12--7- Exhibit A- Contractor Responsibility Questionnaire- LIB134137.pdf
PDF 320 KB Posted
- Solicitation number
- SLCo LIB134137 Library Operations Building Renovation - CONST
- Issued by
- Salt Lake County, Utah
About this file
This is a Contractor Responsibility Questionnaire for the Salt Lake County Library Operations Building Renovation project (LIB134137), a construction services contract requiring general contractors to demonstrate their qualifications and past performance. The project involves the renovation of an existing building purchased by Salt Lake County to serve as the new Library Operations Building. Prospective bidders must complete all sections of the questionnaire or risk being deemed non-responsive and/or non-responsible. The questionnaire must be included as part of the required forms in the bid package submission.
The questionnaire requires contractors to provide affirmative responses to eight primary questions addressing their construction experience and capabilities, including: completion of projects without surety involvement in the past five years; OSHA recordable incident rates below the Utah industry average; completion of all projects without liquidated damages assessments; experience on similar-sized and scoped projects as general contractor within the last five years; commercial and/or government project experience outside single-family work within the last three years; submission of three references for comparable projects from the past five years; and commitment to support third-party building systems commissioning if required. The County reserves the right to investigate further any responses provided on the questionnaire. Questions 08 through 12 are marked as not applicable to this specific project.
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Text version
Proposer must answer all questions below or the Proposer may be deemed non-responsive and/or non-responsible.
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| EXHIBIT: [EXHIBIT A] |
| STANDARD: CONTRACTOR RESPONSIBILITY QUESTIONNAIRE. |
| CONST: CONSTRUCTION SERVICES FOR: |
| ID: LIB134137 |
| OWNER: SALT LAKE COUNTY - SMALL PROJECT |
| NO: NO |
| 01: 01 |
| 02: 02 |
| 03: 03 |
| 04: 04 |
| 05: 05 |
| Check Box 04b: Off |
| 06: 06 |
| 07: 07 |
| CONTRACTOR: |
| TITLE: |
| COMPANY: |
| COMPANY TEXT: COMPANY NAME |
| SIGNOR TEXT: SIGNER |
| TITLE TEXT: TITLE |
| PROJ TEXT: PROJ. ID. |
| QUESTION 02: Is your OSHA recordable incident rate below the Utah industry average? |
| QUESTION 03: Completed all construction projects without assessment or payment of Liquidated Damages? |
| QUESTION 04: In the last five years, has your firm, acting as the General Contractor, worked on a project of similar size and scope? |
| QUESTION 05: In the last 3 years, has your firm, acting as the General Contractor, worked on a commercial project(s) and/or Government projects(s) outside of new single-family homes and single-family renovations? |
| QUESTION 06: From the last 5 years, bidder shall provide 3 References for comparable projects in size and scope on the Reference Form found in the Bid Requested Information area. |
| QUESTION 07: Will your firm and your sub-contractors support third-party building systems commissioning if required on this project? |
| 08: 08 |
| CHECK 08A: Off |
| CHECK 08B: Off |
| CHECK 07A: Off |
| CHECK 07B: Off |
| CHECK 06A: Off |
| CHECK 06B: Off |
| CHECK 05A: Off |
| CHECK 05B: Off |
| CHECK 04A: Off |
| CHECK 03A: Off |
| CHECK 03B: Off |
| CHECK 02A: Off |
| CHECK 02B: Off |
| CHECK 01A: Off |
| CHECK 01B: Off |
| YES: YES |
| QUESTIONS: QUESTIONS |
| CONTRACT 01: In the last five years, has your firm, acting as the General Contractor: |
| QUESTION 01: Completed all construction projects without the owner(s) calling in or involving sureties to assist in completing or assuming responsibility for completing a project? |
| CONTRACT: CONTRACT SPECIFIC PERFORMANCE: |
| PROJECT: LIB134137 Library Operations Building Renovation |
| PROJ PERF: PROJECT SPECIFIC PERFORMANCE: |
| Text2: This form must be included in your bid package as part of the required forms for submittal. |
The County reserves the right to investigate further, any of the responses to the above questions.
| QUESTION 08: Not Applicable |
| 09: 09 |
| CHECK 09A: Off |
| CHECK 09B: Off |
| QUESTION 09: Not Applicable |
| 10: 10 |
| CHECK 10A: Off |
| CHECK 10B: Off |
| QUESTION 10: Not Applicable |
| QUESTION 11: Not Applicable |
| QUESTION 12: Not Applicable |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| 11: 11 |
| 12: 12 |
File details come from the government source that posted it. Updated .