OMI Novitiate, Godfrey, Illinois · 06/07/2019 · Jasmine Engineering, Inc. 115 E. Travis Street,...

Renovation of the OMI Novitiate – Godfrey RFQ Architectural Design & Construction Administration Services Page 1 of 17

June 25, 2019

OMI Novitiate, Godfrey, Illinois

RFQ NO. 001

REQUEST FOR STATEMENTS OF QUALIFICATIONS

FOR

ARCHITECTURAL DESIGN AND CONSTRUCTION ADMINISTRATION SERVICES

RENOVATION OF THE OMI NOVITIATE, GODFREY

Godfrey, Illinois

Date Issued:

June 24, 2019

Due Date:

July 18, 2019

Owner’s Project Manager & Commissioning Agent:

Jasmine Engineering, Inc.

115 E. Travis Street, Suite 1520

San Antonio, TX 78205

Telephone: (210) 227-3000

Facsimile: (210) 229-1999

Email: [email protected]

mailto:[email protected]


June 25, 2019


TABLE OF CONTENTS

INSTRUCTIONS TO RESPONDENTS

SECTION 1 – GENERAL INFORMATION & REQUIREMENTS Page 3

1.1 Request for Statements of Qualifications

1.2 Point-of-Contact for Communication

1.3 Approximate Timeline

SECTION 2 – SCOPE OF SERVICES Page 5

SECTION 3 – QUALIFICATIONS Page 5

3.1 Required Qualifications

3.2 Desired Qualifications

SECTION 4 – FORM OF QUALIFICATIONS STATEMENTS Page 6

SECTION 5 – SELECTION CRITERIA Page 11

SECTION 6- AWARD OF CONTRACT Page 11

SECTION 7-INDEPENDENT CONTRACTOR Page 11

SECTION 8 – THE FORM OF CONTRACT Page 12

RFQ EXHIBITS

Felony Conviction Notification RFQ Exhibit A Page 13

Acknowledgement of Addenda RFQ Exhibit B Page 14

Signature Page and Declaration of Compliance RFQ Exhibit C Page 15

Sample AIA Document A133-2014 RFQ Exhibit D Page 17


June 25, 2019


INSTRUCTIONS TO RESPONDENTS

SECTION 1 – GENERAL INFORMATION & REQUIREMENTS

1.1 Request for Statements of Qualifications: The Missionary Oblates of Mary Immaculate (“OMI”

or “Owner”) is soliciting qualifications statements from qualified architectural firms for design and

construction administration in connection with the following Project:

1.1.1 Renovation of the OMI Novitiate – Godfrey, IL to facilitate the operation and goals of the on-

going Novitiate Program. The Novitiate is situated on a 200-plus acre tract of land overlooking the

Mississippi River and surrounding landscape. The property was originally assembled by the Levis

Family as “La Vista Estate.” Dating back to the early 20th Century when the Levis Family assembled the

La Vista property for their estate, the site has been a natural and historic resource for the local

community. Since OMI’s involvement with the property beginning in 1950, OMI has continued the proud

tradition caring for La Vista – adding to the important history of the site the use of the property and

buildings by OMI as the Immaculate Heart of Mary Novitiate and other OMI programs and activities. The

tradition continues in the 21st Century under the stewardship and guidance OMI – the Novitiate, Oblate

Ecological Initiative, and the OEI Learning Center, La Vista.

The project is further described as follows:

Renovation of the historic Levis House and associated additions, including:

As envisioned and programmed, the total Levis House facility at the conclusion of the renovation will

have approximately 12,752 GSF, including a small new addition to accommodate an elevator of 1,500

GSF. Drawings of the original Levis House and subsequent additions are limited, but can be made

available to the selected Respondent.

The overall project will also include exterior building improvements / repairs and improvements to the

Mechanical, Electrical & Plumbing systems. As well, exterior site improvements, such as landscaping,

additional paved parking, repair to existing garden landscape features, retaining walls and walks,

driveway upgrades and main utility service upgrades are also part of the approved program.

