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ENGLISH + ASSOCIATES ARCHITECTS, INC. 1919 DECATUR HOUSTON, TEXAS 77007TELEPHONE: 713.850.0400 FACSIMILE: 713.850.0411 ADDENDUM A Date: October 11, 2013 Project: Hogg Middle School Renovation E+A Project No.: 12025.01 To: Prospective Bidders The following shall constitute Addendum A to the above referenced project issued for bid and construction on October 7, 2013. Information contained in this addendum shall replace and supercedes all information pertaining to the same, contained in the original documents and all prior addenda: The current bid due date of October 29, at 2:00 PM is not extended by this Addendum. This Addendum uses the change page method: remove and replace or add pages, or Drawing sheets, as directed in the change instructions below. Change bars ( | ) are provided in the outside margins of pages from the Project Manual to indicate where changes have been made; no change bars are provided in added Sections. Reissued Drawing Sheets show the Addendum number below the title block and changes in the Drawing are noted by a revision mark and enclosed in a revision cloud. Issued with Drawings: P103 Issued with General Documents: 02, 04 Issued with Proposal Forms: CA, CB, CD Issued with Specification Sections: 01 1000, Issued with Description DRAWINGS 1. Drawing P103 Plumbing Demolition Plan BLD1 LVL3 AREA-A - has been added PROJECT MANUAL 2. General Document 02 Table of Contents has been updated to indicated documents issued as part of Addendum A. 3. General Document 04 Project Information contact information under items 4.0 and 5.0 has been updated. 4. Proposal Form CA Overall Proposal Packaging Checklist has been modified. 5. Proposal Form CB Proposal Form (Part A) Sections “I” and “Ohave been modified. 6. Proposal Form CD Proposer’s Technical Proposal (Part B) – Section 2.04 has been modified. 7. Specification Section 01 1000 - Summary Section 1.05, A. - has been removed. Section 1.09, A, 4, k. - has been modified to further clarify requirements. Section 1.09, A, 4, l. has been added. C-18
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ADDENDUM A - Houston Independent School District / … · ADDENDUM A Date: October 11, 2013 ... This Addendum uses the change page method: ... Reissued Drawing Sheets show the Addendum

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Page 1: ADDENDUM A - Houston Independent School District / … · ADDENDUM A Date: October 11, 2013 ... This Addendum uses the change page method: ... Reissued Drawing Sheets show the Addendum

ENGLISH + ASSOCIATES ARCHITECTS, INC. 1919 DECATUR HOUSTON, TEXAS 77007TELEPHONE: 713.850.0400 FACSIMILE: 713.850.0411

ADDENDUM A Date: October 11, 2013 Project: Hogg Middle School Renovation E+A Project No.: 12025.01 To: Prospective Bidders The following shall constitute Addendum A to the above referenced project issued for bid and construction on October 7, 2013. Information contained in this addendum shall replace and supercedes all information pertaining to the same, contained in the original documents and all prior addenda: The current bid due date of October 29, at 2:00 PM is not extended by this Addendum. This Addendum uses the change page method: remove and replace or add pages, or Drawing sheets, as directed in the change instructions below. Change bars ( | ) are provided in the outside margins of pages from the Project Manual to indicate where changes have been made; no change bars are provided in added Sections. Reissued Drawing Sheets show the Addendum number below the title block and changes in the Drawing are noted by a revision mark and enclosed in a revision cloud. Issued with Drawings: P103 Issued with General Documents: 02, 04 Issued with Proposal Forms: CA, CB, CD Issued with Specification Sections: 01 1000, Issued with Description

DRAWINGS

1. Drawing P103 – Plumbing Demolition Plan BLD1 LVL3 AREA-A - has been added PROJECT MANUAL

2. General Document 02 – Table of Contents – has been updated to indicated documents issued as part of Addendum A.

3. General Document 04 – Project Information – contact information under items 4.0 and 5.0 has been updated.

4. Proposal Form CA – Overall Proposal Packaging Checklist – has been modified. 5. Proposal Form CB – Proposal Form (Part A) – Sections “I” and “O” have been modified. 6. Proposal Form CD – Proposer’s Technical Proposal (Part B) – Section 2.04 has been

modified. 7. Specification Section 01 1000 - Summary – Section 1.05, A. - has been removed. Section 1.09,

A, 4, k. - has been modified to further clarify requirements. Section 1.09, A, 4, l. has been added.

C-18

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ENGLISH + ASSOCIATES ARCHITECTS, INC. 1919 DECATUR HOUSTON, TEXAS 77007TELEPHONE: 713.850.0400 FACSIMILE: 713.850.0411

OTHER ITEMS

8. XXX – IXX

End of Addendum A

cc: Tim Beally – AECOM Kathleen English – English + Associates Architects, Inc. file

Page 3: ADDENDUM A - Houston Independent School District / … · ADDENDUM A Date: October 11, 2013 ... This Addendum uses the change page method: ... Reissued Drawing Sheets show the Addendum

HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 1 of 9 00 0200

SECTION 00 0200 TABLE OF CONTENTS

GENERAL DOCUMENTS NUMBER OF PAGES 01 Project Manual Cover.............................................. .......................................................... 1 Seals Page.............……………………….. ......................................................................... 1 02 Table of Contents………………. ........................................................................................ 5 03 Proposal Advertisement.................... ................................................................................. 1 04 Project Information ............................................................................................................. 3 05 HISD School Operations Parameter Statement ................................................................ 3 06 Project Close-Out Documents ........................................................................................... 1 PROPOSED SUBMITTAL REQUIREMENTS

AA Instruction for Competitive Sealed Proposal Submittals .................................................... 4 AB Specific Conditions for M/WBE Participation (Procedure and Required Forms) .............10

CONTRACT FORMS BA Standard Form of Agreement Between Owner and Contractor, AIA Document A101 - 2007, as modified by Owner ................................................................................ 8 BB General Conditions of the Contract for Construction, AIA Document A201 – 2007, as modified by Owner .................................................................................................... 55 BC (Not Used) BD Wage Rate Schedule ....................................................................................................... 2 BE Notice to Proceed Form ................................................................................................... 1 BF Performance Bond Form .................................................................................................. 2 BG Payment Bond Form ........................................................................................................ 2 PROPOSAL FORMS CA Overall Proposal Packaging Checklist ............................................................................. 2 CB Proposal Form – (Base Price, Alternates, Allowances, Unit Prices, Duration) .............. 10 CC Proposal Guarantee Bond ............................................................................................... 2 CD Proposer's Technical Proposal ...................................................................................... 14 CE Equal Opportunity Employer Statement .......................................................................... 1 CF Equal Opportunity Employer Affidavit .............................................................................. 1 CG Certificate of Non-Segregated Facilities .......................................................................... 2 CH Felony Conviction Notification .......................................................................................... 1 CI Notification of Hazardous Materials Affidavit ................................................................... 1 CJ Safety Plan Requirement Certification..................... ........................................................ 2 CHANGE PROPOSAL AND PROJECT CLOSE OUT FORMS DA Change Proposal Request ............................................................................................... 1 DB Change Proposal – Contractor’s Estimate ....................................................................... 1 DC Change Proposal – Cost Detail ........................................................................................ 1 DD Certificate of Asbestos-Free Construction (required for final payment) ........................... 1 DE Equipment Data Form (to be provided at future date)

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 2 of 9 00 0200

OWNER FURNISHED INFORMATION AVAILABLE TO PROPOSERS (UPON REQUEST)

1) Geotechnical Report ................................................................................................................... 17 ABATEMENT PACKAGE (Volume II - HAZMAT)

1) Volume II Cover..................................... ....................................................................................... 1 2) Asbestos Survey Cover Letter ...................................................................................................... 1 3) Section 02050 - Removal, Recycling, and Disposal of Regulated Materials...... .......................... 5 4) Limited-Scope Lead-Based Paint Survey Report................... .................................................... 52 5) Work Procedures for Removal of Asbestos-Containing Building Materials (ACBM)...... ............ 59 6) Abatement Drawings......................... ............................................................................................ 6

