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Attachment D <br />Qualifications Forms <br />Respondent to complete the following. <br /> <br />1. SURETY (PASS / FAIL) If respondent answers ÐnoÑ to 1.1, the response will fail and not be <br />considered. <br />1.1. Is the Respondent able to obtain payment and performance bonding for the project <br />work , Cost of Work estimated to be $59,000,000, with the ability to obtain bonding for <br />additional work packages, if the size of the project increases by up to 10%? <br /> <br />Yes No <br /> <br />1.2. Does the Respondent intend to require payment and performance bonds from its <br />Subcontractors, or take out RespondentÓs own low-deductible subcontractor default <br />insurance (SDI) to protect itself from Subcontractor default or payment claims? <br /> <br />____Yes ___No (If ÐNoÑ, explain what measures Respondent will require to <br />protect itself against Subcontractor work default and sub-Subcontractor nonpayment <br />claims. Owner reserves the right to not consider Respondent if its explanation is deemed <br />unsatisfactory.) <br /> <br />2. INSURANCE (PASS / FAIL) If respondent answers ÐnoÑ to this requirement, the response <br />will fail and not be considered. <br />2.1. Is the Respondent able to obtain the following insurance coverages and minimum limits <br />for this contract? <br /> <br /> Yes No <br /> <br />2.2. Is the Respondent able to obtain WorkersÓ Compensation insurance for this contract <br />from a WorkersÓ Compensation insurer insurance listed by A.M. Best with a rating of A- <br />(minus) and a Financial Size Category of VII or better (except if coverage is in the <br />Assigned Risk Plan or the prospective Respondent is a self-insurer) and authorized to <br />do business in the State of MN? <br /> <br /> Yes No <br /> <br />D-1 <br /> <br />Qbhf!314!pg!:15 <br /> <br />