13--7- Exhibit A- UPDATED Contractor Responsibility Questionnaire- FAC133003.pdf

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Attached to
SLCo FAC133003 ECC Server Room HVAC - CONST
Solicitation number
SLCo FAC133003 ECC Server Room HVAC - CONST
Issued by
Utah

About this file

This is a Contractor Responsibility Questionnaire for Salt Lake County, Utah, related to a construction services project for HVAC/mechanical upgrades to an Emergency Command Center (ECC) server room (Project ID: FAC130070). The project involves upgrading the HVAC system within the facilities server room to add additional cooling and conditioning for servers, improve server life expectancy, and create redundant backup cooling in case of HVAC system failure. Prospective bidders must respond to all questions on this form or risk being deemed non-responsive and/or non-responsible. The questionnaire must be included in the bid package as part of required submittal forms.

The questionnaire requires contractors to demonstrate relevant experience and performance history through affirmative responses to twelve questions covering OSHA recordable incident rates, project completion without liquidated damages assessments, prior experience as General Contractor on similar-sized projects, commercial and government project experience, provision of three references from comparable projects within the last five years, successful completion of specialized HVAC/mechanical projects without surety involvement, AWS D1.1 structural welding certification for steel, and experience with HVAC/mechanical replacement construction. Contractors must also confirm completion of all HVAC/mechanical replacement projects without being removed from projects due to owner claims for default or breach of contract. Salt Lake County reserves the right to investigate further any responses provided on this form.

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Proposer must answer all questions below or the Proposer may be deemed non-responsive and/or non-responsible.

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EXHIBIT: [EXHIBIT H]
STANDARD: CONTRACTOR RESPONSIBILITY QUESTIONNAIRE.
CONST: CONSTRUCTION SERVICES FOR:
ID: FAC130070
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 at or 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: Not Applicable
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: ECC Server Room Cooling Upgrade
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: Completed all specialized HVAC/Mechanical projects without the owner(s) calling in or involving sureties to assist in completing or assuming responsibility for completing a project?

09: 09
CHECK 09A: Off
CHECK 09B: Off
QUESTION 09: Will the bidding contractor have AWS D1.1, "Structural Welding Certification - Steel.
10: 10
CHECK 10A: Off
CHECK 10B: Off
QUESTION 10: Does your firm or your sub-contractor have experience with HVAC/Mechanical Replacement construction?
QUESTION 11: Completed all HVAC/Mechanical replacement projects without being removed from the project upon a claim by the

Owner for default or breach of contract?

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 .