Fe b 20 0 6 Dem~ng~ Malone, Livesay & Ostroff 9300 Shelbyville Rd. 5.1.3 Is the~Ra'eJ:Mi y.nJnb~l!>ta~rt;.en1 ~of ~ id~~{tril brg~ti~~ed on page one? YES 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent-subsidiary). 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction? YES 6. SIGNA lURE 6.1 Dated at this day of. 11 ~ f). ()D ~ Name of Organization: SMITH CONCRETE CONSTRUCTION By: H.A. (Butch) Faust Title: VP Operations 6.2 M being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this day of 1"'<(.,..,) ~ ~/...p Notary PUbliC~ Vt..t..- ~~4=:\ 86 T E CAN INS ARCHITECTS, 1735 K AVENUE, . ., TO ,D.C. 20006-5292. AlA DOCUM 5 - CONTRACTOR'S QUALIFICATION STATEMENT _ 1986 EDITION- AIA(jj) - WARNING: Unlicensed photocopying violates U.S. copyright taws and is subject to legal prosecution. This document was electronically produced with permission of the AlA and can be reproduced in accordance with your license without violation until the date of expiration as noted below. User Document: a305mast.doc -. 8/1/2002. AlA License Number 1001232, which expires on 1/31/2003. Electronic Format A305-1986 3 "" l , ',' My Commission Expires: LD )OS Jo'f . , ~ (-'\ I I"'-~ 1986 THE AMERICAN INSTITUTE OF ARCHITECTS, .1735 NEW. Y9RKAYENl,JE,N.W., WA~HINGTON, D.C. 10006-5292. AlA DOCUMENT A30S _ ONTRACTOR'S QUALIFICATION STATEMENT -1986 EDITION - AIA(jj) - WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AlA and can be reproduced in accordance with your license without violation until the date of expiration as noted below. User Document: a30Smast.doc -- 81V2002. AlA License Number 1001232, which expires on 1/31/2003. Electronic Format A305-1986 4 {1 flh Constroction "Buildingfoulldations for the future" 17 May 2006 MAJOR CONSTRUCTION PROJECTS IN PROGRESS SEVERNS V ALLEY BAPTIST CHURCH Elizabethtown ,KY Architect: FUQUA OSBORN ARCHITECTS, P.C. (256) 5343516 Construction Manager: AMERICAN CONSTRUCTORS Brian Murdock - Project Manager (615) 329 0141 Contract Amount: $ 1 ,064,573 Percentage Complete: 74 Scheduled Completion Date:9/06 r" THE LINKS at FAIRWAY CROSSING Shelbyville, KY HINTON McGRAW Scott McGraw - Vice President (502) 396 2345 Architect HINTON McGRA W Contract Amount: $798,790 Percentage Complete: 72 Scheduled Completion Date: 2006 SHEPHERDSVILLE GOVERNMENT CENTER Shepherdsville, KY Architect: KEYES ARCHITECTS & ASSOCIATES (502) 636 5113 Construction Manager: SUMMITT CONSTRUCTION Project Manager: Mike Muir (502) 897 1044 Contract Amount: $82,950 Percentage Complete: 72 (' P.O. Box 788 @ Hillview, KY 40129-0788 @ Office: (502) 957-2425 1lIl Fax: (502) 957-2467 r, riilith 'lJlJerets Construction "Buildiflgfoundafiofls for the future" 17 May 2006 MAJOR PROJECTS COMPLETED IN THE PAST FIVE YEARS MAIERS STORE #220 New Albany, IN Construction Manager:ROCKFORD CONSTRUCTION COMPANY, INC. (616) 866 6933 Randy Fritz -Project Superintendent Architect: SSCE, Inc. (248) 643 6222 Contract Amount - $748,361 Completion Date: 2/2006 Concrete ICarpentry Package-1 00% performed with our forces MAVERICK TUBE CORPORATION Louisville, KY Construction Manager: NBMC, INe. (501) 6736000 Raymond Nabholz - President ArchitectE & C MANAGEMENT SERVICES Contract Amount: $494,000.00 Completion Date: 2/2006 Concrete 1 Carpentry Package-1 00% performed with our forces KROGER STORE L-764 Louisville, KY Construction Manager: SCHULTZ CONSTRUCTION & INSTALLATION SERVICES (502) 664 6807 Tim Emstberger - Project Manager Architect:ROBERTSON, LOlA, & ROOF (770) 674 2600 Contract Amount: $422,105 Completion Date: 2/2006 Concrete 1 Carpentry Package-1 00% performed with our forces r P.O. Box 788 $ Hillview, KY 40129-0788 $ Office: (502) 957-2425 $ Fax: (502) 957-2467 r "Building foundations for the future" 17 May 2006 PROJECTS SCHEDULED TO START W AL-MART NEIGHBORHOOD MARKET #3841-00 Louisville, KY Architect:Charles L. Raidl (913) 2629095 Construction Manager:MW BUILDERS, INC. (913) 317 3742 Doug Prusynski - Project Manager Contract Amount - $460,000 Completion Date - 2006 Concrete / Carpentry (\ WEST CLARKI COMMUNITY SCHOOLS 2006 CAPITAL IMPROVEMENTS Project 'A' SILVER CREEK ELEMENTARY Sellersburg, IN Architect: MICHELL TIMPERMAN RITZ Lane Sturn1er (812) 945 2324 Contract Amount $44,750 Completion Date - 2006 General Contractor (' P.O. Box 788 @ Hillview, KY 40129-0788 @ Office: (502) 957-2425 @ Fax: (502) 957-2467 o MANAGEMENT & ORGANIZATION Smith Concrete Construction was organized as a Limited Liability Corporation in the State of Kentucky, 3 January 2002. The company is owned and controlled by Craig and Robin Smith. Robin acts as President and Craig, Vice-President. There are no other Officers in the firm. Key personnel and a brief personal profile of each follows: Craig E. Smith Vice President Education Attended Western Kentucky University where he studied Corporate Communications Experience Fourteen years in the Commercial