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3 ‘If your organization is individually owned, identify its owner and date of organization.
ha

4 Ifthe form of your organization is other than those listed above, describe it and identify its individual
leaders:

na

§ A.1.2.2 Does your organization own, in whole or in part, any other construction-related businesses? If so, identify
and describe those businesses and specify percentage of ownership.

No

§ A.1.3 Other Information
§ A.1.3.1 How many years has your organization been in business?

16 years
§ A.1.3.2 How many full-time employees work for your organization?
il

§ A.1,3.3 List your North American Industry Classification System (NAICS) codes and titles. Specify which is your
primary NAICS code,

236220

§ A.1.3.4 Indicate whether your organization is certified as a governmentally recognized special business class, such
as a minority business enterprise, woman business enterprise, service disabled veteran owned small business, woman
owned small business, small business in a HUBZone, or a small disadvantaged business in the 8(a) Business
Development Program. For each, identify the certifying authority and indicate jurisdictions to which such certification
applies.

Small business

§ A.2 EXPERIENCE

§ A.2.1 Complete Exhibit D to describe up to four projects, either completed or in progress, that are representative of
your organization’s experience and capabilities.

§ A.2.2 State your organization's total dollar value of work currently under contract.

$4,053,926.

§ A.2,3 Of the amount stated in Section A.2.2, state the dollar value of work that remains to be completed:

$1,969,729

§ A.2.4 State your organization's average annual dollar value of construction work performed during the last five
years,

$4,248,446,

AIA Document A305" — 2020 Exhibit A. Copyright © 2020 by The American Institute of Architecls. All rights reserved, The “American Inslilute of Archilecis,* “AA,”
the AIA Logo, and “AIA Contracl Documents” are registered lrademarks and may nol be used withoul permission. This document was produced by AIA software at
09:08:18 ET on 11/03/2021 under Order No.4399661920 which explres on 03/30/2022, Is not for resale, is licensed for one-{ime use only, and may only be used In
accordance wilh the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@ala.org.

User Notes: (1264661825)

2

§ A.3 CAPABILITIES
§ A.3.1 List the categories of work thal your organization typically self-performs,

Selective demolition, cutting and patching, small concrete work, carpentry, doors, frames and hardware, painting and
drywall

§ A.3.2 Identify qualities, accreditations, services, skills, or personnel that you believe differentiate your organization
from others,

Strong qualities to consider at SCMI is our ability to communicate effectively with the customer. We have a good
record of daing this throughout the project. We are in the process of making communication even better with the
implementation of PROCOR to use as a project management tool with all our customers, architects, subcontractors,
and employees. SCMI has received accreditation for past projects completed with GSA most notably the Social
Security Office in Littleton NH, All personnel at SCMI are hard workers, and have been working here for 16 to over
4 years. Our specialty is on commercial and institutional renovations.

§ A.3.3 Does your organization provide design collaboration or pre-construction services? If so, describe those
services,

Design collaboration and pre-construction services are provided at SCMI. On design build projects we hire Civil and
Structural Engineers and Architects to do pre-construction planning for customers. Most recently we completed a
Metal Building in this way to build an airplane hangar classroom building addition for the City of Manchester NH at
the Manchester School of technology. This was a public bid project that required design documents prior to
construction for permitting and construction.

§ A.3.4 Does your organization use building information modeling (BIM)? Ifso, describe how your organization uses
BIM and identify BIM software that your organization regularly uses.

No - SCMI does not use BIM software. We do have a metal building estimating program with our Ceco Building
partnership. This program will generate ID wire building models for design use.

§ A.3.5 Does your organization use a project management information system? If so, identify that system.
PROCORE

§ A.4 REFERENCES
§ A.4.1 Identify three client references:

Gianni D’Intino, Director — Manchester Housing & Redevelopment Authority tel: 605-624-2111
John Waszezuk — General Electric Aviation tel: 603-666-8145
Harry Vogt- General Service Administration- email: Harry.vogt@gsa.gov

§ A.4.2 Identify three architect references:

Matuszewski & Associates, Architects — Frederick Matuszewski 29 Bourbon St., Bedford, NH 03110 tel: 603-785-7519
Stevens & Associates, PC - Diane Abate, RA-95 Main St., Brattleboro, VT 05301 tel: 802-257-9329-x 125
Lauer Architects -Kurt Lauer — 118 Paige Hill Rd., Goffstown, NH 03045 tel: 603-497-844]