DRAWINGS

GENERAL G000-COVER G001-PROJECT DATA G002-LIFE SAFETY AND CODE INFORMATION G003-LIFE SAFETY PLAN G004-LIFE SAFETY PLANS G005-FIRE RATED ASSEMBLIES G006-PHASE PLANS ARCHITECTURAL A000-OVERALL BUILDING 1, BASEMENT LEVEL FLOOR PLAN A001-OVERALL SITE & LEVEL 1 REFERENCE PLAN A002-OVERALL BUILDING 1, LEVEL 2 REFERENCE PLAN A003- OVERALL BUILDING 1, LEVEL 3 REFERENCE PLAN AS100-SITE SURVEY AS101-SITE AND ROOF DEMOLITION PLAN AS102-SITE AND ROOF PLAN AS103-COURTYARD PLANS AND DETAILS AD100-DEMOLITION PLAN BLD 1 LVL POOL-BASEMENT AD101-DEMOLITION PLAN BLD 1 LVL 1 AREA-A AD102- DEMOLITION PLAN BLD 1 LVL 1 AREA-B AD103- DEMOLITION PLAN BLD 1 LVL 2 AREA-A AD104- DEMOLITION PLAN BLD 1 LVL 2 AREA-B AD105- DEMOLITION PLAN BLD 1 LVL 3 AREA-A AD106- DEMOLITION PLAN BLD 1 LVL 3 AREA-B AD107-DEMOLITION PLAN BLD 2 LVL 1 AD108-DEMOLITION PLAN BLD 2 LVL 2 AD109-DEMOLITION PLAN BLDS 3, 4, AND 5 AA100-ARCHITECTURAL PLAN BLD 1 LVL 0 POOL & BASEMENT AA101-ARCHITECTURAL PLAN BLD 1 LVL 1 AREA-A AA102-ARCHITECTURAL PLAN BLD 1 LVL 1 AREA-B AA103-ARCHITECTURAL PLAN BLD 1 LVL 2 AREA-A AA104-ARCHITECTURAL PLAN BLD 1 LVL 2 AREA-B AA105-ARCHITECTURAL PLAN BLD 1 LVL 3 AREA-A AA106-ARCHITECTURAL PLAN BLD 1 LVL 3 AREA-B AA107-ARCHITECTURAL PLAN BLD 2 LVL 1 AA108-ARCHITECTURAL PLAN BLD 2 LVL 2 AA109-ARCHITECTURAL PLAN BLD 3, 4, AND 5 AE100-VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 0 AE101-VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 1 AREA-A

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 3 of 9 00 0200

ARCHITECTURAL CONT. AE102- VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 1 AREA-B AE103- VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 2 AREA-A AE104- VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 2 AREA-B AE105- VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 3 AREA-A AE106- VOICE-DATA & ELEC LOCATION PLAN BLD 1 LVL 3 AREA-B AE107- VOICE-DATA & ELEC LOCATION PLAN BLD 2 LVL 1 AE108- VOICE-DATA & ELEC LOCATION PLAN BLD 2 LVL 2 AE109- VOICE-DATA & ELEC LOCATION PLAN BLDS 3, 4, & 5 AR100-REFLECTED CEILING PLAN BLD 1 LVL 0 POOL & BASEMENT AR101-REFLECTED CEILING PLAN BLD 1 LVL 1 AREA-A AR102-REFLECTED CEILING PLAN BLD 1 LVL 1 AREA-B AR103-REFLECTED CEILING PLAN BLD 1 LVL 2 AREA-A AR104-REFLECTED CEILING PLAN BLD 1 LVL 2 AREA-B AR105-REFLECTED CEILING PLAN BLD 1 LVL 3 AREA-A AR106-REFLECTED CEILING PLAN BLD 1 LVL 3 AREA-B AR107-REFLECTED CEILING PLAN BLD 2 LVL 1 AR108-REFLECTED CEILING PLAN BLD 2 LVL 2 AR109-REFLECTED CEILING PLAN BLDS 3, 4, & 5 A201-EXTERIOR ELECATIONS A202-EXTERIOR ELEVATIONS & BUILDING SECTIONS A301-BUILDING SECTIONS A401-ENLARGED PLANS A402-ENLARGED PLANS A410-ELEVATOR ENLARGED PLANS, DETAILS, & SECTIONS A411-ELEVATOR ENLARGED PLANS, SECTIONS, AND DETAILS A420-AUDITORIUM SEATING A440-RESTROOM GENERAL NOTES AND INFORMATION A441-RESTROOM PLANS, ELEVATIONS, AND DETAILS A442-RESTROOM PLANS A443-RESTROOM ELEVATIONS A444-RESTROOM ELEVATIONS A445-RESTROOM ELEVATIONS A446-RESTROOM ELEVATIONS A447-LOCKER ROOM RESTROOMS A448-LOCKER ROOM RESTROOMS A501-EXTERIOR WALL SECTIONS A510-INTERIOR DETAILS A520-CEILING DETAILS A601-PARTITION TYPES A610-DOOR SCHEDULE A611-WINDOW TYPES + HARDWARE A620-FINISH SCHEDULES A621-FINISH SCHEDULE CONTINUED A622-SIGNAGE TYPES A640-WINDOW SHADE LOCATIONS A701-INTERIOR ELEVATIONS A702-INTERIOR ELEVATIONS A801-LAB CASEWORK SECTIONS & DETAILS A802- LAB CASEWORK SECTIONS & DETAILS STRUCTURAL S001-STRUCTURAL GENERAL NOTES S100- STRUCTURAL BASEMENT PLAN AREA S101- STRUCTURAL PLAN BLD1 LVL1 AREA-A S102- STRUCTURAL PLAN BLD1 LVL1 AREA-B

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 4 of 9 00 0200

STRUCTURAL CONT. S103- STRUCTURAL PLAN BLD1 LVL2 AREA-A S104- STRUCTURAL PLAN BLD1 LVL2 AREA-B S105- STRUCTURAL PLAN BLD1 LVL3 AREA-A S106- STRUCTURAL PLAN BLD1 LVL3 AREA-B S107- STRUCTURAL PLAN BLD2 LVL1 S108- STRUCTURAL PLAN BLD2 LVL2 S109- STRUCTURAL PLAN BLD4 S110- STRUCTURAL PLAN BLD3 S111- FOUNDATION PARTIAL PLAN S113- OVERALL ROOF PLAN S114- STRUCTURAL PLAN BLD1 ROOF LVL AREA-A S115- STRUCTURAL PLAN BLD1 ROOF LVL AREA-B S120- ELEVATOR PLANS S400-DETAILS S401- FLOOR DETAILS S420- DETAILS S421- DETAILS S422- DETAILS S500- BRACE DETAILS S501- BRACE ELEVATIONS MECHANICAL M100-MECHANICAL DEMOLITION PLAN BLD1 LVL0 POOL + BASEMENT M101-MECHANICAL DEMOLITION PLAN BLD1 LVL1 AREA-A M102-MECHANICAL DEMOLITION PLAN BLD1 LVL1 AREA-B M103-MECHANICAL DEMOLITION PLAN BLD1 LVL2 AREA-A M104-MECHANICAL DEMOLITION PLAN BLD1 LVL2 AREA-B M105-MECHANICAL DEMOLITION PLAN BLD1 LVL3 AREA-A M106-MECHANICAL DEMOLITION PLAN BLD1 LVL3 AREA-B M107-MECHANICAL DEMOLITION PLAN BLD2 LVL1 M108-MECHANICAL DEMOLITION PLAN BLD2 LVL2 M109-MECHANICAL DEMOLITION PLAN BLD2 ROOF M110-MECHANICAL DEMOLITION PLAN BLD3, BLD4, & BLD5 M200-MECHANICAL PLAN BLD1 LVL0 POOL + BASEMENT M201-MECHANICAL PLAN BLD1 LVL1 AREA-A M202-MECHANICAL PLAN BLD1 LVL1 AREA-B M203-MECHANICAL PLAN BLD1 LVL2 AREA-A M204-MECHANICAL PLAN BLD1 LVL2 AREA-B M205-MECHANICAL PLAN BLD1 LVL3 AREA-A M206-MECHANICAL PLAN BLD1 LVL3 AREA-B M207-MECHANICAL PLAN BLD2 LVL1 M208-MECHANICAL PLAN BLD2 LVL2 M209-MECHANICAL PLAN BLD2 ROOF M210-MECHANICAL PLAN BLD3, BLD4, & BLD5 M211-MECHANICAL PLAN ROOF M300-MECHANICAL ABBREVIATIONS & SYMBOLS M301-MECHANICAL SCHEDULES M302-MECHANICAL DETIALS M303-MECHANICAL DETIALS ELECTRICAL E001-ELECTRICAL SITE PLAN E100-ELECTRICAL DEMOLITION PLAN BLD1 LVL0 POOL + BASEMENT E101-ELECTRICAL DEMOLITION PLAN BLD1 LVL1 AREA-A