Concrete Industry Vice President of the Kentucky Chapter of the American Concrete Institute (AC!) Responsibilities Manages the Flatwork Division of SCC. Performs much of The Marketing and Sales Responsibilities, the Strategic Planning and Manages the Firm. r\ B.A. (Butch) Faust I I VP Operations Education Indiana University Southeast BS Business Management Experience Thirty-five years in Engineering, Development and Construction Responsibilities Management of the Structural Concrete and General Contracting Divisions r\ Projects of Note I Shively, KY Post Office Elizabethtown, KY Post Office Shepherdsville, KY Post Office Shawnee Park Sports Complex Wooded View Golf Course Clubhouse Taylor Blvd. Government Center Louisville Zoo Guest Services Facility 7th & Industry Building Renovation Solid Light Headquarters Building Renovation Portland United Methodist Center r'\ r r\ " Projects of Note (Cont'd) Peptides International Headquarters Addition Louisville Airport Terminal Restroom Renovations V A Medical Center Angiography Remodel CCUfMICU Remodel SPD Renovation Medical Gas Upgrades Lebanon National Cemetery Old Kentucky Horne Visitors Center St. Aloysius Parish Lifetime Learning Center Fairmont Elementary School S. Ellen Jones Elementary School Scribner Middle School East Oldham Middle School r . Education . Experience . Responsibilities {\ . Projects of Note ~ Ii.; Christopher L Smyth Estimator Attended Utica College of Syracuse University, Utica NY Studied Political Science Twelve years in the Commercial Construction Industry Preparing Project Estimates Tracking Job Costs Project Management and Administration Severns Valley Baptist Church, Elizabethtown, KY Maverick Tube, Jefferson County, KY Education Experience Responsibilities {' Education Experience Responsibilites Robin Judd Office Manager Sullivan Business College Jefferson Community College Robin has been a Bookkeeper for eighteen years. She has been with SCC since inception. Robin is the Office Manager and manages and Coordinates the activities within. She also is in charge of Payroll Preparation, Human Resources, and Budgeting and Finance. Dennis Hawkins Purchasing Agent Hardin County H.S. Four years of Military and sixteen years in Distribution. Purchases materials, tools, and equipment and coordinates shipping and mobilization to and from projects. r, Education Experience Responsibilities 0, Education Experience Responsibilities {''\ Kina Philpott Accounts Receivable Manager/Safety Director Sullivan College Fifteen years in Accounts Receivable and Payable Prepares Monthly Pay Applications and is in charge of Receivables. She has received OSHA 500 Training and is responsible for training SCC personneL She visits lobsites to check for Compliance and Violations.. Mike Vessel i Technical Support and Web Site Developer BS in Business Administration Major Computer Information Systems University of Louisville Mike has worked in Website Development for the last five years. Mike's Technical Responsibilities include creating and maintaining Web-based Intranet Applications, maintaining the Company Website, serving as Network and Database Administrator, building, repairing and procuring Computers, and being responsible for Backups of Company Data. He also processes the Payroll Data. ! , .1I1, r' r {'\ Mitchell Polley Project Superintendent Education Experience Mitchell has been in the Industry for over Twenty years and has performed as a Laborer, Carpenter, Operator, and Superintendent for Site Development and General Construction. Responsibilities Mitchell is a Project Superintendent and is responsible for Interpretation ofthe Construction Documents, Coordination of his work with other Trades, Managing his Personnel, Equipment and Tools, and Securing Materials. Richard Hardesty Project Superintendent Education Experience Richard has worked in Commercial Construction for over thirty years in Site Development, Concrete Construction and General Contracting. He has supervised all phases of Activities and has performed as a Superintendent on General Construction Projects where Coordination of Activities was critical to Completion of the Job. . " r Responsibilities Richard is a Superintendent and is responsible for Coordination of Manpower, Equipment, and Materials required to successfully complete the Assigned Project. Kenneth Begley Project Superintendent Education Experience Clay County Vocational Training School In his twenty-three years of Commercial Construction, Kenny has worked as a Carpenter, Superintendent, and Project Manager for Firms specializing in Concrete Construction and General Construction. r, Responsibilities Kenny is a Project Superintendent charged with the responsibility of interpreting the Construction Documents, scheduling and coordinating Manpower, Equipment, Tools, and Materials to successfully complete the assigned Project. ".