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HomeMy WebLinkAboutLydig - AIA qualifications form Document A305TM – 1986 Contractor's Qualification Statement AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 1 ADDITIONS AND DELETIONS: The author of this document has added information needed for its completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed. A vertical line in the left margin of this document indicates where the author has added necessary information and where the author has added to or deleted from the original AIA text. This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. This form is approved and recommended by the American Institute of Architects (AIA) and The Associated General Contractors of America (AGC) for use in evaluating the qualifications of contractors. No endorsement of the submitting party or verification of the information is made by AIA or AGC. Scott Adkins School Employees Credit Union of Washington ADDRESS: 325 Eastlake Avenue E Seattle, WA 98109 SUBMITTED BY: William G. Gottschalk NAME: Lydig Construction, Inc. ADDRESS: 3180 139th Ave SE, Suite 110 Bellevue, WA 98005 PRINCIPAL OFFICE: Same [ X ] Corporation [ ] Partnership [ ] Individual [ ] Joint Venture [ ] Other NAME OF PROJECT: (if applicable) SECU Parkside Buidling Tenant Improvement TYPE OF WORK: (file separate form for each Classification of Work) [ X ] General Construction [ ] HVAC [ ] Electrical [ ] Plumbing [ ] Other: (Specify) § 1 ORGANIZATION § 1.1 How many years has your organization been in business as a Contractor? 59 § 1.2 How many years has your organization been in business under its present business name? 41 § 1.2.1 Under what other or former names has your organization operated? Wallace B Questad, Inc., Nor-Pac Corporation, Emmett Nelson, Inc. and Nelson-Lydig, Inc. § 1.3 If your organization is a corporation, answer the following: AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 2 § 1.3.1 Date of incorporation: 1956 § 1.3.2 State of incorporation: Washington § 1.3.3 President’s name: Kenneth F. Swartz – Eastern Region Group William G. Gottschalk – Western Region Group § 1.3.4 Vice-President’s name(s) Bill Dobyns – Vice President Operations Vince Campanella – Vice President Operations Glyn Slattery – Vice President Operations Joe Williams – Vice President Operations Brian Singer – Vice President Operations Mark Conway – Vice President Business Development Rober Parker - – Vice President Safety § 1.3.5 Secretary’s name: Mark D. Bray § 1.3.6 Treasurer’s name: Mark D. Bray § 1.4 If your organization is a partnership, answer the following: N/A § 1.4.1 Date of organization: § 1.4.2 Type of partnership (if applicable): § 1.4.3 Name(s) of general partner(s) § 1.5 If your organization is individually owned, answer the following: N/A § 1.5.1 Date of organization: § 1.5.2 Name of owner: § 1.6 If the form of your organization is other than those listed above, describe it and name the principals: N/A § 2 LICENSING § 2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable. Alaska AA10060 Missouri F00493816 Arizona 159704 Montana 7686-A California 257477 Nevada 50369 Colorado 200001082498 New Jersey 0100848742 Connecticut 002148907 Ohio 1146370 Hawaii BC-15109 Oregon 67444 Idaho 11212-AAA-1-2-3 Texas 00131999-06 Illinois 6109-271-4 Utah 0609063-5501 Kansas 2775682 Washington LYDIGC*264JC Wyoming N/A Lydig Construction, Inc. is a Union Contractor, and is signatory to the following trades: Carpenters Laborers § 2.2 List jurisdictions in which your organization’s partnership or trade name is filed. N/A AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 3 § 3 EXPERIENCE § 3.1 List the categories of work that your organization normally performs with its own forces. Concrete Carpentry Doors/Frames, Hardware Miscellaneous Specialties § 3.2 Claims and Suits. (If the answer to any of the questions below is yes, please attach details.) § 3.2.1 Has your organization ever failed to complete any work awarded to it? No § 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? Time to time in the normal course of business there are mechanics liens and claims which are resolved quickly and efficiently § 3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years? No § 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, please attach details.) No § 3.4 On a separate sheet, list major construction projects your organization has in progress, giving the name of project, owner, architect, contract amount, percent complete and scheduled completion date. See Attached Exhibit A § 3.4.1 State total worth of work in progress and under contract: $178,884,900.00 § 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of project, owner, architect, contract amount, date of completion and percentage of the cost of the work performed with your own forces. See Attached Exhibit B § 3.5.1 State average annual amount of construction work performed during the past five years: $234,804,800.00 § 3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. See attached Resumes § 4 REFERENCES § 4.1 Trade References: AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 4 McKinstry Company Attn: Doug Moore 5005 Third Ave., S. Seattle, WA 98134 (206)762-3311 Bergelectric Corporation Attn: John Nason 13650 NE Whitaker Way Portland, OR 97230 (503)255-1818 Apollo Sheet Metal, Inc. Attn: Bob Hightower 1207 W. Columbia Kennewick, WA 99336 (509)586-1104 § 4.2 Bank References: Washington Trust Bank 601 Union Street Seattle, WA 98101 § 4.3 Surety: § 4.3.1 Name of bonding company: Liberty Mutual Insurance Company § 4.3.2 Name and address of agent: Wells Fargo PO Box 2151 Spokane, WA 99210 § 5 FINANCING § 5.1 Financial Statement. – See Attached § 5.1.1 Attach a financial statement, preferably audited, including your organization’s latest balance sheet and income statement showing the following items: Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory and prepaid expenses); Net Fixed Assets; Other Assets; Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes); Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). § 5.1.2 Name and address of firm preparing attached financial statement, and date thereof: Moss-Adams LLP 1800 Seafirst