AJA Document A305" = 2020 Exhibit A, Copyright @ 2020 by The American Inslilule of Architects. All righls reserved, The “American Institule of Architects,” “AlA,"
the AIA Laga, and “AIA Contact Documents" are registered lrademarks and may nol be used wilhoul permission, This document was produced by AIA soflware al
09:08:18 ET on 11/03/2021 under Order No,4399661920 which expires on 03/30/2022, is nal for resale, is licensed far one-time Use only, and may only be used in
accordance with the AIA Canlract Documents® Terms of Service, To reporl copyrighl violations, e-mail copyrigh@aia.org,

User Notes: (1264661828)

3

§ A.4.3 Identify one bank reference:
Millyard Bank, Frank Teas, President, 57 Northeastern Blvd., Nashua NH 03062 tel:603-882-6500

§ A.4.4 Identify three subcontractor or other trade references:
J. Lawrence Hall -Mare Smith- 17 Progress St,, Nashua, NH 03062 tel: 603-882-2021

AI Solutions, Inc— Steve Scarponie — 27 Crosby Rd., Dover NH 03820 tel: 603-396-4154
L&W Supply — George Mantin- 260 Daniel Webster Hghwy, Merrimack, NH 03054 tel: 603-424-7001

AIA Document A305" — 2020 Exhibit A. Copyright @ 2020 by The American Inslilute of Architects. All rights reserved. The “American Instliule of Architects," “AIA,"
the AIA Logo, and “AJA Contract Dacumenta® are registered trademarks and may nol be used wilhoul permission. This document was produced by AIA software al
09:08;18 ET on 11/03/2021 under Order No.4399661920 which explres on 03/30/2022, Is nol for resale, Is licensed for one-time use only, and may only be used in

accordance with the AIA Contract Documents® Terms af Service. To report copyrigh! violalians, e-mall capyright@aia.arg.
User Notes:

(1264661825)

4

Financial and Performance Information

This Exhibit is part of the Contractor's Qualification Statement, submitted by Schroeder
Construction Management Inc and dated the third day of November inthe year Two
Thousand Twenty-one

§ B.1 FINANCIAL

§ B.1.1 Federal tax identification number:

74-3150716

§ B.1.2 Attach financial statements for the last three years prepared in accordance with
Generally Accepted Accounting Principles, including your organization’s latest balance

sheet and income statement. Also, indicate the name and contact information of the firm
that prepared each financial statement.

WILL FURNISH UPON SUCCESFULL AWARD OF CONTRACT

§ B.1,3 Has your organization, its parent, or a subsidiary, affiliate, or other entity having
common ownership or management, been the subject of any bankruptcy proceeding within
the last ten years?

NO

§ B.1.4 Identify your organization's preferred credit rating agency and identification
information.

Dun and Bradstreet #6073699 10
§ B.2 DISPUTES AND DISCIPLINARY ACTIONS
§ B.2.1 Are there any pending or outstanding judgments, arbitration proceedings, bond
claims, or lawsuits against your organization, its parent, or a subsidiary, affiliate, or other
entity having common ownership or management, or any of the individuals listed in
Exhibit A, Section 1.2, in which the amount in dispute is more than $75,000?
None
§ B.2.2 In the last five years has your organization, its parent, or a subsidiary, affiliate, or
ather entity having common ownership or management:

1 failed ta complete work awarded to it?

NO
2 been terminated for any reason except for an owners’ convenience?

NO

3 had any judgments, settlements, or awards pertaining to a construction
project in which your

“ATA document 4305" - 2020 Exhibit B

ADDITIONS AND DELETIONS:
The author of this document has
added information needed for ils
completion. The author may alsa
have revised the text of the ariginal
AlA standard form. An Addilions and
Deletions Repori 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
atlorney is encouraged with respect
to its completion or modification.

