4. 25-4958CP-RMMA_ITB- QQ .docx
DOCX document 22 KB Posted
- Attached to
- Boiler Replacement Project
- Solicitation number
- 25-4958CP-RMMA
- Issued by
- Broomfield County, Colorado
About this file
This document is a Qualifications Questionnaire for the Boiler Replacement Project at Rocky Mountain Metropolitan Airport (RMMA) in Broomfield, Colorado. The project involves replacing a boiler, pumps, and associated equipment in the Airport Terminal Building, located at 11755 Airport Way, with a critical completion deadline of October 1, 2025, as this is the building's sole heating source. If the project cannot be completed by October 15, 2025, it will be rescheduled to start June 1, 2026.
The questionnaire requires detailed information from potential bidders, including company background, organizational history, licensing, references, equipment inventory, subcontractor details, and organizational experience. Bidders must disclose any past contract issues, legal disputes, or potential claims, and be prepared to provide additional financial documentation upon request. The document seeks comprehensive information to evaluate bidder qualifications, including experience with similar municipal projects, organizational capacity, and potential risk factors that might impact project completion.
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Text version
Qualifications Questionnaire
Date submitted __________________________ All questions must be answered completely. If necessary, the bidder may supply any additional information and submit with this statement. This statement must be returned with your proposal.
1. Name of Bidder __________________________________________________________________________
2. Permanent main office address ______________________________________________________________
3. When organized? __________________________________________________________________________
| 4. | A. If a corporation, what State incorporated in? _______________________________________________ |
| B. Date of last filing with Secretary of State___________________________________________________ | |
| 5. | How many years have you been engaged in this type of work/service? Under what firm name(s) and how long under each? How long has each company been bonding work? |
| _____________________________________________________________________________________ |
6. Attach a list of three (3) references for major contracts with agencies which parallel the proposed project. Provide agency name, address, phone number, contact, project location, project description, gross amount of each contract and the appropriate dates of completion.
| 7. | Are you licensed as municipal contractor or any other title? q Yes q No |
| A. If yes, in what city, county, and state? ____________________________________________________ | |
| B. What class license and number? ________________________________________________________ |
| 8. | List general types of work performed by you _________________________________________________ |
| ______________________________________________________________________________ | |
| 9. | Liquidated damages and/or disputes: Attach a list of all government or agency projects in the last two (2) years where liquidated damages were or may be assessed; current or previous substantial disputes or protests. Attach explanation in detail. |
10. Have you ever failed to complete any work satisfactory and on time awarded you by an agency?
q Yes q No
| If yes, where and why? __________________________________________________________________ |
| _____________________________________________________________________________________ |
| 11. | Have you ever defaulted or been terminated on a contract with an agency? q Yes q No |
| If yes, where and why? Was the contract bonded? |
12. List your major equipment anticipated for this contract.
13. Do you anticipate subcontracting work under this contract? q Yes q No
If yes: what percent to total contract? _________% Attach list of subcontractors.
14. Background and experience of the principal members of your organization who will be involved with this project. Also attach resumes.
Name Title Experience (Years)
15. Are any lawsuits; Federal, State or Local Tax Liens; or any potential claims or liabilities pending against you, your firm, or the officers of the firm at this time?
| q Yes q No If yes, attach details. | |
| 16. | Have any charges been filed against you, your firm, or the bidding entity, with the office of contract compliance, the equal opportunity commission, a state government civil rights commission, or any other similarly constituted entity of anti-discrimination legislation or regulations? |
q Yes q No If yes, attach details.
17. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the County?
q Yes q No
THE UNDERSIGNED HEREBY AUTHORIZES AND REQUESTS ANY PERSON, FIRM, OR CORPORATION TO FURNISH ANY INFORMATION REQUESTED BY THE COUNTY IN VERIFICATION OF THE RECITALS COMPRISING THIS QUALIFICATIONS QUESTIONNAIRE AND THAT THE ANSWERS TO THE FOREGOING QUESTIONS AND ALL STATEMENTS THEREIN CONTAINED ARE TRUE AND CORRECT.
NAME OF COMPANY________________________________________________________
AUTHORIZED SIGNATURE___________________________________________________
PRINTED NAME____________________________________________________________
TITLE_____________________________________________________________________
| Qualification Questionnaire |
| ITB Boiler Replacement Project RMMA - Project #:25-4958CP-RMMA |
File details come from the government source that posted it. Updated .