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 5 of 9 00 0200

ELECTRICAL CONT. E102-ELECTRICAL DEMOLITION PLAN BLD1 LVL1 AREA-B E103-ELECTRICAL DEMOLITION PLAN BLD1 LVL2 AREA-A E104-ELECTRICAL DEMOLITION PLAN BLD1 LVL2 AREA-B E105-ELECTRICAL DEMOLITION PLAN BLD1 LVL3 AREA-A E106-ELECTRICAL DEMOLITION PLAN BLD1 LVL3 AREA-B E107-ELECTRICAL DEMOLITION PLAN BLD2 LVL1 E108-ELECTRICAL DEMOLITION PLAN BLD2 LVL2 E109-ELECTRICAL DEMOLITION PLAN BLD3, BLD4, & BLD5 E200-ELECTRICAL LIGHTING PLAN BLD1 LVL0 POOL + BASEMENT E201-ELECTRICAL LIGHTING PLAN BLD1 LVL1 AREA-A E202-ELECTRICAL LIGHTING PLAN BLD1 LVL1 AREA-B E203-ELECTRICAL LIGHTING PLAN BLD1 LVL2 AREA-A E204-ELECTRICAL LIGHTING PLAN BLD1 LVL2 AREA-B E205-ELECTRICAL LIGHTING PLAN BLD1 LVL3 AREA-A E206-ELECTRICAL LIGHTING PLAN BLD1 LVL3 AREA-B E207-ELECTRICAL LIGHTING PLAN BLD2 LVL1 E208-ELECTRICAL LIGHTING PLAN BLD2 LVL2 E209-ELECTRICAL LIGHTING PLAN BLD3, BLD4, & BLD5 E300-ELECTRICAL POWER PLAN BLD1 LVL0 POOL + BASEMENT E301-ELECTRICAL POWER PLAN BLD1 LVL1 AREA-A E302-ELECTRICAL POWER PLAN BLD1 LVL1 AREA-B E303-ELECTRICAL POWER PLAN BLD1 LVL2 AREA-A E304-ELECTRICAL POWER PLAN BLD1 LVL2 AREA-B E305-ELECTRICAL POWER PLAN BLD1 LVL3 AREA-A E306-ELECTRICAL POWER PLAN BLD1 LVL3 AREA-B E307-ELECTRICAL POWER PLAN BLD2 LVL1 E308-ELECTRICAL POWER PLAN BLD2 LVL2 E309-ELECTRICAL POWER PLAN BLD3, BLD4, & BLD5 E310-ELECTRICAL POWER PLAN ROOF E400- SPECIAL SYSTEMS PLAN BLD1 LVL0 POOL + BASEMENT E401- SPECIAL SYSTEMS PLAN BLD1 LVL1 AREA-A E402- SPECIAL SYSTEMS PLAN BLD1 LVL1 AREA-B E403- SPECIAL SYSTEMS PLAN BLD1 LVL2 AREA-A E404- SPECIAL SYSTEMS PLAN BLD1 LVL2 AREA-B E405- SPECIAL SYSTEMS PLAN BLD1 LVL3 AREA-A E406- SPECIAL SYSTEMS PLAN BLD1 LVL3 AREA-B E407- SPECIAL SYSTEMS PLAN BLD2 LVL1 E408- SPECIAL SYSTEMS PLAN BLD2 LVL2 E409- SPECIAL SYSTEMS PLAN BLD3, BLD4, & BLD5 E601-ELECTRICAL ABBREVIATIONS & SYMBOLS E602-ELECTRICAL RISER DIAGRAMS E603-ELECTRICAL ONE-LINE DIAGRAMS E604-ELECTRICAL DETAILS E701-ELECTRICAL DETAILS E702-ELECTRICAL DETAILS E703-ELECTRICAL DETAILS E704-ELECTRICAL DETAILS E705-ELECTRICAL DETAILS PLUMBING P100-PLUMBING DEMOLITION PLAN BLD1 LVL0 POOL + BASEMENT P101- PLUMBING DEMOLITION PLAN BLD1 LVL1 AREA-A P102- PLUMBING DEMOLITION PLAN BLD1 LVL1 AREA-B P103- PLUMBING DEMOLITION PLAN BLD1 LVL3 AREA-A

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 6 of 9 00 0200

PLUMBING CONT. P104- PLUMBING DEMOLITION PLAN BLD1 LVL2 AREA-B P105- PLUMBING DEMOLITION PLAN BLD1 LVL3 AREA-A P106- PLUMBING DEMOLITION PLAN BLD1 LVL3 AREA-B P107- PLUMBING DEMOLITION PLAN BLD2 LVL1 P108- PLUMBING DEMOLITION PLAN BLD2 LVL2 P109- PLUMBING DEMOLITION PLAN BLD2 ROOF P110- PLUMBING DEMOLITION PLAN BLD3, BLD4, & BLD5 P111- PLUMBING DEMOLITION PLAN ROOF P200- PLUMBING PLAN BLD1 LVL0 POOL + BASEMENT P201- PLUMBING PLAN BLD1 LVL1 AREA-A P202- PLUMBING PLAN BLD1 LVL1 AREA-B P203- PLUMBING PLAN BLD1 LVL2 AREA-A P204- PLUMBING PLAN BLD1 LVL2 AREA-B P205- PLUMBING PLAN BLD1 LVL3 AREA-A P206- PLUMBING PLAN BLD1 LVL3 AREA-B P207- PLUMBING PLAN BLD2 LVL1 P208- PLUMBING PLAN BLD2 LVL2 P209- PLUMBING PLAN BLD2 ROOF P210- PLUMBING PLAN BLD3, BLD4, & BLD5 P211- PLUMBING PLAN ROOF P300-PLUMBING DETRAILS & SCHEDULES & SYMBOLS P301-PLUMBING DETAILS

SPECIFICATIONS 1.0 DIVISION 01 – PROCUREMENT AND GENERAL REQUIREMENTS

A. 01 1000 - Summary................................................................................................................... 4 B. 01 2100 - Allowances................................................................................................................ 1 C. 01 2200 - Unit Prices................................................................................................................. 1 D. 01 2500 - Substitution Procedures............................................................................................ 3 E. 01 2600 - Contract Modification Procedures............................................................................. 3 F. 01 2900 - Payment Procedures................................................................................................. 5 G. 01 3000 - Administrative Requirements.................................................................................... 4 H. 01 3216 - Construction Progress Schedule.............................................................................. 2 I. 01 3553 - Security Procedures.................................................................................................. 1 J. 01 4000 - Quality Requirements................................................................................................ 3 K. 01 4100 - Regulatory Requirements.......................................................................................... 1 L. 01 4216 - Definitions................................ ................................................................................. 1 M. 01 4219 - Reference Standards................................................................................................ 2 N. 01 4529 - Testing Lab Services................................................................................................ 22 O. 01 5000 - Temporary Facilities and Control................. ............................................................. 3 P. 01 5100 - Temporary Utilities.................................................................................................... 2 Q. 01 5213 - Field Offices and Sheds............................................................................................ 2 R. 01 5500 - Vehicular Access and Parking.................................................................................. 2 S. 01 5713 - Temporary Erosion and Sediment Control............................................................... 5 T. 01 5721 - Indoor Air Quality Controls........................................................................................ 2 U. 01 5813 - Temporary Project Signage....................................................................................... 1

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 7 of 9 00 0200

V. 01 6000 - Product Requirements.............................................................................................. 4 W. 01 6116 - Volatile Organic Compound Content Restrictions..................................................... 3 X. 01 6116.01 - Accessory Material VOC Content Certification Form........................................... 1 Y. 01 7000 - Execution and Closeout Requirements.................................................................... 8 Z. 07 7419 - Construction Waste Management and Disposal....................................................... 2 AA. 01 7800 - Closeout Submittals.................................................................................................. 4 BB. 01 7900 - Demonstration and Training..................................................................................... 3 CC. 01 9113 - General Commissioning Requirements................................................................... 9 DD. 01 9114 - Commissioning Authority Responsibilities................................................................ 8

1.01 DIVISION 02 -- EXISTING CONDITIONS A. 02 4100 – Demolition................................................................................................................. 3

1.02 DIVISION 03 -- CONCRETE A. 03 0505 - Underslab Vapor Barrier............................................................................................ 1 C. 03 3000 - Cast-in-Place Concrete............................................................................................. 38

1.03 DIVISION 04 -- MASONRY 1.04 DIVISION 05 -- METALS

A. 05 1200 - Structural Steel Framing............................................................................................ 14 B. 05 5000 – Metal Fabrications.....................................................................................................2 C. 05 5213 – Pipe and Tube Railings.............................................................................................2

1.05 DIVISION 06 -- WOOD, PLASTICS, AND COMPOSITES A. 06 1000 - Rough Carpentry........................................................................................................3 B. 06 4100 - Architectural Wood Casework....................................................................................2

1.06 DIVISION 07 -- THERMAL AND MOISTURE PROTECTION A. 07 2100 - Thermal Insulation.....................................................................................................2 B. 07 7200 – Roof Accessories......................................................................................................2 C. 07 8400 – Firestopping..............................................................................................................2 D. 07 9005 – Joint Sealers.............................................................................................................2

1.07 DIVISION 08 -- OPENINGS A. 08 1113 - Hollow Metal Doors and Frames...............................................................................3 C. 08 1416 - Flush Wood Doors.....................................................................................................1 D. 08 3100 – Access Doors and Panels.........................................................................................1 E. 08 4313 - Aluminum-Framed Storefronts...................................................................................4 G. 08 7100 - Door Hardware..........................................................................................................5 H. 08 8000 - Glazing......................................................................................................................4