Financial Center Spokane, WA 99201 § 5.1.3 Is the attached financial statement for the identical organization named on page one? AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 5 Yes § 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent-subsidiary). N/A § 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction? No § 6 SIGNATURE § 6.1 Dated at this 28th day of April 2015 Name of Organization: Lydig Construction, Inc. By: William G. Gottschalk Title: President – Western Region Group § 6.2 M William G. Gottschalk being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this 28th day of April 2015 Notary Public: Rebecca G. Killian My Commission Expires: 11/22/2016 Additions and Deletions Report for AIA ® Document A305TM – 1986 This Additions and Deletions Report, as defined on page 1 of the associated document, reproduces below all text the author has added to the standard form AIA document in order to complete it, as well as any text the author may have added to or deleted from the original AIA text. Added text is shown underlined. Deleted text is indicated with a horizontal line through the original AIA text. Note: This Additions and Deletions Report is provided for information purposes only and is not incorporated into or constitute any part of the associated AIA document. This Additions and Deletions Report and its associated document were generated simultaneously by AIA software at 12:07:01 on 04/14/2015. Additions and Deletions Report for AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 1 PAGE 1 The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.Scott Adkins School Employees Credit Union of Washington SUBMITTED TO: ADDRESS: 325 Eastlake Avenue E ADDRESS: Seattle, WA 98109 SUBMITTED BY: William G. Gottschalk NAME: Lydig Construction, Inc. ADDRESS: 3180 139th Ave SE, Suite 110 Bellevue, WA 98005 PRINCIPAL OFFICE: Same [ X ] Corporation … NAME OF PROJECT: (if applicable) SECU Parkside Buidling Tenant Improvement … [ X ] General Construction … § 1.1 How many years has your organization been in business as a Contractor? 59 § 1.2 How many years has your organization been in business under its present business name? 41 … Wallace B Questad, Inc., Nor-Pac Corporation, Emmett Nelson, Inc. and Nelson-Lydig, Inc. PAGE 2 § 1.3.1 Date of incorporation: 1956 Additions and Deletions Report for AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 2 § 1.3.2 State of incorporation: Washington … Kenneth F. Swartz – Eastern Region Group William G. Gottschalk – Western Region Group § 1.3.4 Vice-president’s name(s) Vice-President’s name(s) Bill Dobyns – Vice President Operations Vince Campanella – Vice President Operations Glyn Slattery – Vice President Operations Joe Williams – Vice President Operations Brian Singer – Vice President Operations Mark Conway – Vice President Business Development Rober Parker - – Vice President Safety § 1.3.5 Secretary’s name: Mark D. Bray § 1.3.6 Treasurer’s name: Mark D. Bray § 1.4 If your organization is a partnership, answer the following: N/A … § 1.5 If your organization is individually owned, answer the following: N/A … N/A … Alaska AA10060 Missouri F00493816 Arizona 159704 Montana 7686-A California 257477 Nevada 50369 Colorado 200001082498 New Jersey 0100848742 Connecticut 002148907 Ohio 1146370 Hawaii BC-15109 Oregon 67444 Idaho 11212-AAA-1-2-3 Texas 00131999-06 Illinois 6109-271-4 Utah 0609063-5501 Kansas 2775682 Washington LYDIGC*264JC Wyoming N/A Lydig Construction, Inc. is a Union Contractor, and is signatory to the following trades: Carpenters Laborers … N/A PAGE 3 Concrete Carpentry Doors/Frames, Hardware Miscellaneous Specialties Additions and Deletions Report for AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 3 … No … Time to time in the normal course of business there are mechanics liens and claims which are resolved quickly and efficiently … No … No … See Attached Exhibit A … $178,884,900.00 … See Attached Exhibit B … $234,804,800.00 … See attached Resumes PAGE 4 McKinstry Company Attn: Doug Moore 5005 Third Ave., S. Seattle, WA 98134 (206)762-3311 Bergelectric Corporation Attn: John Nason 13650 NE Whitaker Way Portland, OR 97230 (503)255-1818 Apollo Sheet Metal, Inc. Attn: Bob Hightower 1207 W. Columbia Kennewick, WA 99336 (509)586-1104 … Additions and Deletions Report for AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 4 Washington Trust Bank 601 Union Street Seattle, WA 98101 … Liberty Mutual Insurance Company … Wells Fargo PO Box 2151 Spokane, WA 99210 … § 5.1 Financial Statement. – See Attached … Moss-Adams LLP 1800 Seafirst Financial Center Spokane, WA 99201 PAGE 5 Yes … N/A … No … § 6.1 Dated at this 28th day of April 2015 Name of Organization: Lydig Construction, Inc. By: William G. Gottschalk Title: President – Western Region Group … Additions and Deletions Report for AIA Document A305™ – 1986. Copyright © 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 5 M William G. Gottschalk being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this 28th day of April 2015 Notary Public: Rebecca G. Killian My Commission Expires: 11/22/2016 AIA Document D401™ – 2003. Copyright © 1992 and 2003 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 12:07:01 on 04/14/2015 under Order No.5988415612_1 which expires on 03/07/2016, and is not for resale. User Notes: (2033792358) 1 Certification of Document’s Authenticity AIA® Document D401™ – 2003 I, , hereby certify, to the best of my knowledge, information and belief, that I created the attached final document simultaneously with its associated Additions and Deletions Report and this certification at 12:07:01 on 04/14/2015 under Order No. 5988415612_1 from AIA Contract Documents software and that in preparing the attached final document I made no changes to the original text of AIA® Document A305™ – 1986, Contractor's Qualification Statement, as published by the AIA in its software, other than those additions and deletions shown in the associated Additions and Deletions Report. _____________________________________________________________ (Signed) _____________________________________________________________ (Title) _____________________________________________________________ (Dated)