Original Levis Residence – c. 1916 2,440 GSF footprint -- Basement + 2 stories

Approximately 7,300 GSF total

(Klipstein & Rathmann, Architects)

Original Levis House Garage – c. 1916 1,610 GSF footprint

Partial Second Floor

(Klipstein & Rathmann, Architects)

Addition and Hall – c. 1926 320 GSF - 2 stories; 700 GSF approximately

Levis House Porch Addition – c. 1926 (Chester H. Walcott, Architect - 740 GSF)

Chapel / Library / Classroom Addition – c. 1959 1,425 GSF footprint (approximately)

2 stories – Approximately 2,855 GSF

Bell Tower & Stair Addition – c. 1961

935 GSF footprint; 2 stories


(Architect: Leo Henry Turk)

Dormitory – c. 1958-1960 (To Be Demolished) 3,055 GSF footprint – 3 stories


Architect: Leo Henry Turk


June 25, 2019


The approved construction budget for the project is approximately $2.67 Million.

1.1.2 The Owner will provide a facility program for the Novitiate project to the architectural firm

selected by the Owner for services.

1.1.3 The delivery method for construction of this project will be Construction Manager at Risk (CMAR).

1.l.4 The Owner has hired Jasmine Engineering, Inc. as the Owner’s Project Representative &

Commissioning Agent for the OMI Novitiate Renovation.

1.2 Point-of-Contact for Communication: The Owner designates the following person as its

representative and Point-of-Contact for this RFQ:

Contact Person: Jasmine Azima, P.E., CxA – Project Manager

Jasmine Engineering, Inc.

115 E. Travis Street, Suite 1020


PHONE (210) 227-3000 CELL (210) 669-1616

FAX (210) 229-1999 E-MAIL: [email protected]

1.3 Approximate Timeline: The following anticipated dates are for planning purposes only.

July 9, 2019 at 2:00 PM Non-Mandatory Pre-Submittal Conference Location: Second Floor Conference Room

OMI Area Office

327 Oblate San Antonio, TX 78216

Attendance at the Pre-Submittal Conference is NOT MANDATORY; however, attendance is

encouraged.

July 18, 2019 prior to 2:00 PM RFQ Responses Due

July 19, 2019 – July 26, 2019 Notification of firms “short listed” for Interviews with

Committee

July 19, 2019 – July 26, 2019 Interviews of Short Listed Firms. Interviews will be held

at the OMI Area Office, 327 Oblate Drive, San Antonio,

TX 78216. More specific information will be provided

to the firms invited to participate in interviews.

July 19, 2019 – July 26, 2019 Notification of selected Architect

July 29, 2019 – August 12, 2019 Contract Negotiation between Architect and Project

Manager

August 13, 2019 – August 27, 2019 Review of the Architect’s Contract with Legal

August 28, 2019 Execution of Architect’s Contract

August 28, 2019 Notice to Proceed with Design Phase Services

mailto:[email protected]


June 25, 2019


December 9, 2019 Notice to proceed with Construction Phase

July 1, 2021 Substantial Completion of Construction

SECTION 2 – SCOPE OF SERVICES

2.1 It is the Owner’s Objective to enter into a contract with the most qualified architect and required

engineering consultants to provide all phases of design, assistance with bidding and negotiation, contract

administration and project close out.

A licensed architect will be assigned by the selected firm to act though out the project as the project

manager and point-of-contact for the Architect / Engineer team.

2.2 During the Design and Construction Document Phases, the firm or firms will work with the

Owner’s representatives, Owner’s Project Manager, and Stakeholders to understand and maintain the

project objectives for renovation of the facility.

SECTION 3 – QUALIFICATIONS

3.1 Required Qualifications: Firms submitting statements of qualifications must be represented by a

professional Architect licensed to practice in the State of Illinois and able to provide a professional

Architect to attend meetings of any official nature concerning the Project, including but not limited to

Scope Meetings, Review Meetings and other meetings as may be required for the Project. Firms

submitting statements must have been in business for a minimum of 10 years.

3.2 Desired Qualifications:

3.2.1 Demonstrated firm experience in the design of high quality and cost-effective renovation and

addition projects involving existing historic or vintage facilities.

3.2.2 Strong team work ethic and cooperation both within the firm and outside of the firm with

contractors, consultants, and Owner representatives.

3.2.3 A proven firm and/or team capable of providing creating, functional, flexible and technologically

sound design solutions with an economy of means and within the project budget.