AIA Document A305" — 2020 Exhibit B. Copyright © 2020 by The American Instilute of Architects. All rights reserved. The “American Instilule of Archilects,”
“ALA,” the AIA Logo, and “AIA Goniract Documents" are registered trademarks and may not be Used wiihoul permission. This document was produced by AIA
software al 09:10:49 ET on 11/03/2021 under Order No.4399661920 which axpires an 03/90/2022, Is nol forresale, Is licensed for one-time use only, and may only
be used in accardance with the AIA Contract Documents® Terms of Service. To reporl copyright violations, e-mall copyright@ala.org,

User Notes:

(1350060331)

organization was responsible for more than $75,000?
NO
4 filed any lawsuits or requested arbitration regarding a construction project?
NO

§ B.2.3 In the last five years, has your organization, its parent, or a subsidiary, affiliate, or other entity having common
ownership or management; or any of the individuals listed in Exhibit A Section 1,2:

<1 been convicted of, or indicted for, a business-related crime?
NO

2 had any business or professional license subjected to disciplinary action?
NO

3. been penalized or fined by a state or federal environmental agency?

NO

AIA Document A305™ — 2020 Exhibit B. Copyright © 2020 by The American Institule of Architects. All rights reserved, The “American Instlilute of Architects,” “AIA,”
the AIA Logo, and “AIA Contract Documents” are registered [rademarks and may nol be used wilhout permission, This document was produced by AIA software al 2
09:10:49 ET on 11/03/2021 under Order No,4399661920 which expires on 03/30/2022, is not for resale, is licensed for one-time use only, and may only be used in

accordance with the AIA Contract Documents® Terms of Service. To report copyrighl violations, e-mail copyright@ala.org.
User Notes: (1350060331)

Project Specific Information

This Exhibit is part of the Contractor’s Qualification Statement, submitted by Schroeder
Construction Management Inc and dated the third day of November in the year Two
Thousand Twenty-one

PROJECT:

IFB0779-1 10321 Waste Line Replacement at the Transit Administration Building
[1 Riverside Street
Nashua, NH 03062

CONTRACTOR'S PROJECT OFFICE:
2 Townsend West, Unit #3, Nashua, NH 03063
TYPE OF WORK SOUGHT

This project is for the removal of an existing underground sewer line inside an existing
building that is occupied. We will perform this work as a general contractor/construction
manager. The work will be design build with a drawing prepared by a mechanical engineer.
We will subcontract the plumbing design and plumbing work on this project. Finish
flooring will also be sublet

CONFLICT OF INTEREST

Describe any conflict of interest your organization, its parent, or a subsidiary, affiliate, or
other entity having common ownership or management, or any of the individuals listed in
Exhibit A Section 1.2, may have regarding this Project.

None

§ C.1 PERFORMANCE OF THE WORK
§ C.1.1 When was the Contractor’s Project Office established?

The Office of Schroeder Construction Management Inc. was established in 2005, Our
current office was occupied by SCMI at 2 Townsend West, Unit 3 in 2016

§ €.1.2 How many full-time field and office staff are respectively employed at the
Contractor’s Project Office?

§ €.1.3 List the business license and contractor license or registration numbers for the
Contractor’s Project Office that pertain to the Project.

State of New Hampshire, Massachusetts, Maine, Vermont -Construction Management &
General Contractor

ATA. document 4305" - 2020 Exhibit C

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
Delelions Reporl 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.

AIA Document A305" = 2020 Exhibit C. Copyright © 2020 by The American Instilute of Architects. All rights reserved. The ‘American Instilule of Archilects,”
“AIA,” Ihe AIA Logo, and “AIA, Contract Documents’ are registered trademarks and may nol be used wilhoul permission, This document was produced by AIA
software al 12:05:43 ET on 11/03/2021 under Order No.4399661920 which expires on 03/30/2022, is not for resale, is licensed for one-time use only, and may only
be used in accordance with the AIA Contract Documents® Terms of Service, To report copyrigh! violations, e-mail copyrigh|@ala.arg.

User Notes:

(1987008615)

1

§ C.1,4 Identify key personnel from your organization who will be meaningfully involved with work on this Project and
indicate (1) their position on the Project team, (2) their office location, (3) their expertise and experience, and (4)
projects similar to the Project on which they have worked.

Key personnel for this project will be Randy Franco Project Manager and Michael Gagnon, Project Superintendent.
Both work out of SCMI’s home office located at 2 Townsend West, Unit 3, Nashua, NH.

