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Gilbane Building Company 5 <br /> Prequalification Form for First-Tier Subcontractors under CM at Risk <br /> Orange County Crisis Diversion Facility <br /> G= <br /> Pursuant to the NC Statute GS143-128.1, 143-135.8 and Prequalification requirements for Bidders for Construction <br /> Projects, this form gathers information about the Subcontractor seeking to qualify for the work and provides a <br /> general format for the prequalification criteria. Completing this questionnaire does not guarantee <br /> prequalification. Evaluation of the submittal shall be performed by the Prequalification Committee in accordance <br /> with the statutes and policies. A minimum score of 80 points must be achieved to be prequalified for this project. <br /> Prequalification for Bid Packages <br /> Due Date and Time: Open Through Friday February 27, 2026 @ 5:00 PM <br /> Submitted To: Ksenia Turner& Lauren Morris <br /> Gilbane Building Company—Construction Manager at Risk <br /> 150 Fayetteville St. Suite 1100, Raleigh, NC 27601 <br /> P: 919-425-1274& 704-501-0962 <br /> kturner@gilbaneco.com; Imorris@gilbaneco.com <br /> Project: Name: Orange County Crisis Diversion Facility <br /> Owner: Orange County <br /> Location: Waterstone Drive, Hillsborough, NC 27278 <br /> Architect: CPL <br /> Civil Designer:Timmons Group <br /> Structural Engineer: CPL <br /> MEP Engineer: CPL <br /> Phase 2 Construction: +/- 16 Months <br /> Advertisement to Bid: March 27, 2026 <br /> Bid Due Date: April 21,2026, will be included in the Advertisement to Bid <br /> *Subject to change based on Construction Drawings release. <br /> Project Description: <br /> • Ground Up Construction of an approximately 20,000 SF, Single-Story Crisis Diversion Facility in <br /> Hillsborough, NC on a 5-Acre Site.The building consists of Patient Rooms, Observation Rooms, Offices, <br /> Conference Rooms, Exam Rooms, Break Rooms, Warming Kitchen, Multipurpose and Group Activity Spaces, <br /> Intake and Triage Areas, Consult/Sensory Rooms and Back of House Spaces. Construction consists of a Steel <br /> Frame with Concrete Foundations, Flat Roof Membrane, and an Exterior Envelope with Fiber Cement <br /> Panels, Stacked Stone Veneer, and Aluminum Storefront Systems. <br /> Instructions to Prequalify: <br /> • For questions about this form contact Ksenia Turner(kturner@gilbaneco.com, 804-727-2667) or Lauren <br /> Morris (Imorris@gilbaneco.com , 919-425-1333). <br /> • Forms may be submitted electronically via email, mail, or hand delivery. Please make sure, if submitting <br /> hand written form,that all information is clearly printed. Gilbane will request illegible information be <br /> resubmitted and this may delay the prequalification process. <br /> • The following forms are provided for reference only and are not required to be submitted with <br /> prequalification form: <br /> o Sample Prequalification Ratings Matrix <br /> o Prequalification Schedule and Procedures <br /> Page 1 1 12 <br />