1.08 DIVISION 09 -- FINISHES A. 09 0561 - Common Work Results for Flooring Preparation.......................................................4 B. 09 2116 - Gypsum Board Assemblies........................................................................................5 C. 09 2216 - Non-Structural Metal Framing....................................................................................2 D. 09 3000 - Tiling...........................................................................................................................4 E. 09 5100 - Acoustical Ceilings.....................................................................................................3 F. 09 6500 - Resilient Flooring........................................................................................................2 G. 09 6900 - Access Flooring..........................................................................................................3

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 8 of 9 00 0200

H. 09 9000 - Painting and Coating..................................................................................................5 1.09 DIVISION 10 -- SPECIALTIES A. 10 1400 - Signage.......................................................................................................................2 B. 10 4400 - Fire Protection Specialties..........................................................................................1 1.10 DIVISION 11 -- EQUIPMENT 1.11 DIVISION 12 -- FURNISHINGS A. 12 6150 – Fixed Audience Seating Restoration..........................................................................5 1.12 DIVISION 13 -- SPECIAL CONSTRUCTION 1.13 DIVISION 14 -- CONVEYING EQUIPMENT A. 14 2010 - Passenger Elevators....................................................................................................4 B. 14 4200 - Elevators Wheelchair Lifts...........................................................................................3 1.14 DIVISION 21 -- FIRE SUPPRESSION 1.15 DIVISION 22 -- PLUMBING A. 22 0523 - General-Duty Valves for Plumbing Piping.................................................................. 6 B. 22 0529 - Hangers and Supports for Plumbing Piping and Equipment...................................... 11

C. 22 0719 - Plumbing Piping Insulation......................................................................................... 19 D. 22 1116 - Domestic Water Piping............................................................................................... 13 E. 22 1119 - Domestic Water Piping Specialties............................................................................. 15 F. 22 1316 - Sanitary Waste and Vent Piping................................................................................. 11 G. 22 1319 - Sanitary Waste Piping Specialties............................................................................. 12 H. 22 3300 - Electric, Domestic-Water Heaters..................................... ........................................ 7 I. 22 4000 - Plumbing Fixtures....................................................................................................... 7 J. 22 4700 - Drinking Fountains and Water Coolers....................................................................... 4

1.16 DIVISION 23 -- HEATING, VENTILATING, AND AIR-CONDITIONING (HVAC) A. 23 0200 - Basic Materials and Methods.................................................................................... 21 B. 23 0300 - Mechanical Demolition for Remodeling.................................................................... 6 C. 23 0513 - Common Motor Requirements for HVAC Equipment........................... .................... 5 D. 23 0516 - Expansion Fittings and Loops for HVAC Piping...................................................... 4 E. 23 0526 - Variable Frequency Motor Speed Control for HVAC Equipment.............................. 7 F. 23 0529 - Hangers and Support for Piping and Equipment - HVAC......................................... 7 G. 23 0548 - Vibration and Seismic Controls for HVAC Piping and Equipment............................. 3 H. 23 0553 - Identification for HVAC Piping and Equipment.......................................................... 3 I. 23 0593 - Testing, Adjusting, and Balancing............................................................................. 6 J. 23 0700 - HVAC Insulation....................................................................................................... 32 K. 23 0800 - Commissioning of HVAC........................................................................................... 5 L. 23 0900 - Instrumentation and Control for HVAC..................................................................... 56 M. 23 2113 - Above Ground Hyrdronic Piping................................................................................ 10 N. 23 2119 - Hydronic Specialties................................................................................................. 8 O. 23 2123 - Hydronic Pumps........................................................................................................ 5 P. 23 3113 - Metal Ductwork......................................................................................................... 11 Q. 23 3300 - Ductwork Accessories............................................................................................... 6 R. 23 3400 - HVAC Fans............................................................................................................... 7

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. TABLE OF CONTENTS E+A #: 12025.01 Page 9 of 9 00 0200

S. 23 3600 - Air Terminal Units...................................................................................................... 6 T. 23 3713 - Air Distribution Devices............................................................................................. 4 U. 23 4100 - Air Filters................................................................................................................... 2

1.17 DIVISION 26 -- ELECTRICAL A. 26 0500 - Common Work Results for Electrical......................................................................... 5 B. 26 0519 - Low-Voltage Electrical Power Conductors and Cables............................................. 7 C. 26 0526 - Grounding and Bonding for Electrical Systems........................................................ 6 D. 26 0529 - Hangers and Supports for Electrical Systems........................................................... 5 E. 26 0533 - Raceway and Boxes for Electrical Systems.............................................................. 8 F. 26 0553 - Identification for Electrical Systems.......................................................................... 8 G. 26 0573 - Overcurrent Protective Device Coordination Study................................................... 6 H. 26 2200 - Low-Voltage Transformers........................................................................................ 6 I. 26 2416 - Panelboards.............................................................................................................. 11 J. 26 2726 - Wiring Devices......................... ................................................................................. 12 K. 26 2816 - Enclosed Switches and Circuit Breakers.................................................................. 7 L. 26 5100 - Interior Lighting........................ ................................................................................. 11

1.18 DIVISION 27 -- COMMUNICATIONS A. 27 5100 Intercom System....................... ................................................................................. 8 1.19 DIVISION 28 -- ELECTRONIC SAFETY AND SECURITY 1.20 DIVISION 31 – EARTHWORK

A. 31 2316.13 Trenching ................................................................................................................2 1.21 DIVISION 32 -- EXTERIOR IMPROVEMENTS

A. 32 1313 Concrete Paving...........................................................................................................2 B. 32 1712.13 Painted Pavement Markings....................................................................................2

1.22 DIVISION 33 -- UTILITIES END OF TABLE OF CONTENTS

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PROJECT INFORMATION E+A #: 12025.01 Page 1 of 3 00 0400

SECTION 00 0400 PROJECT INFORMATION

1.0 PROJECT NAME/ADDRESS

HOGG MIDDLE SCHOOL RENOVATIONS (TEA# 053) 1100 Merrill Street Houston, Texas 77009 HISD Project Number 13-10-01CS

2.0 OWNER Houston Independent School District 4400 West 18th Street Houston, Texas 77092-8501 3.0 CONSTRUCTION MANAGER-PROGRAM ADMINISTRATOR (CM-PA)

AECOM, HISD’s Construction Manager/Program Administrator (CM/PA) has been retained as HISD’s representative for the management of planning, design, procurement process and construction. All correspondence and communication involving plans, specifications, and addenda during the proposal shall be directed to the Architect/Engineer (A/E) with copies to HISD CFS Procurement Manager and the CM/PA’s Project Manager. Information inquiries regarding the Competitive Sealed Proposal (CSP) method of procurement and selection process should be directed to HISD’s Construction and Facility Services (CFS) Procurement Manager. During construction, CM/PA shall have authority to act on behalf of HISD for owner related direction.

4.0 HISD CS Procurement Manager: Raymond Hooks Construction Services Houston Independent School District 3200 Center Street Houston, Texas 77007-5909 Phone: 713-556-9345 Fax: 713-556-9315 E-mail: [email protected]

5.0 HISD CS Senior Manager: Meredith Smith Construction and Facility Services Houston Independent School District 3200 Center Street Houston, Texas 77007-5909

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PROJECT INFORMATION E+A #: 12025.01 Page 2 of 3 00 0400

Phone: 713-556-9289 Fax: 713-556-9277 E-mail: [email protected]

6.0 CM/PA Project Manager: Tim Beally AECOM 5444 Westheimer Rd. Suite 200 Houston, Texas 77056 Phone: 713-267-3223 Fax: 713-780-0838 E-mail: [email protected]

7.0 ARCHITECT/ENGINEERS (A/E)

Mathew Duggan English + Associates Architects, Inc. 1919 Decatur Street Houston, Texas 77007 Phone: 713-850-0400 Fax: 713-850-4011 E-mail: [email protected]

8.0 PROGRAM CONSTRUCTION BUDGET and ESTIMATED DURATION

Estimated Construction Cost $6,100,000.00

Owner's Estimated Duration (Calendar Days) 525 days

9.0 PRE-PROPOSAL MEETING AND PROPOSAL OPENING:

A PRE-PROPOSAL CONFERENCE AND WALK-THROUGH WILL HELD AT 9:00 AM, WEDNESDAY, OCTOBER 16, 2013, AT HOGG MIDDLE SCHOOL AT 1100 MERRILL STREET, HOUSTON, TX 77009. PROPOSAL FORMS FOR “PART A” ARE DUE NO LATER THAN 2:00 PM, TUESDAY, OCTOBER 29, 2013, AT 4400 WEST 18TH STREET, OFFICE OF BOND SERVICES, HOUSTON, TX 77092. THE PRICE PROPOSALS WILL BE OPENDED AND THE AMOUNTS READ ALOUD. PROPOSAL FORMS FOR “PART B” ARE DUE NO LATER THAN 12:00 NOON, THURSDAY, OCTOBER 31, 2013, 4400 WEST 18TH STREET, OFFICE OF BOARD SERVICES, HOUSTON, TX 77092 (THE SECOND DAY AFTER SUBMITTAL OF PART A).

