HomeMy WebLinkAboutContract #: 005357 - From: To: - Exception - ExceptionLVULCI1VE ('IARCH 30, 2010
Commonwealth of Massachusetts
Division of Capital Asset Management
SUB-B1DDeR
UPDAte StIlteMellt
TO ALL SUB -BIDDERS TRADE CONTRACTORS AND AWARDING AUTHORITIES
A COMPLETED AND SIGNED SUB -BIDDER UPDATE STATEMENT MUST BE
SUBMITTED WITH EVERY FILED SUB -BID PURSUANT TO M.G.L. c.149, §44F AND
EVERY TRADE SUB -BID PURSUANT TO M.G.L. c. 149A. ANY FILED SUB -BID OR
TRADE SUB -BID SUBMITTED WITHOUT AN APPROPRIATE SUB -BIDDER UPDATE
STATEMENT IS INVALID AND MUST BE REJECTED.
Caution: This form is to be used for submitting Filed Sub -Bids and Trade
Sub -Bids. It is not to be used for submitting Prime/General Contract bids.
AWARDING AUTHORITIES
If the Awarding Authority determines that the sub -bidder is not competent to perform
the work as specified on the project, it should reject the bid.
SUB -BIDDER'S AFFIDAVIT
I swear under the pains and penalties of perjury that I am duly authorized by thebidder
named below to sign and submit this Sub -bidder Update Statement on behalf of the bidder
named below, that I have read this Sub -bidder Update Statement, and that all of the
information provided by the bidder in this Sub -bidder Update Statement is true, accurate, and
complete as of the bid date.
Bid Date
P.J. Dionne Company, Inc
Print Name of Sub -bidder or Trade Contractor
SC:t'tdy►�i n (� V��Q�✓� 60 Jonspin Road Wilmington MA 01887
Project Number (or Business Address
nanie if no number) ,-
AN dF- / �art�j �J Qt/e�' 978-557-39'90
Awarding Authority TelephptieoRJ dii er
SIGNATURE—
Bid 's Authorized Representative
Division of Capital Asset M nagement o..�ar. i
gut i,ir;�ir;r Update 5talement Effective tvdarch 30. 2010
INSTRUCTIONS
INSTRUCTLONS TO SUB -BIDDERS
This form must be completed and submitted by all Filed
Sub -Bidders bidding on projects pursuant to M.G.L. c.
149, §44F and Trade Contractors bidding on projects
pursuant to M.G.L. c. 149A.
You must give complete and accurate answers to all
questions and provide all of the information requested.
MAKING A MATERIALLY FALSE STATEMENT IN THIS
SUB -BIDDER UPDATE STATEMENT IS GROUNDS
FOR REJECTING YOUR BID AND FOR DEBARRING
YOU FROM ALL PUBLIC CONTRACTING.
This Sub -Bidder Update Statement must include all
requested information that was not previously
reported on the Application used for your firm's
most recently issued (not extended or amended)
Sub -Bidder Certificate of Eligibility. The Sub -Bidder
Update Statement must cover the entire period since
the date of that Application, NOT since the date of
your Certification.
You must use this official form of Sub -bidder Update
Statement. Copies of this form may be obtained from
the awarding authority and from the DCAM Web Site:
www.mass.gov/dcam.
If additional space is needed, please copy the
appropriate page of this Sub -bidder Update Statement
and attach it as an additional sheet.
Division of Capital Asset Management
Sub -bidder Update Statement Effective March 30, 2010
INSTRUCTIONS TO AWARDING AUTHORITIES
Determination of Sub -Bidder Qualifications
It is the awarding authority's responsibility to determine
each responsible bidder. You must consider all of the
information in the bidder's Sub -bidder Update Statement
in making this determination. Remember: this
information was not available to the Division of Capital
Asset Management at the time of certification.
The sub -bidder's performance on the projected listed in
Parts 1 and 2 must be part of your review. Contact the
project references.
AWARDING AUTHORITIES ARE STRONGLY
ENCOURAGED TO REVIEW THE SUB -BIDDER'S
ENTIRE CERTIFICATION FILE AT THE DIVISION OF
CAPITAL ASSET MANAGEMENT. Telephone (617)
727-9320 for an appointment.