Both Randy and Mike have worked on similar projects. Michael Gagnon was the superintendent for the Lantheus
Medical Toilet Rooms renovation project.

§ ¢.1.5 Identify portions of work that you intend to self-perform on this Project.

Work to be self-performed on this project includes cutting and patching, hand excavation and backfilling, concrete floor
patching, drywall patching and painting.

§ €.1.6 To the extent known, list the subcontractors you intend to use for major portions of work on the Project.
Subcontractors for this project include Moore Concrete Cutting for concrete floor removal; Dean Carpet One (Nashua

Flooring) for Flooring replacement; J/ Lawrence Hall for Plumbing work.

§ C.2 EXPERIENCE RELATED TO THE PROJECT

§ C.2,1 Complete Exhibit D to describe up to four projects performed by the Contractor’s Project Office, either
completed or in progress, that are relevant to this Project, such as projects in a similar geographic area or of similar
project type. If you have already completed Exhibit D, but want to provide further examples of projects that are relevant
to this Project, you may complete Exhibit EF.

§ C.2.2 State the total dollar value of work currently under contract at the Contractor’s Project Office:

$4,053,926

§ C.2.3 Of the amount stated in Section C.2.2, state the dollar value of work that remains to be completed:

$1,969,729

§ C.2.4 State the average annual dollar value of construction work performed by the Contractor's Project Office during
the last five years.

$4,248,446

§ C.2.5 List the total number of projects the Contractor’s Project Office has completed in the last five years and state the
dollar value of the largest contract the Contractor’s Project Office has completed during that time.

63

§ C.3 SAFETY PROGRAM AND RECORD
§ C.3.1 Does the Contractor’s Project Office have a written safety program?

Yes
§ €.3.2 List all safety-related citations and penalties the Contractor’s Project Office has received in the last three years.
NONE

§ €.3.3 Attach the Contractor's Project Office's OSHA 300a Summary of Work-Related Injuries and IIInesses form for
the last three years. See Attached

AIA Document A305™ = 2020 Exhibit C. Copyright © 2020 by The American Institute of Architects. All rights reserved, The ‘American Institute of Architects,” “AIA,
the AIA Logo, and “AIA Contract Documents® are registered lrademarks and may nol be used wilhoul permission. This document was produced by AIA software at
12:05:43 ET on 11/03/2021 under Order No.4399661920 which expires on 03/30/2022, is not for resale, is licensed for one-time use only, and may only be used in
accordance with the AIA Contract Dacuments® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (1987008675)

2

§ C.3.4 Attach a copy of your insurance agent’s verification letter for your organization’s current workers’
compensation experience modification rate and rates for the last three years. See attached

§ C.4 INSURANCE

§ C.4.1 Attach current certificates of insurance for your commercial general liability policy, umbrella insurance policy,
and professional liability insurance policy, if any. Identify deductibles or self-insured retentions for your commercial
general liability policy. See attached

§ C.4.2 If requested, will your organization be able to provide property insurance for the Project written on a builder’s
risk "all-risks" completed value or equivalent policy form and sufficient to cover the total value of the entire Project on
a replacement cost basis?

If requested, we will provide Builders Risk Insurance for an added cost. It would be a minimum charge of $650.00 for
this project.

§ C.4.3 Does your commercial general liability policy contain any exclusions or restrictions of coverage that are
prohibited in ALA Document A101-2017, Exhibit A, Insurance A.3.2.2.2? If so, identify.

We do not have any restrictions of our general liability insurance. A sample certificate of coverage that we normally
carry-on projects is attached

§ C.5 SURETY
§ C.5.1 If requested, will your organization be able to provide a performance and payment bond for this Project?

YES

§ C.5.2 Surety company name:

Harco National Insurance Company

§ C.5.3 Surety agent name and contact information:

E. A. Morrissette, Cross Insurance -1100 Elm St., Manchester, NH 03101 tel:603-669-3218
§ C.5.4 Total bonding capacity:

$7,500,000 single project with an aggregate program of $15,000,000.

§ C.5.5 Available bonding capacity as of the date of this qualification statement:

For our bonding capacity, please see attached letter from the bonding agent, Cross Insurance. With current work on
hand, we have approx. $10,000,000 in bonding available.