10.0 HISD SELECTION CRITERIA AND WEIGHTING

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PROJECT INFORMATION E+A #: 12025.01 Page 3 of 3 00 0400

Competitive Sealed Proposals (Criteria Revisions Approved 09-13-12)

Criteria Weighted Amount of

100%

Explanation of Criteria

QUANTITATIVE CRITERIA

Contract Amount 45% For evaluation of proposals, the “contract amount” is the Base Price plus all Alternates.

Contract Time 2% Proposed Construction Contract duration in calendar days.

Subtotal 47%

QUALITATIVE CRITERIA

A. Qualifications of the Contractor 15% Overall qualifications of the proposer; successful delivery of projects; reference responses from project owners and architect/engineers on similar projects; budget and cost; schedule/record of on-time completion; quality of reporting/communications; responsiveness; past experience on other projects in bringing the appropriate resources (personnel & equipment) to assure project completion by contract target end dates; record of claims incidences, and litigation experiences over the past five (5) years.

B. Qualifications of the Primary Subcontractors

5% Overall qualifications of the proposer’s subcontractors; successful experience on projects of similar scope, scale, complexity and type; reference responses from general contractors, project owners, and architect/engineers on similar projects; budget and cost; schedule/record of on-time completion; quality of reporting/communications; responsiveness; past experience on other projects in bringing the appropriate resources (personnel & equipment) to assure project completion by contract target end dates; record of claims incidences, and litigation experiences over the past five (5) years.

C. Relevant Experience 8% Successful experience in the delivery of projects of similar scope, scale, complexity, and type.

D. Safety Record 5% Safety program and record, safety policy, WC Modifier, drug/alcohol policy.

E. M/WBE Plan and Track Record of Compliance

10% Proposer's M/WBE Plan for this specific contract as related to HISD’s goal of at least 20% M/WBE participation; proposer's track record of past compliance to M/WBE plans for HISD or other clients.

F. Total Long-Term Cost to HISD to Acquire the Contractor’s Services; Cost Saving & Methodology

2% Demonstrated ability to provide and implement effective value engineering and cost savings strategies; quality and clarity of proposer's work plan including schedule, construction work during work hours; logistics/phasing plan, understanding of the work, and sensitivity to ongoing operations.

G. Proposed Personnel 5% Qualifications and relevant experience of the personnel proposed for the project; level of commitment to deliver the personnel named.

H. Bonding and Stability 3% Single project bonding limit; aggregate limit; number of concurrent projects; stability and condition of the firm (Dun & Bradstreet Rating; number of years in business).

Subtotal 53%

Total 100.00%

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. OVERALL PROPOSAL PACKAGING CHECKLIST E+A #: 12025.01 Page 1 of 2 CA

PROPOSAL FORM - CA OVERALL PROPOSAL PACKAGING CHECKLIST

CA: OVERALL PROPOSAL PACKAGING CHECKLIST

Contractors are to package all submittal information into one document organized as

follows and bound loosely and clipped. Do not spiral or GBC bind the submittal documents.

PART A. CSP PROPOSAL PACKAGE

The following documents sealed in an 8.5” x 11” or larger envelope and labeled:

“CSP CONTRACTOR PART A PROPOSAL FOR HOGG MIDDLE SCHOOL RENOVATION

DUE BY 2:00 PM Tuesday, October 29, 2013” ID Description Copies Required with Proposal

A Proposal Form (Form CB) One (1) Signed & Executed

Original A Proposal Guarantee Bond Form (Form CC) One (1) Signed & Executed

Original and One (1) Copies A Texas Secretary of State Certificate of Filing Two (2) Copies

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. OVERALL PROPOSAL PACKAGING CHECKLIST E+A #: 12025.01 Page 2 of 2 CA

Contractors are to package submittal information into one document organized as follows and bound loosely and clipped. Do not spiral or GBC bind the submittal

documents.

PART B. CONTRACTOR QUALIFICATION PACKAGE

The following documents sealed in an 8.5” x 11” or larger envelope and labeled:

“CSP CONTRACTOR PART B QUALIFICATIONS FOR HOGG MIDDLE SCHOOL RENOVATION

DUE BY 12:00 PM (noon), Thursday, October 31, 2013”

ID DESCRIPTION ORIGINALS AND COPIES REQUIRED

B Proposer’s Technical Proposal Form (Form CD) One (1) Signed & Executed Original and Two (2) Copies

B Equal Opportunity Employer Statement Form (Form CE)

One (1) Signed & Executed Original and Two (2) Copies

B Equal Opportunity Employer Affidavit Form (Form CF)

One (1) Signed & Executed Original and Two (2) Copies

B Certification of Non-Segregated Facilities Form (Form CG)

One (1) Signed & Executed Original and Two (2) Copies

B Felony Conviction Notification Form (Form CH) One (1) Signed & Executed Original and Two (2) Copies

B Notification of Hazardous Materials Affidavit Form (Form CI)

One (1) Signed & Executed Original And Two (2) Copies

B Contractor’s Safety Program (Checklist) (Form CJ)

One (1) Original and two (2) copies Signed & Executed

B Contractor’s Proposed Project Schedule One (1) original and two (2) copies of the contractor’s proposed project schedule

B M/WBE Forms (Entire submittal of forms for Option A, B or C) Section AB

One (1) set of originals and two (2) copies of submittal, signed & executed

B Contractor's Current Safety Manual One (1) original of the current Safety Manual

END OF OVERALL PROPOSAL PACKAGING CHECKLIST

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 1 of 11 CB

PROPOSAL FORMS - CB PROPOSAL FORM (PART A)

CB: PROPOSAL FORM (Part A) Name of Contractor COMPETITIVE SEALED PROPOSAL to THE BOARD OF EDUCATION of HOUSTON INDEPENDENT SCHOOL DISTRICT (HISD) FOR THE FOLLOWING WORK Project Name HOGG MIDDLE SCHOOL RENOVATION

Project Street Address 1100 MERRILL STREET

HOUSTON, TX 77009

A. DECLARATION OF AGREEMENT TO TERMS The undersigned, as a designated representative of the proposer, declares such firm is the only entity, as principal, with any interest in this Proposal and the Proposal that is made without collusion with any other entity. The proposer affirms that the form of Contract, Instructions for Competitive Sealed Proposals, Addenda, selection criteria & weighting, estimated budget, Specifications and the Drawings pertaining to this Proposal have been examined and the firm has also examined the locations, conditions and classes of materials for the proposed Work and agrees to provide all necessary machinery, tools, apparatus and construction means to accomplish the Work described in the Contract Documents in the manner prescribed. The proposer agrees the quantities of Work to be performed and materials to be furnished may be increased or decreased as may be considered necessary, in the sole opinion of HISD's Representative, to complete the Work as planned and contemplated. Adjustment for changes in Work shall be in accordance the General Conditions. B. NON-RESPONSIVE PROPOSALS A proposal will be deemed non-responsive and will not be evaluated: 1. If any information is missing on this Form CB: Proposal Form (Part A); 2. If a Proposal Guarantee Bond is not provided; 3. If the Texas Secretary of State Certificate of Filing is not provided; 4. If the Part B package is not submitted.

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 2 of 11 CB

C. ADDENDA The proposer acknowledges receipt and incorporation of the following addenda into this Proposal. Contractor is to insert the addendum number and addendum date to indicate acknowledge of receipt. Addenda No. Addenda No. Addenda No. Addenda No. Addenda No.