Correction of Errors and Omissions in Sub -bidder
Update Statements
Matters of Form: An awarding authority shall not reject a
sub -bidder's bid because there are mistakes or omissions of
form in the Sub -bidder Update Statement submitted with the
bid pursuant to M.G.L. c.149, §44D, provided the sub -bidder
promptly corrects those mistakes or omissions upon request
of the awarding authority. [810 CMR 8.13(1)].
Correction of Other Defects: An awarding authority may, in
its discretion, give a sub -bidder notice of minor defects and
omissions as to form in the Sub -bidder's Update Statement
and provide an opportunity to correct its Sub -bidder Update
Statement. However, the sub -bidder shall not be allowed to
make corrections to a Sub -bidder Update Statement if
material information about the sub -bidder was omitted from
the Sub -bidder Update Statement filed with the sub -bidder's
bid. The Awarding Authority shall advise DCAM of any
material omissions in a Sub -bidder's Update Statement..
[810 CMR 8.13(2)].
Page 2 of 10
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PART 3.- PROJECT PERFORMANCE
For Parts 3 and 4, if you answer YES to any question, please provide on a separate
page a complete explanation. Information you provide herein must supplement the
Application for your most recently issued (not extended or amended) Sub -Bidder
Certificate of Eligibility. You must report all requested information not previously
reported on that Application. Include all details [project name(s) and location(s),
names of all parties involved, relevant dates, etc.].
YES NO
1.
Has your firm been terminated on any contract prior to completing a project or has
❑
any officer, partner or principal of your firm been an officer, partner or principal of
another firm that was terminated or failed to complete aproject?
2.
Has your firm failed or refused either to perform or complete any of its work under
❑
any contract prior to substantial completion?
3.
Has your firm failed or refused to complete any punch list work under any contract?
❑
4.
Has your firm filed for bankruptcy, or has any officer, principal or individual with a
❑
financial interest in your current firm been an officer, principal or individual with a
financial interest in another firm that filed for bankruptcy?
5.
Has your surety taken over or been asked to complete any of your work under any
❑
contract?
6.
Has a payment or performance bond been invoked against your current fine, or has
❑
any officer, principal or individual with a financial interest in your current firm been
an officer, principal or individual with a financial interest in another firm that had a
payment or performance bond invoked?
7.
Has your surety made payment to a materials supplier or other party under your
❑
payment bond on any contract?
8.
Has any subcontractor filed a demand for direct payment with an awarding authority
❑
for a public project on any of your contracts?
9.
Have any of your subcontractors or suppliers filed litigation to enforce a mechanic's
❑
lien against property in connection with work performed or materials supplied
under any of your contracts?
10.
Have there been any deaths of an employee or others occurring in connection with
❑
any of yourprojects?
11.
Has any employee or other person suffered an injury in connection with any of your
❑
projects resulting in their inability to return to work for a period in excess of one
year?
Division of Capital Asset Management Page 7 of 10
Sub -bidder Update Statement Effective March 30, 2010
PART 4 - Legal or Administrative Proceedings; Compliance with Laws
Please answer the following questions. Information must supplement all judicial and
administrative proceedings involving bidder's firm, which were instituted or concluded
(adversely or otherwise) since your firm's Application for your most recently issued (not
extended or amended) Sub -Bidder Certificate of Eligibility. You must report all requested
information not previously reported on that DCAM Application.
The term "administrative proceeding" as used in this Sub -Bidder Update Statement
includes (i) any action taken or proceeding brought by a governmental agency,
department or officer to enforce any law, regulation, code, legal, or contractual
requirement, except for those brought in state or federal courts, or (ii) any action taken
by a governmental agency, department or officer imposing penalties, fines or other
sanctions for failure to comply with any such legal or contractual requirement.
The term "anyone with a financial interest in your firm" as used in this Section "I"
shall mean any person and/or entity with a 5% or greater ownership interest in the
applicant's firm.
If you answer YES to any question, on a separate page provide a complete
explanation of each proceeding or action and any judgment, decision, fine or
other sanction or result. Include all details (name of court or administrative
agency, title of case or proceeding, case number, date action was commenced,
date judgment or decision was entered, fines or penalties imposed, etc.).
YES NO
1. Have any civil, judicial or administrative proceedings involving your firm or a
❑
principal or officer or anyone with a financial interest in your firm been brought,
concluded, or settled relating to the procurement or performance of any construction
contract, including but not limited to actions to obtain payment brought by
subcontractors, suppliers or others?