AIA Document A305™ — 2020 Exhibit C. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of Archilacts," “AIA,”
the AIA Logo, and “AlA Contract Documents’ are registered trademarks and may not be used wilhoul permission, This document was produced by AIA software al
12:05:43 ET on 11/03/2021 under Order No.4399661920 which expires on 03/30/2022, is not for resale, is licensed for one-lime use only, and may only be used in
accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.arg.

User Notes: (1987008615)

3

Certification of Document’s Authenticity
AIA® Document D401™ — 2003

I, John E Schroeder, hereby certify, to the best of my knowledge, information and belief, that | created the attached
final document simultaneously with its associated Additions and Deletions Report and this certification at 09:24:19
ET on 11/03/2021 under Order No. 4399661920 from AIA Contract Documents software and that in preparing the
attached final document I made no changes to the original text of ALA® Document A305™ — 2020, 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.

ve

Jack Schroeder, President
(Title)

November 3, 2021
(Dated)

AIA Document D401™ —- 2003. Copyright © 1992 and 2003 by The American Institute of Archilects, All rights reserved, The “American Institute of Archilects,”
“AIA,” the AIA Lago, and “AIA Contract Documents" are registered (radamarks and may nol be used withoul permission. This document was produced by AIA
software al 09:24:19 ET on 11/03/2021 under Order No,4399661920 which expires on 03/30/2022, is not for resale, is licensed for one-time use only, and may only
be used in accordance wilh the AIA Contract Decuments® Terms of Service, To report copyright violations, e-mail copyright@aia.org.

User Notes: (1180839734)

1

OSHA's Form 300A (rev. 01/2004) Year 2018 <>
Summary of Work-Related Injuries and Illnesses 5. enatenent st babes

Occupstional Safery and Heaitn Administration
Form approved OMA no, 1218-0176

All establishments covered by Pan 1304 must complete this Summary page, even if no injuwtes or
liinesses occurred dung Ihe year. Remember to review the Log to vevify that the anines are complete

Using the Log, coun! the individual entries you made foreach category. Then write the totais below, Establishment information
making sure you've added the entries fromevery page of the log, Ifyou had mo cases write "0."
Employees former employees, end their representatives have fhe ight to review the OSHA Fort 300 in Your establishment name Schroeder Construction Management. linc.
#s entirety, They also have limited access fo Ihe OSAA Form 307 or its equivalent. See 29 CFR
1804.35, 1 OSHA's Recordkeeping rule, for further details on.the access provisions for these fons. Street 2 Townsend West#3
Number of Cases. City Nashua State __New Hampshire Zip 03063
Industry deserption (e.g_, Manufacture of motor truck trailers)
Total number of Totalnumberof Total number of cases Total number of
deaths cases with days with job transfer or other recordable
away from work = restriction cases Standard Industrial Classification (SIC), if known (e.g, SIC 3775)
i") 0 0 (*] a, OF
(G) (H) (lh) (J) OR North American Industrial Classification (NAICS), if known (2.g., 336212)
—2 8 8.
Number of Days Employment information
Total number of Total number of days of
days away fram job transfer or resinction Annual average number of employees 12
rk
= Total hours worked by aa employees last
0 ft] year 22,560
(K) (Ly
j 2 i!
Injury and Iliness Types ; _ _——_ Sign here Hg HK
, ,
Total number of... Knowingly falsifying this document may rest in a Fine, ‘
(M) ra
(1). Injury _ os (4) Poisoning 0 -
in Disorder ing Loss fi]
2) Skin Gh e —— 1 ___ (8), Heanng ee | certify that | have examined this document and that to the best of my knowledge the entries are true, accurate, and
(3) Respiratory complete
Condition "] (6) Al Other Ilinesses o
John E. Schroeder President
Company executive Title
603-882-1822. ers et)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form Phone Date:

Public reporing burden for this cofection of information is estimaled lo avetage 58 minutes per tesponse, including fime to review ihe instruction, search and
gather the data needed, snd complete and reviews the collection of mformation. Persons are not required fo respond! to the cofecton of information unless t
displays a current valid OME coninel number. Il'you have any comments about these esimales or any aspects af itis data collection, contact US Department
atLabor, OSHA Ofiies of Statistics, Room M3644, 200 Constitution Ave, Will, Washington, DC-20270, Da nal send Gye competed. forms to this office,