Addenda Date Addenda Date Addenda Date Addenda Date Addenda Date

D. WITHDRAWAL OF PROPOSALS PRIOR TO PUBLIC OPENING A Proposal may be withdrawn only upon request by the proposer or his duly authorized representative, provided such request is received by HISD at the place designated for receipt of Proposals and prior to the time fixed for the opening of Proposals. No Proposal may be withdrawn after the time fixed for the opening of Proposals for a period of 90 days. The Proposer may request in writing to HISD, withdrawal of the Proposal due to errors or the Proposer’s inability to perform the work. HISD may, at its sole discretion, grant or refuse the request. E. AWARD OF CONTRACT The proposer to whom the award of a Contract is made will be promptly notified following Board action. If a proposer, (a) withdraws his Proposal within 90 days after the date and time fixed for the opening of Proposals in the Advertisement for Proposals, or, (b) fails or refuses to execute the Agreement, or other required forms within ten (10) days after the same are presented to him for signature, or (c) fails or refuses to furnish properly executed Performance and Payment Bonds, if required, and certification of required insurance upon the execution of the Agreement, HISD may award the Work to another proposer or proposers or may re-solicit the contract. The Proposal Bond is forfeited if Proposal is withdrawn after the Proposal opening, or Contract Documents are not executed in accordance with the above requirements. HISD reserves the right to reject any or all Proposals, to accept or reject any or all alternates, and to waive any irregularities in any Proposal received. Award may be made to other than the low dollar proposer. F. NOTICE TO PROCEED The Contractor shall not commence the Work under this Contract until execution of the Notice to Proceed is duly signed by HISD’s representative. G. COLLUSION, LITIGATION, DEFAULT, COMPETENCY, AND CONFLICT OF INTEREST By completing and submitting a Proposal, the proposer agrees to comply with the requirements of the following paragraph. A proposer who subsequently does not agree to comply with these requirements may automatically disqualify himself from Proposal or receiving award of Contract on the project. The responses to the items of the Contractor’s Qualification Statement will be

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ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 3 of 11 CB

used in evaluation of the Proposals on the project. Proposers may be disqualified and their proposals not considered for any of the following specific reasons. 1. Reason for believing collusion exists among proposers. 2. Reasonable grounds for believing that any proposer is interested in more than one proposal

for the work contemplated. 3. The proposer being involved in or having an interest in any litigation against the HISD and

/or its representatives. 4. The proposer being in arrears on any existing contract with HISD or having defaulted on a

previous contract with HISD. 5. Uncompleted work which, in the judgment of the Board, will prevent or hinder the prompt

completion of this Work, if awarded. 6. Other information or circumstance that establishes reasonable grounds for belief that the

proposer is not a “responsible proposer”. By entering into a contract with HISD, the proposer agrees that; (1) Work on the project will begin upon receipt of the Notice to Proceed, (2) Contractor will participate as a team member in cooperation with the Construction Manager-Program Administrator (CM-PA), Architect/Engineer and HISD, (3) Comply with the requirements set forth in Section 00 0500 – School Operations Parameter Statement, (4) The Contractor will assign a competent superintendent, full time to each campus, and that superintendent shall be maintained on the project for the duration of the project, subject only to his continuous employment, (5) The Contractor will furnish and pay for bonds as follows:

� Projects over $100,000: Proposal, Performance and Payment Bonds are required Contractor will carry and keep in full force for the duration of the project, Insurance and bonds required in Article II – Insurance and bonds of the General Conditions of the Contract for Construction, A201 – 2007, as modified by the Owner. H. ULTIMATE CORPORATE OWNERSHIP In the space below, enter the address of the proposer's place of business and, if applicable, the name and address of the proposer's ultimate parent company or majority owner. Is proposer a corporation? Check One, Yes ____ No____ Proposer's name and address of principal place of business: Ultimate parent company or majority owner's name and address of principal place of business:

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 4 of 11 CB

I. CONTRACTOR’S PRICE Total amount for the furnishing of all labor, materials, services, equipment and appliances required in conjunction with and properly incidental to all Work, for construction of the project in conformance with the terms and condition set out in the Contract Documents. Proposal amounts must be shown in both words and figures. In case of discrepancy, the amount shown in words will govern. Contractor must provide separate line item costs for the items below which are to be included in the Total Base Proposal. Base Proposal (In Words) Dollars

Total Base Proposal (in words) including abatement. $

Abatement Cost: Total Base Proposal above includes $ for abatement. Restroom Costs: Total Base Proposal above includes $ for restrooms.

� Refer to the construction documents and Specification Section 01 2900 - Payment

Procedures, Part 1.4, A, 3, and Part 1.5, A, for description of restroom work. Pa (intercom) System Cost: Total Base Proposal above includes $

for PA system work.

Window Blinds Cost: Total Base Proposal above includes $

for window blinds.

� Refer to drawing A640 for additional information on window blinds.

Library (Room 321) Carpet Cost: Total Base Proposal above includes $ for library carpet.

� Refer to drawing AAA105 for additional information on library carpet.

Lay-in Ceiling Cost at library area: Total Base Proposal above includes $ for lay-in ceiling.

� The lay-in ceiling cost above shall only be for the following rooms: Library 321,

Periodical 321A, Workroom 321B, AV 321C, AV 321D, Asst. Principal 322, and Asst. Principal 323. Refer to drawing AR105 for additional information on lay-in ceiling scope at these spaces. All other spaces, indicated in the construction documents, that involve lay-in ceiling work shall not be included in this number, but such work must be included

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ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 5 of 11 CB

in the Total Base proposal. Library Desk Cost: Total Base Proposal above includes $

for the library desk.

� Refer to drawings AA105 and A802 for additional information on the library desk.

Health & weight Rooms Rubber Floor Cost: Total Base Proposal above includes $ for rubber floor.

� Refer to drawing AA108 for additional information on the new rubber flooring at health

room X84 and weight room X83. All other spaces, indicated in the construction documents, that involve rubber flooring work shall not be included in this number, but such work must still be included in the Total Base proposal.

Wood Floor Refinishing Cost: Total Base Proposal above includes $

for wood floor refinishing.

� Refer to drawings AA101 and AA105 for additional information on wood floor refinishing

at Rooms306, 307, H100 and H101. All other spaces, indicated in the construction documents, that involve wood floor work shall not be included in this number, but such work must still be included in the Total Base proposal.

J. ALTERNATE PRICE ITEMS The Contractor proposes the following sums as additions to or deductions from the Base Price amount for alternates as more fully described in the Contract Documents and Addenda issued. Failure to quote every item will cause the entire Proposal to be considered non-responsive. Alternates are not listed in the order of preference. ALTERNATES - THERE ARE NO ALTERNATES FOR THIS PROJECT No. Alternate Description Add ($/Figures) Deduct ($/Figures) No Change - - - - -

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 6 of 11 CB

K. ALLOWANCE ITEMS The contractor’s Base Price amount shall include the following allowances as further described in the Specifications and Addenda issued under Contract Documents. Unit prices may be applied to calculate credits against these allowance items as described in K, Unit Prices. No. Allowance Description Amount 01 Miscellaneous Metals and Steel Connectors Allowance: for

steel to be furnished, detailed, fabricated, shipped, and installed during the progress of work as directed by the structural engineer. The installation of steel shall include labor and machinery. The steel allowance is to cover hidden and unforeseen structural conditions that could not be observed in advance. The allowance is to cover any steel that is in addition to all the structural steel members listed in the specifications, plans, and details. Items referenced in the construction documents shall not be covered by this allowance as those items shall be included in the Base Proposal for this Contract.

$18,000.00

02 Strom Drain Work Allowance: to dig up existing storm drain piping at 4 locations, on the south side of Building B (BLDG-1). Existing piping shall be removed starting at the 4 downspouts on the south side of Building B (BLD-1) all the way to 1 foot inside the property line. Removed piping shall be replaced with new piping of the same size and type as the existing piping, in the exact same location. New piping shall be directly connected to the existing downspouts and to the existing to remain piping at 1 foot inside of the property line. The existing storm pipe route from the building to just inside the property line is unknown and could not be located in advance of this project. Allowance to include, but not be limited to the following items: trenching, removal of existing piping, disposal, trench preparation for new piping, required trench protection and shoring, piping, backfill, repair to existing site pavement and landscaping, labor, and machinery. Storm drain pipe work at the north side of Building B (BLD-1) and in the west courtyard of the Building B (BLD-1) shall not be covered by this allowance as these scopes of work shall be included in the Base Proposal for this project.

$55,000.00

03 Fire Alarm System and Egress Lighting Allowance: to cover any additional fire alarm system devices, exit signs, or additional egress lighting required by the Fire Marshall as a result of the Fire Marshall's plan review of shop drawings which is deferred till after award of a bidder. It is also to cover any of the above items that are a result of the Fire Marshall's on site inspections required to obtain a final at the end of the project. Allowance to include all associated labor, equipment, and materials. Items referenced in the construction documents shall not be covered by this allowance as those items shall be included in the Base Proposal for this Contract.