2. Have any criminal proceedings involving your firm or a principal or officer or
❑
anyone with a financial interest in your firm been brought, concluded, or settled
relating to the procurement or performance of any construction contract including,
but not limited to, any of the following offenses: fraud, graft, embezzlement,
forgery, bribery, falsification or destruction of records, or receipt of stolen property?
3. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of any state's or federal procurement laws arising
out of the submission of bids or proposals?
4. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of M.G.L. Chapter 268A, the State Ethics Law?
Division of Capital Asset Management Page 8 of 10
Sub -bidder Update Statement Effective March 30, 2010
PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued)
VFS NO
5. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of any state or federal law regulating hours of labor,
unemployment compensation, minimum wages, prevailing wages, overtime pay,
equal pay, child labor or worker's compensation?
6. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of any state or federal law prohibiting
discrimination in employment?
7. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a claim of repeated or aggravated violation of any state or
federal law regulating labor relations?
8. Have any proceedings by a municipal, state, or federal agency been brought,
❑
concluded, or settled relating to decertification, debarment, or suspension of your
firm or any principal or officer or anyone with a financial interest in your firm from
public contracting?
9. Have any judicial or administrative proceedings involving your firm or a principal or
❑
officer or anyone with a financial interest in your firm been brought, concluded, or
settled relating to a violation of state or federal law regulating the environment?
10. Has your firm been fined by OSHA or any other state or federal agency for
® ❑
violations of any laws or regulations related to occupational health or safety? Note:
this information may be obtained from OSHA's Web Site at www.osha.gov
11. Has your firm been sanctioned for failure to achieve DBE/MBE/WBE goals,
❑
workforce goals, or failure to file certified payrolls on any publicprojects?
12. Other than previously reported in the above paragraphs of this Section I, have any
❑
administrative proceedings or investigations involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded, or
settled by any local, state or federal agency relating to the procurement or
performance of any construction contract?
13. Are there any other issues that you are aware which may affect your firm's
❑
responsibility and integrity as a building contractor?
Division of Capital Asset Management Page 9 of 10
Sub -bidder Update Statement Effective March 30, 2010
PART 5 - SUPERVISORY PERSONNEL
List all supervisory personnel who will be assigned to the project if your firm is awarded the contract.
Attach the resume of each person listed below.
NAME
TITLE OR FUNCTION
Paul Dionne
President
Donald Storck
Project Manager
John Pfifferling
Project Manager
PART 6 - CHANGES IN BUSINESS ORGANIZATION OR FINANCIAL CONDITION
Have there been any changes in your firm's business organization, financial condition or bonding
capacity since the date your current Certificate of Eligibility was issued? ❑ Yes ® No
If YES, attach a separate page providing complete details.
PART 7 — LIST OF COMPLETED CONSTRUCTION PROJECTS SUBMITTED TO
THE DIVISION OF CAPITAL ASSET MANAGEMENT ALONG WITH
CERTIFICATION PAGE.
Attach here a copy of the list of completed construction projects which was submitted with your
firm's Application for your most recently issued (not extended or amended) Sub -Bidder
Certificate of Eligibility. The Attachment must include a complete copy of the entire Section F —
"Completed Projects" (Section G — "Completed Projects" for firms certified based upon their
Prime/General Application), and the final page — "Certification Page", (Section I in the Sub -bidder
Application or Section J in Prime/General Application) containing the signature and date that the
Completed Projects list (Section F or G) was submitted to the Division of Capital Asset
Management.
Division of Capital Asset Management Page 10 of 10
Sub -bidder Update Statement Effective March 30, 2010
RESUME OF PAUL J. DIONNE
Education
1983
Graduate Woburn High School
1984
North Shore Community College
1985-1989
Plumbers Local #12 Apprenticeship Program
Work History
1985-1991
J.C. Caunistraro, Inc.
80 Rosedale Road
Watertown, MA
617-926-0092
1991 -Present
President, P.J. Dioluie Company, Inc.
60 Jonspin Road
Wilirnington, NIA 01857
978-657-3990
Formed P.J. Dionne Company in 1991. Currently engaged in Commercial Plumbing and
HVA:C:system.s.
Licenses Journeyman Plumbers License # 21.605
Nf asters Plumbers License # 11 164
Donald G. Storck
10 Carpenter Street
Amesbury, MAO 1913
EXPERIE, NCE
2005- Present P.J. Dionne Corn Uany. Inc. Wilmin ton MA
Project Manager: `-
Management of various size projects for Mechanical Contracting, including, the
managing of several subcontractors.
