4. Qualifications Questionnaire 25-15499R-FM.docx

DOCX document 23 KB Posted

Attached to
Parfet Building RTU Replacement 2025
Solicitation number
25-15499R-FM
Issued by
Jefferson County, Colorado

About this file

The document is a Qualifications Questionnaire for Jefferson County, Colorado, related to the Parfet Building Roof Top Unit (RTU) Replacement 2025 project. The project involves replacing 12 existing roof top units on the west side of the Parfet Building with like-for-like tonnage Carrier units, including adapter curbs and i-Vu Plus Building Automation cards. The questionnaire requires potential bidders to provide comprehensive details about their company, including organization history, licensing, previous contract experience, references, equipment, subcontractors, key personnel, and potential legal or compliance issues.

The questionnaire is designed to thoroughly vet potential contractors by requesting detailed information about their operational capabilities, financial stability, and past performance. Bidders must disclose their corporate structure, years of relevant experience, licensing status, major equipment, anticipated subcontractors, key personnel backgrounds, and any pending legal actions or discrimination charges. The document indicates that additional documentation may be required, such as financial statements, references for major contracts, and detailed explanations of any project defaults or disputes. The ultimate goal is to ensure that the selected contractor is qualified, financially sound, and capable of successfully completing the RTU replacement project for Jefferson County.

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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 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 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?

q Yes q No

If yes, where and why? __________________________________________________________________
_____________________________________________________________________________________
11.Have you ever defaulted or been terminated on a contract? 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_____________________________________________________________________

ITB- Parfet Building RTU Replacement 2025 - 2 - Project #: 25-15499R-FM

File details come from the government source that posted it. Updated .