3.2.4 Proven firm and/or team experience with sustainable design and construction, such as completed

projects which incorporate energy conservation and energy efficient design solutions.

3.2.5 Proven firm and/or team experience with religious worship or retreat facilities.

3.2.6 Proven firm and/or team experience with higher education and campus residential / dormitory

facilities.

3.2.7 Outstanding experience and reputation, based upon information provided by the Respondent as well

as information obtained by references; past experience of the Owner with the firm; past experience on

similar projects for other clients; record for delivery of design documents within schedule, and other

similar factors reflecting the experience and reputation of the Architect and its firm.


June 25, 2019


3.2.8 Experienced and capable key personnel to be used on the project(s), including principals of the

firm and the proposed internal project manager.

3.2.9 Proven past experience on similar projects coordinated by an Owner’s Project Representative.

3.2.10 Proven past experience on similar projects using the Construction Manager at Risk delivery

method.

SECTION 4 – FORM OF QUALIFICATIONS STATEMENTS

4.1 Statements of Qualifications must be received at:

OMI Area Office

227 Oblate Drive


No later than 2:00 PM on July 18, 2019

Statements of qualifications must be submitted in a sealed envelope or box

plainly marked: “OMI NOVITIATE – GODFREY RENOVATION, RFQ-001-

Architectural Services: Design and Construction Administration.

Qualifications statements received after the deadline will not be accepted.

4.2 To achieve a uniform review process and obtain the maximum degree of comparability, it is

required that Statements of Qualification be organized in the manner specified. Ten (10) sets of the

Qualifications Statement are required. The Qualification Statement must include one (1) original copy

labeled “ORIGINAL” and containing original signatures, preferable in blue ink. The remaining sets are to

be copies of the original and are to be labeled “COPY”. Statements of Qualifications must be submitted in

3-with spiral wire or plastic binding and tab dividers. Respondent must also complete Statement of

Qualifications response in an electronic PDF format on a USB drive.

4.3 Respondents are expected to examine this RFQ carefully, understand the terms and conditions for

providing the services listed herein and respond completely. FAILURE TO COMPLETE AND

PROVIDE ANY OF THE REQUESTED ITEMS MAY RESULT IN THE RESPONDENT’S

QUALIFICATIONS STATEMENT BEING DEEMED NON-RESPONSIVE AND THEREFORE

DISQUALIFIED FROM CONSIDERATION. The Qualifications Statement shall be submitted in the

order set forth below:

4.3.1 TAB 1: COVER LETTER

a. Submit a cover letter, prepared on the letterhead of the Respondent, which summarizes the

relevant characteristics that distinguish the Respondent in its ability to provide the services

requested by the Owner.

b. The cover letter should identify each proposed team member and his or her role, including

proposed consultants for engineering standardly provided by the Architect / Engineer Team.


June 25, 2019


c. The cover letter should identify a principal contact person authorized to commit the

Respondent to a contractual agreement. In addition to providing the name of a principal

contact person, the address, telephone number, facsimile number, and email address of said

individual should be provided.

4.3.2 TAB 2: EXECUTIVE SUMMARY

a. Describe your organization’s background and experience in design and administration of

renovation projects similar to the project proposed herein.

b. List resources of the firm that would be made available to the Owner that would distinguish

your firm as most qualified to perform the design, administration, and closeout of the

project(s).

c. Provide an overview of the services your firm proposes to provide the Owner which address

the Project specified.

d. Provide a statement that the Respondent is able to meet the insurance requirements and

provide Certificates of Insurance coverage as specified in the Insurance Requirements.

e. Provide a statement on the availability and commitment of the Prime Firm and its principal(s)

and assigned professionals to undertake the project.

f. Provide a brief history of the Prime Firm and each consultant proposed for the project.

g. Provide a graphic representation of the project team, identifying the Prime Firm and each

consultant proposed for the project.

h. Provide verification of a minimum of 10 years of experience.