2004-2005 Benchmark Mechanical Systems Burlington_ MA
Project Manager:
Management of various size projects for Mechanical Contracting; including; the
managing of several subcontractors.
200 1 - 2004 Millennium Mechanical Concepts. Inc. Hingham. MA
Vice President —
Managed Accounts Payable and Receivables, along with Payroll.
Managed the Sheet Metal division.
2000-2001 Jenco, Air. Inc — Amesbury. NIA
President:
Managing all aspects of the company including Aecoul-tts Payable and
Receivable, Payroll, and Personnel.
19 7- 2000 Hall Sheet Mctal Works,_[rc. i.
III oiect Manager: -
Nlauagement of various size projects for Mechanical Contracting
including, the managing of several subcontractors.
Implemented the following:
Purchase Order System .
Inventory System
Tool Tracking System
1981 19 7 Filters, Inc.
Chxrlcstoun. N-111__
Inside Sales/ Warehouse Manager:
Managed the warehouse along with the truck drivers.
Performed inside telephone sales
Inventory control and purchasing.
EDUCATION
01/99- 05/99 N.S. Regional Vocational School
Middleton Ml�
Microsoft Word Course _.--
1992- 1994 Northern Essex Community College _ Etaverhill \-_ti\_
Intioductiou to Accounting I & II
1991-1992 Northeast Regional Vocational Wakefield MA_
Third and Fourth year Sheet Metal Apprentice training
1977- 1980 Everett High School Everett, MABusiness Course (Graduated) ----
•21 Jordan Street Haverhill. MA (978) 373-9659
John Pfifferling
Experience July 2002- Present P.J. Dionne Co. Inc. Wilmington, MA
Project Manager
• Plumbing foreman.
■ Salem Probate Court
• Watertown Public Library
• Waltham Public Middle School
■ Laboratory, Process Piping, Specialty gases
• Mill Pond Water Treatment Facility
• Park Circle Fire Station
• Trolley Square Apartment / Condo Complex
October 1993 - July 2002 Youngblood Co. Haverhill, MA
Plumbing Foreman
• Peabody Essex Museum.
• Hampton Inn Braintree
• Candlewood Suites Braintree and Burlington -
1990 -1993 Lewis Builders Atkinson, NH
License Plumber / Service Technician
• Residential houses.
• Condominiums
• Apartment Buildings
• Light Commercial
1984-1990 Cash Mechanical Haverhill, MA
Plaistow, NH
Plumber
• Commercial, Industrial Plumbing and Mechanical Piping
Education Graduated Haverhill Public Schools 1986
• Whittier Regional Vo -Tech Evening courses Plumbing and Oil Burners.
Licenses
■ Massachusetts Journeyman and Master Plumbing Lic.
• Massachusetts Journeyman Pipe fitter Lic.
• New Hampshire Master Plumbing Lic.
J. Certification (notarization required)
The undersigned. Paul J. Dionne hcrebv certifies:
(type name)
That I am an owner or principal of P.J. Dionne Company Inc ,
(company name)
and that all answers and all statements contained in the attached application(including Sections F
and G) for certificate of eligibility are complete, true and correct. Providing false or misleading
information or failure to provide all required information will be considered grounds for denial.
decertification and/or debarment. I attest to the accuracy of all information contained in this
application and verify that the information submitted is in fact complete, accurate and true, under
oath.
Signed and Sworn under the Pains and Penalties of Perjury.
Dated at 12:36 P.M.
This 2nd day of.Ianuarl, 2013.
By (signature):
Type name: Paul J Dionne
Title or position:. President
ss.
(county) (state)
Before me, c_ personally appeared and
(n Lary publi
known to me to be �( based
(name officer)
on satisfactory evidence which was his/her driver's license and acknowledged that he/she is
authorized to execute the foregoing and that its execution is his/her free act and deed and the free
act ano deed of the firm.
I/ c My com ssion CKARM
otary p blit signature) "RTH1r
Natopy Public.
WCOMMY
monweaK off, C Cvmmtasion W ��►sett�
rint name) July 23, 2615
"Upon completion of this Application and the hvo corresponding Excel spreadsheets, save and
email them to CertifrcationApplication deamnstate ma us **
Prime/General Revised March 2011 Page 16 of 16
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