3-A-DA26039 DFCM Code Inspector Information Form, 5.1.2025.pdf
PDF 14 MB Posted
- Attached to
- DFCM Construction - Request for Statement of Qualifications for Prequalified Code Inspection Firms - FY2027
- Solicitation number
- DA26039
- Issued by
- Utah
About this file
This is a Code Inspector Information Form submitted to the State of Utah Division of Facilities Construction and Management (DFCM) in support of a prequalification solicitation for code inspection firms. The form serves as a template for code inspection firms to provide detailed information about their inspectors who will perform code and special inspection services for DFCM's statewide capital projects. The form requests the code inspection firm name, submission date, and comprehensive details for each inspector including name, dispatch locations, and areas of specialization. Inspector qualifications are categorized by inspection type, including building, electrical, mechanical, and plumbing inspections, with designations for both unlimited and limited credentials. Both commercial and residential dispatch locations can be specified for each inspector, allowing firms to indicate geographic service areas and the scope of projects their inspectors are qualified to oversee.
The prequalification program is effective July 1, 2026 through December 31, 2027, with an 18-month validity period for approved firms. All prequalified firms must submit renewal documentation prior to the expiration of their 18-month prequalification period to maintain eligibility for the subsequent 18-month term. The form provided contains multiple checkbox fields and data entry lines to accommodate information for up to six inspectors per submission, with the ability to use multiple forms if a firm has additional inspectors beyond this capacity. This open-ended Stage I solicitation establishes a statewide roster of prequalified firms available to support DFCM construction projects throughout Utah.
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Text version
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
Inspector Name: Unlimited Limited Building
Commercial Electrical
Commercial Mechanical Commercial
Plumbing Commercial
Dispatch Location(s):
Building
Residential Electrical
Residential Mechanical Residential
Plumbing Residential
CODE INSPECTOR INFORMATION FORM
Please include the information requested below for each code inspector working for your firm that will be performing inspection services for DFCM projects.
Use multiple forms if need.
Code Inspection Firm:
Submission Date:
Sheet1
| Code Inspection Firm: |
| Submission Date: |
| Inspector Name: |
| Dispatch Locations 1: |
| Dispatch Locations 2: |
| Inspector Name_2: |
| Dispatch Locations 1_2: |
| Dispatch Locations 2_2: |
| Inspector Name_3: |
| Dispatch Locations 1_3: |
| Dispatch Locations 2_3: |
| Inspector Name_4: |
| Dispatch Locations 1_4: |
| Dispatch Locations 2_4: |
| Inspector Name_5: |
| Inspector Name_6: |
| Dispatch Locations 2_5: |
| 0: |
| 1: |
| Dispatch Locations 1_5: |
| 0: |
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| 1: |
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