4.3.3 TAB 3: INFORMATION REGARDING SIMILAR WORK

a. List a maximum of ten (10) projects completed in the last five (5) years for which you have

provided services that are most related to this project. List the projects in order of priority,

with the most relevant project listed first. Provide the following information for each project

listed:

Project name, location, contract delivery method, and description

Color images (photographic or machine reproductions)

Final Construction Cost, including Change Orders

Final project size in gross square feet

Type of construction (new, renovation, or expansion)

Actual start and finish dates for design

Actual Notice To Proceed and Substantial Completion dates for construction

Description of professional services Prime Firm provided for the project

Name of Project Manager (individual responsible to the Owner for the overall success of

the project)

Name of Project Architect (individual responsible for coordinating the day to day work)

Name of Project Designer (individual responsible for design concepts)


June 25, 2019


Consultants that were part of the Architect/Engineer team (MEP, Structural, Landscape,

Lighting, and Special Consultants)

Any Termination for Cause or No Cause by Owner/ Client

References (for each project listed above, identify the following):

i. The Owner’s name and representative who served as the day-to-day liaison during

the design and construction phases of the project, including telephone number

ii. Contractor’s name and representative who served as the day-to-day liaison during the

Preconstruction and/or construction phase of the project, including telephone number

iii. Length of business relationship with the Owner.

References shall be considered relevant based on specific project participation and

experience with the Respondent. The Owner may contact references during any part of

this process. The Owner reserves the right to contact any other references at any time

during the RFQ process.

4.3.4 TAB 4: SERVICES

a. Provide a description of your firm’s overall approach to facility design and construction

administration, and explain how this approach will benefit OMI and the project. Describe

your firm’s experience working with the Owner, the Owner’s Project Representative, and

other consultants.

b. Provide a description of your firm’s overall approach to project administration and explain

how this approach will benefit OMI and the project.

c. Describe your firm’s experience accomplishing a project with an Owner’s Project

Representative and Construction Manager at Risk and your approach to coordinating

administration duties.

4.3.5 TAB 5: PROJECT TEAM AND EXPERIENCE

a. Provide an organizational chart and resumes of not more than one (1) page per person on the

capabilities, experience, qualifications of the firm management and each team member who

would handle any of the requested services for the Owner. Please include information for

proposed engineering consultants. Resumes should include the team member’s name, title,

and education, and brief overview of professional experience.

b. Provide a description of your firm’s past experience with projects using the Construction

Manager at Risk delivery method.

c. Describe the project team’s experience with projects using a formal Commissioning process

led by a Commissioning Authority / Agent.

d. Describe the project team’s experience in sustainable design and improved indoor air quality.

4.3.6 TAB 6: PAST LITIGATION AND CLAIMS HISTORY

a. Provide history of past litigation and claims associated with past projects during the last ten (10)

years, including any Termination of Cause or No Cause by Owner / Client


June 25, 2019


4.3.7 FELONY CONVICTION NOTIFICATION

Complete, sign and submit the Felony Conviction Notification Form, RFQ Exhibit “A”. This

form is required and is considered as part of the response to this RFQ.

4.3.9 ACKNOWLEDGEMENT OF ADDENDA

Complete, sign and submit the Acknowledgement of Addendums, RFQ Exhibit “B”. This form is

required ONLY if an addendum is issued for this RFQ.

4.3.10 INSURANCE REQUIREMENTS The Selected Service Provider and their consultants will be required to show proof of, carry, and

maintain the following insurance at time contract is executed for an awarded project:

A. Commercial General Liability Insurance: written on an occurrence basis, in the amount of

$2,000,000 aggregate, $1,000,000 per occurrence, with an excess limit of $5,000,000, and

covering personal injury, bodily injury, death, and property damage. The Owner shall be

named as an additional insured on this policy.

B. Commercial Automobile Liability Insurance, including hired and non-owned vehicles, if

any, and uninsured motorists: written on an occurrence basis, in the amount of $1,000,000

each person, $1,000,000 each accident, covering personal injury, bodily injury, and property

damage. The Owner shall be named as an additional insured on this policy.

C. Workers’ Compensation Insurance: as required by the law of the place of the Project with

an employer’s liability coverage of at least $1,000,000.

D. Professional Liability Insurance: written on a claims made basis, with a combined single

limit of $2,000,000 each claim and $2,000,000 annual aggregate.

a) Coverage shall be continuous (by renewal or extended reporting period) for no less than 60

months following completion of the contract and acceptance of the work by OMI.

b) Coverage, including renewals, shall have the same retroactive date as the original policy

applicable to this Contract.

The Selected Service Provider shall provide OMI with Certificates of Insurance and required

endorsements prior to the execution of this Agreement evidencing that the stated coverages have

been obtained.

Selected Service Provider is responsible for all premiums and deductibles under all of the

insurance policies required by this section. When there is a cancellation, non-renewal or material

change in coverage which is not made pursuant to a request by OMI, Selected Service Provider

shall notify the Owner of such and shall give such notices not less than thirty (30) days prior to

the change, if Selected Service Provider knows of said change in advance, or ten (10) days’ notice

after the change, if Selected Service Provider did not know of the change in advance. Such notice

must be accompanied by a replacement Certificate of Insurance.

In addition to any other remedies, OMI may have upon Selected Service Provider’s failure to

provide and maintain any insurance or policy endorsements to the extent and within the time


June 25, 2019


herein required, OMI shall have the right to order Selected Service Provider to stop work

hereunder, and withhold any payment(s) which become due to Selected Service Provider

hereunder until Selected Service Provider demonstrates compliance with the requirements hereof.

Nothing herein shall be construed as limiting in any way the extent to which Selected Service

Provider may be held responsible for payments of damages to persons or property resulting from

Selected Service Provider ’s or its subcontractor’s performance of the work covered under this

Agreement. It is agreed that Selected Service Provider’s insurance shall be deemed primary and

non-contributory with respect to any insurance or self-insurance carried by OMI for liability of

Selected Service Provider arising out of operation under this Agreement. Selected Service

Provider agrees to require, by written contract, that all subcontractors providing services under

this Agreement obtain the same insurance coverages required of Selected Service Provider, and

provide a certificate of insurance and endorsement that names the Selected Service Provider and

the OMI as additional insured. The insurance that is required herein shall be written so that OMI

will be notified in writing in the event of cancellation, restrictive endorsement or non-renewal at

least thirty (30) days prior to such action. The selected service provider shall be responsible for

obtaining Certificates of Insurance from the sub consultants, and upon request, furnish copies to

OMI. If sub consultant is unable to provide appropriate overages, selected service provider may

replace sub consultant with the consent of the OMI

4.3.11 SIGNATURE PAGE

Complete, sign and submit Signature Page, RFQ Exhibit “C”. The Signature Page must be signed

by a person, or persons, authorized to bind the entity, or entities, submitting the Qualification

statement. Responses signed by a person other than an officer of the company or partner of the

firm shall be accompanied by evidence of authority.

4.4 No Qualification Statements, or modification to a Qualification Statement, shall be made orally or

by telephone, e-mail, or by facsimile transmission (“fax”).

4.5 Qualification Statements may be withdrawn by written request received by the Owner prior to the

time fixed for opening via hand delivery, FAX, email, or US Postal Service.

4.6 The Owner reserves the right to request supplemental information of any and all Respondents to

aid the Owner in the evaluation process.

4.7 Time is of the essence, and the award of the contract to the successful Respondent is expressly

conditioned upon (i) the Respondent’s execution and delivery of the contract and evidence of

insurance, within ten (10) calendar days after the successful Respondent is notified of the

acceptance of its post-selection price proposal, and (ii) the Respondent’s timely fulfillment of any

and all other preconditions expressly set forth in the Contract. Should the Respondent fail to

timely execute and deliver the contact, evidence of insurance, or fail to fulfill any other such

preconditions, the Owner may, at is option and discretion, rescind the award and thereafter

negotiate with and award the contract to the next ranked Respondent, or may reject all Statements

of Qualifications.

4.8 By submission of its Statement of Qualifications, the Respondent agrees to waive all rights to

claims against the Owner, or persons authorized by the Owner, or any person’s or committee’s

evaluation of the Respondent’s qualifications.


June 25, 2019


SECTION 5 – SELECTION CRITERIA

5.1 Evaluation will be based on the Respondent’s Qualifications Statement provided in response to

this RFQ. The Owner will evaluate the submitted Qualifications Statements and will evaluate

and rank each response submitted based on the following evaluation criteria:

5.1.1 Prior experience in connection with projects of a similar size and nature to the Projects noted

herein, commitment to quality, overall experience of the lead Architects assigned to this Project,

reputation of the firm and past performance, including past litigation and claims associated with

past projects.

5.1.2 Capability of the firm in the areas of support personnel, technical staff and the spectrum

of services to be offered to Owner.

5.1.3 The firm’s overall plan for meeting the Owner’s needs and requirements, management

ability and demonstrated ability to effectively serve its clients on prior projects/

5.1.4 Clarity and quality of Qualifications Statement and supporting data.

5.1.5 Resources and support services provided by the firm to the Owner.

SECTION 6- AWARD OF CONTRACT

6.1 The Owner reserves the right to reject any or all Qualifications Statements. There will be no

contractual obligations on the part of the Owner to any Respondent, nor will any Respondent have any

property interest of other right in the contract unless and until a reasonable price for the services is

negotiated and the contract is unconditionally executed and delivered by all parties, and all conditions to

be fulfilled by the Respondent have either been so fulfilled by the Respondent or waived in writing by the

Owner.

6.1.1 Within a reasonable time, a committee of Owner representatives to whom the task has been

delegated, will evaluate each Statement of Qualifications submitted in relation to the criteria set out in

above in this Request for Qualifications.

6.1.2 Based on the evaluation criteria, the Owner’s Committee will evaluate the Respondents based

solely on the qualifications of each Respondent.

6.1.3 The Owner’s Committee may elect to interview or receive presentations from one or more of the

Respondents prior to approval of the rankings, but will base its evaluation on the same criteria set forth

herein.

SECTION 7 – INDEPENDENT CONTRACTOR

7.1 Respondent agrees and understands that, if selected, it and all persons designated by it to provide

services in connection with the Contract shall be deemed to be independent contractor(s), responsible for

their respective acts or omissions, and that Owner shall in no way be responsible for Respondent’s

actions, and that none of the parties hereto will have authority to bind the others or to hold out to third-

parties, that it has such authority.


June 25, 2019


SECTION 8 – THE FORM OF CONTRACT

8.1 The form of Architect Agreement utilized for this Project shall be the Standard Form of

Agreement Between Owner and Architect (AIA Document B133-2014) as amended by Owner along with

Supplemental Conditions amended by the Owner.

8.2 The Architect will be required to provide administration of the Contract between the Owner and

the Contractor in AIA Document A201-2007, General Conditions of the Contract for Construction, as

amended by Owner.

8.3 A copy of the above referenced AIA Document B133-2014 and Supplemental documents are

attached here as Exhibit D.

Renovation of the OMI Novitiate – Godfrey RFQ Architectural Design & Construction Administration Services Page 13 of 17 June 25, 2019


RFQ EXHIBIT A

FELONY CONVICTION NOTIFICATION

The Owner requires that Respondents give advance notice to the Owner if the person or an owner or

operator of the business entity has been convicted of a felony. The notice must include a general

description of the conduct resulting in the conviction of a felony.”

The Owner reserved the right to terminate a contract with a person or business entity if the Owner

determines that the person or business entity failed to give notice as required or misrepresented the

conduct resulting in the conviction.

This notice is not required of a Publicly-Held Corporation.

I, the undersigned agent for the firm named below, certify that the information concerning notification of

felony conviction has been received by me and the following information furnished is true to the best of

my knowledge.

Vendor’s Business Name

Authorized Company Official’s Name (Printed)

A. My firm is a publicly-held, stock-exchange corporation; therefore this requirement is not applicable.

Signature of Company Official:

Date Signed:

B. My firm is not owned or operated by anyone who has been convicted of a felony.


Date Signed:

C. My firm is owned or operated by the following individual(s) who has/have been convicted of a felony

(printed name and general description of type of felony or felonies):

1.

______________________________________________________________

2.

______________________________________________________________

3.

______________________________________________________________

4.

_______________________________________________________________


Date Signed:



RFQ EXHIBIT B

ACKNOWLEDGEMENT OF ADDENDA

I, ____________________________, acknowledge receipt of the following Addendums to the Request

for Qualifications for Architectural Services issued by OMI, on behalf of the Respondent listed below:

Addendum No.___. Dated:__________________ Entitled: ____________________________




□ Not Applicable

Respondent’s Business Name:

Signature: _______________

Printed Name and Title:



RFQ EXHIBIT C

SIGNATURE PAGE AND DECLARATION OF COMPLIANCE

Check () the box that indicates business structure of Respondent.