$10,000.00

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HOGG MIDDLE SCHOOL RENOVATION ADDENDUM A HOUSTON INDEPENDENT SCHOOL DISTRICT OCTOBER 11, 2013

ENGLISH + ASSOCIATES ARCHITECTS, INC. PPROPOSAL FORM (PART A) E+A #: 12025.01 Page 7 of 11 CB

L. UNIT PRICES The following prices must be filled in by the proposer. The prices supplied shall reflect the total installed prices. The proposer further agrees that in case of variation of quantities from those shown or specified, the following unit prices shall be used in adjusting the contract price. No. Unit Price Description Add ($/Figures) Deduct ($/Figures) Unit of

measure 01 Steel erector cost Hour

02 Man-lift rental Day

03 Steel - fabricated and furnished Ton

04 To provide and install - Exit sign Each

05 To provide and install - Audio visual alarm device

Each

06 To provide and install - Classroom lever/lockset

Each

07 To remove existing, prepare for new, and provide and install - Typical classroom window pane

Each

08 Trenching for storm drain piping Linear Foot

09 Provide new ceiling tile to match existing

Square Foot

10

Provide new ceiling grid and ceiling tile to match existing

Square foot

11 New ceiling tiles and grid to match specified classroom ceiling tile

Square Foot

M. HAZARDOUS MATERIALS ABATEMENT UNIT PRICES The following prices must be filled in by the proposer. The prices supplied shall reflect the total installed prices. The proposer further agrees that in case of variation of quantities from those shown or specified, the following unit prices shall be used in adjusting the contract price. No. Unit Price Description Add ($/Figures) Deduct

($/Figures) Unit of

measure ASB-1 Price per square foot, for proper

removal, transportation and disposal of a single layer of vinyl asbestos floor tile and associated mastic.

Square Foot

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ASB-2 Price per square foot, for the proper removal, transportation and disposal of a layer of vinyl asbestos floor tile, associated mastic covered by carpeting

Square Foot

ASB-3 Price per square foot, for proper removal, transportation and disposal of two layers of vinyl floor tile and associated mastic

Square Foot

ASB-4 Price per unit for the proper removal, transportation and disposal of frame caulking on one double exterior door.

Door Frame Unit

ASB-5 Price per linear foot for proper removal, transportation and disposal of thermal piping insulation with mastic coating (10" or less diameter) [domestic water, chilled or heating water piping insulation] (glovebag removal)

Linear Foot

ASB-6 Price per linear foot, for the proper removal, transportation and disposal of thermal piping insulation with asbestos insulted runs or elbows (10" or less diameter) [domestic water, abandoned steam or condensate piping] (glovebag removal)

Linear Foot

ASB-7 Price per unit for the proper removal, transportation and disposal of one standard chalkboard and associated spot mastic from wall substrate

Each

ASB-8 Price per square foot for the proper removal, transportation and disposal of one square foot of vapor barrier sealant with NESHAP compliance [brick saw cut demo by others]

Per Square Foot

ASB-9 Price per Unit for proper removal, transportation and disposal of one sink unit

Per Unit

ASB-10 Price for the proper removal, transportation and disposal of one fire door

Per Unit

ASB-11 Price per unit for the proper Per Unit

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removal, transportation and disposal of one unit ventilator (ceiling)

ASB-12 Price per square foot for the proper removal, transportation and disposal of plaster ceiling above 2' x 2' lay-in ceiling (including demo of lower ceiling)

Square Foot

ASB-13 Price per square foot for proper NESHAP removal, transportation and disposal of ACM roofing component

Square Foot

ASB-14 Price per unit for the proper removal, transportation and disposal of one elevated heater unit

Per Unit

ASB-15 Price per square foot for the proper removal, transportation and disposal of sub-floor vapor barrier located under the gym wood floor planking

Square Foot

ASB-16 Price per square foot for the proper removal, transportation and disposal of one square foot of gypsum wallboard and joint compound

Square Foot

ASB-17 Price per square foot for the proper HEPA vacuum and clean up of piping and insulation debris on attic plenum decking

Square Foot

ASB-18 Price per square foot for the proper clean up of piping insulation debris in crawl space soil - to a depth of two inches

Square Foot

ASB-19 Price per linear foot for the proper removal, transportation and disposal of HVAC ductwork in plaster ceiling furr down of Building #3 including necessary demolition of plaster, lathe and steel

Linear Foot

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N. PROPOSED CONSTRUCTION DURATION The Contractor understands that HISD desires that the Project be completed within HISD’s Estimated Project Duration below if this can be accomplished with no associated premium costs. No time extensions will be allowed under this contract due to late deliveries or changes in the Work that do not affect the critical path schedule of the project. The Contractor may, at its option, propose a project duration other than HISD’s Estimated Project Duration and indicate this duration in the box below. HISD’s Estimated Project Duration Proposer’s Duration

525 days

O. LIQUIDATED DAMAGES The Contractor agrees that if he is awarded the Contract for the Work and fails to complete the Work on schedule, he shall pay HISD, as liquidated damages, the sum listed below for each calendar day the Work remains uncompleted. Since the exact amounts of HISD’s losses due to the Contractor’s delay in completion of the Work are not readily ascertainable, the amounts herein constitute agreed upon damages and are not a penalty. At HISD’s option, any such accrued liquidated damages may be deducted from sums due the Contractor under the terms of this Contract. Dollars (Figures) Per Calendar Day $1500.00

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P. PROPOSAL FORM EXECUTION Contractor’s Firm Name (legal name)

Federal Tax I. D. Number

Contractor’s Street Address

Contractor’s Phone Number

Contractor’s Fax Number

Contractor’s Email Address

SUBMITTED BY: (Corporation, Partnership, Individual, etc.) Name of President of Corporation or Name of Secretary of Corporation Name of Principal Owner (if applicable) (Corporation, Partnership, Etc.,) is organized under the laws of

the State of __________________.

Firm: ______________________________________________

By: _______________________________________________

Title: ______________________________________________

Legal Address: ______________________________________

___________________________________________________

Date: ______________________________________________

Affix Corporation Seal here (if applicable)

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CD: PROPOSER’S TECHNICAL PROPOSAL (Part B) Name of Contractor

PART 1. GENERAL The Contractor is requested to submit a complete response to each of the items listed in this technical proposal form. If the question is not applicable, please provide a response after each question or section with the words: NOT APPLICABLE TO THIS PROJECT. Responses requiring additional space should be brief and submitted as an attachment to this section.

1.01 Contractor Firm Information

Contractor’s Firm Name (Legal Name)

Contractor’s Point of Contact with Signature Authority

Street Address

Phone and Fax Number

Point of Contact Email Address

Type of Business: _____ Corporation, _____ Partnership, _____ Sole proprietorship, _____ Joint Venture State of Incorporation

In continuous business since (Date of Incorporation/ Years in Business):

List other fully staffed offices or fully staffed branch offices of your organization: Name Branch Manager Telephone Number Corporate Officers, Partners or Owners of Organization: Name Title Construction Experience (Years) Check box(s) corresponding to the nature of your business: ___Large Business (100 or more employees) ____Small Business (fewer than 100 employees) ___Minority Owned Business; Certified with _________________________________________ ___Women Owned Business; Certified with __________________________________________ ___Other (Define) ______________________ Has your organization ever defaulted or failed to complete any work awarded? _____Yes ______ No If yes, stipulate where and why: Has your organization ever paid liquidated damages or a penalty for failure to complete a contract on time? ___Yes ___No If yes, stipulate where and why:

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1.02 Contractor’s Pending Claims and/or Litigation

List pending claims and/or litigation at time of submitting Proposal. (Show project name, owner and summary explanation.)

PART 2. TECHNICAL PROPOSAL 2.01 Qualifications of the Contractor

Provide no fewer than 3 and no more than 10 projects with appropriate references. Answer the questions for each relevant project, with specific emphasis on relevant renovation/new K-12 project experience with HISD and other local districts and other relevant renovation/new construction projects, that your organization has in-progress or completed in the last seven years, using the format below: A member of the Evaluation Committee will verify the information with the references provided and may ask additional questions.

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Project No. : Owner / Name and Location of Project:

Type of Project: (Renovation, Remodeling, Addition, New Construction?)

Procurement Method: (Competitive Bidding, CSP, CM at Risk, Other)

Type of Contract: (Lump Sum, Cost Plus, T&M, other)

Contract Amount: (at time of award)

Final Contract Amount: (If in progress, contract amount to date)

Contract Time: (at time of award)

Percent Complete:

Projected/Actual Completion Date:

If completed, was the project completed on time? If in progress, is the project on schedule?

What kind of delays occurred?

Reporting Tools used: (Daily reports, weekly reports, monthly reports)

Superintendent’s Name:

Owner Reference Contact Name/Telephone-Facsimile/Address:

A/E Reference Contact Name/Telephone-Facsimile/Address:

Proposer should copy this form for use on up to 10 projects completed or in progress.

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2.02 Contractor’s Current Workload 1. Total number and dollar amount of contracts currently in progress:

Number $

2. Largest single contract amount currently in-progress: $

Project Name:

Projected Completion Date:

3. Volume of work completed over last 5 years:

2012 $

2011 $

2010 $

2009 $

2008 $

2.03 Contractor’s Plan For Self-Performing Work

1. Contractor proposes to perform % of the work for this project with own forces using

the following trades:

A. Qualifications of the Primary Subcontractors 1. Prime-Contractor/Sub-Contractor Relationships

a. Provide a team organization chart depicting the relationship between the prime

contractor and the proposed subcontractors. If the prime contractor is a joint venture or association of two or more firms, provide a clear explanation of the split of responsibilities. Qualification information submitted shall be applicable only to the company entity or branch that will perform this Work.

