13--7- Exhibit A- UPDATED Contractor Responsibility Questionnaire- FAC133003.pdf
PDF 2 MB Posted
- 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.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Proposer must answer all questions below or the Proposer may be deemed non-responsive and/or non-responsible.
Blank Page
| 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 .