Individual/Sole Proprietorship Partnership or Joint Venture Corporation Other Entity

(State Type)______________________________________

The undersigned certifies that (s)he is (title) of the Respondent entity named below;

that (s)he is authorized to sign this Statement of Qualifications (if a Corporation then by resolution with

Certified Copy of resolution attached) for and on behalf of the entity, if any, named below, and that (s)he

is authorized to execute same for and on behalf of and bind said entity to the terms and conditions

required by this RFQ, and has the requisite authority to execute an Agreement on behalf of Respondent, if

awarded, and that the Taxpayer Identification Number (TIN) for the entity, if any, is:

Taxpayer Identification Number

Respondent Organization Name

By:

Printed Name:

Title:

By:

(If Respondent is a Joint Venture, an authorized signature from a representative of each party is required.)

Printed Name:

Title:

If Respondent is not an individual or sole proprietorship, identify each person who owns at least twenty-

five percent (25%) of the Respondent’s business entity by name:

(Name)

(Name)

(Name)

(Name)

By signing this Signature Page and Declaration of Compliance above, Respondent further certifies on

behalf of its organization and represents to the OMI that:



A. It understands that (1) this RFQ is a solicitation for Qualifications and is not a contract or an

offer to contract; (2) the submission of Qualifications by Respondent in response to this RFQ will not

create a contract between the Owner and Respondent; (3) the Owner has made no representation or

warranty, written or oral, that one or more contracts with the Owner will be awarded under this RFQ; and

(4) Respondent shall bear, as its sole risk and responsibility, any cost which arises from Respondent's

preparation of a response to this RFQ.

B. Respondent is a reputable company regularly engaged in providing architectural services necessary

to meet the terms, conditions and requirements of the RFQ and the necessary experience, knowledge,

abilities, skills, and resources to satisfactorily perform the terms, conditions and requirements of the RFQ.

C. Respondent is aware of, is fully informed about, and is in full compliance with all applicable federal,

state and local laws, rules, regulations and ordinances.

D. Respondent understands (i) the requirements and specifications set forth in this RFQ and (ii) the

terms and conditions set forth in the Agreement under which Respondent will be required to operate.

E. Respondent, if selected by the Owner, can provide and will maintain insurance as required by the

applicable Agreement attached to the RFQ.

F. All statements, information and representations prepared and submitted in response to this RFQ are

current, complete, true and accurate. Respondent acknowledges that the Owner will rely on such statements,

information and representations in selecting the successful Respondent. If selected by the Owner as the

successful Respondent, Respondent will notify the Owner immediately of any material change in any matters

with regard to which Respondent has made a statement or representation or provided information.

P. No compensation has been received for participation in the preparation of the specifications for

this RFQ.

Q. Respondent will comply with the safety standards established and promulgated under the Federal

Occupational Safety and Health Law (Public Law 91-596) and its regulations in effect or proposed as of

the date of this solicitation.

R. Respondent will comply with all applicable federal laws and regulations pertaining to Equal

Employment Opportunities.

NOTE TO RESPONDENT: SIGNING A FALSE STATEMENT MAY VOID THE SUBMITTED

QUALIFICATIONS OR ANY AGREEMENTS OR OTHER CONTRACTUAL ARRANGEMENTS,

WHICH MAY RESULT FROM THE SUBMISSION OF RESPONDENT’S QUALIFICATIONS, AND

THE RESPONDENT MAY BE REMOVED FROM ALL PROPOSER LISTS. A FALSE

CERTIFICATION SHALL BE DEEMED A MATERIAL BREACH OF CONTRACT AND, AT

OWNER'S OPTION, MAY RESULT IN TERMINATION OF ANY RESULTING CONTRACT OR

PURCHASE ORDER.



RFQ EXHIBIT D

EXAMPLE OF THE FORM OF CONTRACT

AIA Document A133-2014 Standard Form of Agreement Between Owner and Architect,

as modified by the Owner along with Supplemental Conditions

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