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2.04 List of Major Sub-Contractors

1. Proposer must provide a list of major sub-contractors proposed for this agreement as identified below.

2. The evaluation of the capabilities and reputation of the major sub-contractors is an important component of the evaluation, scoring and award process. HISD considers the identification of sub-contractors in this section to coincide with the proposer’s price for the work. HISD is allowing proposers additional time to finalize its agreement with the major sub-contractors after the Proposal due date. However, HISD will reserve the right to evaluate, approve, or reject (and require the proposer to use the sub-contractors below) any substitutions or changes to the sub-contractors named below at that time.

Sub-Contractor Firm Name/Address/Phone Sub-Contract Trade Description M/WBE

Y/N

Steel Fabrication

Electrical

Mechanical

Plumbing

Auditorium Seating

Ceramic Tile

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2.04.3 Sub-Contractor Firm Information

Sub-Contractor Category/Trade

Sub-Contractor’s Firm Name

Street Address

Phone/Fax Number

Point of Contact and E-mail Address

Have you previously worked with this Proposer?

Yes

No

Volume of work completed in the last Five (5) years

2012 $

2011 $

2010 $

2009 $

2008 $

List major K-12 school construction projects this subcontractor has completed in the last five (5) years below. Other projects of particular significance may also be listed.

Project Name and Location

Contract Amount

Completion Date

If in progress, list percent complete and projected completion date

Owner Reference Contact (Name/Title, Company, Address, Phone Number.)

General Contractor Reference Contact (Name/Title, Company, Address, Phone Number.)

A/E Reference Contact (Name/Title, Company, Address, Phone Number.)

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Project Name and Location

Contract Amount

Completion Date

If in progress, list percent complete and projected completion date.

Owner Reference Contact (Name/Title, Company, Address, Phone Number.)

General Contractor Reference Contact (Name/Title, Company, Address, Phone Number.)

A/E Reference contact (Name/Title, Company, Address, Phone Number.)

Project Name and Location

Contract Amount

Completion Date

If in progress, list percent complete and project completion date

Owner Reference Contact (Name/Title, company, Address, Phone Number.)

General Contractor Reference Contact (Name/Title, Company, Address, Phone Number.)

A/E Reference Contact (Name/Title, Company, Address, Phone Number.)

Certification

I hereby certify that all forgoing statements contained herein are true and correct.

Firm Name:

Title (Corporate Officer or Principal Owner):

Signed:

Date:

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2.05 Relevant Experience: Provide a tabulated summary of total relevant project experience over the past 7 years

A. Relevant Experience K-12: HISD K-12 Section C-1 Project Type Description Number of HS or

MS Number of ES

New Construction New School

Addition School Addition

Minimum Renovation Finishes, window replacement, ADA/TDLR, roof replacements

Major Renovation HVAC/MEP Systems, space reconfiguration

Non HISD K-12 Section C-2 Project Type Description Number of HS or

MS Number of ES

New Construction New School

Addition School Addition

Minimum Renovation Finishes, window replacement, ADA/TDLR, roof replacements

Major Renovation HVAC/MEP Systems, space reconfiguration

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B. Relevant Experience Other Than K-12:

Project Type Number of Higher Education University

Number of Mid Rise, Office,

Garages

Number of Clinics, Strip Centers, Restaurants,

Retail New Construction

Addition

Minimum Renovation

Major Renovation

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C. Provide a project list that supports the experience identified in Tables 2.05 A&B.

The list shall, at a minimum, identify the following: � Project Name & Type

� Owner/District

� Year Completed

� Contract Value

D. Contractor’s Safety Program and Record

1. List the organization's Workers Compensation Experience Modification Rate (EMR)

for the last five years, as obtained from the Proposer’s insurance agent.

2012

2011

2010

2009

2008

2. Complete matrix for the five past years, as obtained from OSHA No. 300A Summary Log:

2012 2011 2010 2009 2008

Number of injuries and illnesses

Number of lost time accidents

Number of recordable cases

Number of fatalities

Number of employee direct hire fixed hours worked (round to 1,000's)

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E. Total Long-Term Cost to HISD to Acquire the Contractor’s Services; Cost Saving

& Methodology 1. Briefly address each of the construction issues listed below as you feel it relates to this bid

package and how those issues might affect your work plan. If this proposal involves multiple project sites, please explain below how the GC intends to manage and coordinate multiple sites simultaneously. Contractors proposing on multi-site (Schools) bundles should describe how they intend to manage and coordinate multiple projects simultaneously. Issues such as weekly jobsite meetings, geographic proximity between sites, logistics, ordering & delivery of materials, approval of shop drawings & submittals, etc., should be addressed. Should the Contractor anticipate any significant issues or concerns that it feels must be considered by HISD, please address them in this section. A. Multiple-site coordination and management B. Site logistics and staging C. Coordination of Shop Drawings and other project submittals D. Weekly Meetings and Site Visits E. Phasing and Sequencing of Work Around Existing School Operations. F. Work at the project site on evenings, weekends, holidays, and summer breaks. G. Safety of your construction team, students, and faculty. H. Acknowledge feasibility of the preliminary phasing plan included in the construction

documents. I. Provide recommendations on phasing or other recommendations regarding time/cost

savings idea to be implemented in work plan. Any cost savings proposed as a result of time/cost savings ideas should be stated in your response to this item and should not be deducted from your base bid amount. These cost savings recommendations will be considered by the evaluation team. If they are considered viable, you will receive points for the recommendation. Should your firm be selected to enter contract negotiations, your cost savings recommendation will be evaluated further and either accepted or declined, at which point your base bid amount may be reduced by the proposed savings item.

J. Proposed Construction Schedule: 1. Provide, as an attachment to the Technical Proposal form, a bar chart schedule

depicting how the organization anticipates delivering the project in the time frame proposed by HISD. Clearly describe the scope of work to be completed in each phase.

The contractor’s proposed schedule is a vital part of the evaluation process and contractors should provide sufficient information for HISD to assess the contractor’s time frame, work plan and approach.

The Contractor may, at its option, propose a project duration other than the Owner’s Optimum Project Duration and indicate this duration on form CB.

2. Describe the type of software utilized to prepare construction schedules, if applicable.

PLEASE RESPOND TO ITEMS “A” THROUGH “J” ABOVE ON A SEPARATE ATTACHMENT

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F. Proposed Personnel Please note that HISD requires a project manager to be assigned to each bid package and one full-time superintendent at each individual job site while work is in progress, contingent upon the continued employment of those personnel by the Contractor. Contractor’s staffing approach and organization must reflect this requirement. Contractor may not make any changes to these personnel assignments without the prior approval of the Program Manager and the Owner. 1. Identify the proposed key staff: Project Manager, Superintendent(s) by name and title and

provide the following information for each. Include additional key staff as necessary. Staff: Project Manager (Attach Resume)

Name:

Current Assignment: (Project name, client name and anticipated project completion date.)

Total years of construction experience: Full Time or Part Time (For part time personnel, identify the percent of full-time participation. For example, Project Manager 50% of Full-time, etc.)

Describe relevant experience with similar projects:

Years with the Organization: Staff: Superintendent(s) (Attach Resume(s)) – Assigned to Hogg Middle

School Renovation

Name:

Current Assignment: (Project name, client name and anticipated project completion date.)

Total years of construction experience: Describe relevant experience with similar projects:

Years with the Organization:

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Staff: Superintendent(s) (Attach Resume(s)) – Assigned to Hogg Middle School Renovation

Name:

Current Assignment: (Project name, client name and anticipated project completion date.)

Total years of construction experience: Describe relevant experience with similar projects:

Years with the Organization:

Staff: Superintendent(s) (Attach Resume(s)) – Assigned to Hogg Middle School Renovation

Name:

Current Assignment: (Project name, client name and anticipated project completion date.)

Total years of construction experience: Describe relevant experience with similar projects:

Years with the Organization:

G. Contractor’s Bonding Capacity

1. Surety Company:

Registered in TX: Y_______ N_________

Number of Years with the current surety company:____________

Surety’s AM Best Rating:____________

Contractor’s Agent:

Name of Contact: Telephone No.

Local Representative:

Telephone No:

2. Total Aggregate Bonding Capacity: Current Bonding Capacity Limit per Project: Current Available Bonding Capacity:

3. List active Concurrent Projects with their contract values:

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H. Technical Proposal Form Execution

Contractor’s Firm Name (legal name)

Federal Tax I. D. Number

Contractor’s Street Address

Contractor’s Phone Number

Contractor’s Fax Number

Contractor’s Email Address

Name of Owner:

Social Security Number of Owner:

Signature of Owner:

Date of Signature: