6--7- Exhibit A- Contractor Responsibility Questionnaire - Draper Library - AHU-1.pdf

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Attached to
SLCo LIB131605 Draper Library HVAC AHU-1 Replacement - CONST
Solicitation number
SLCo LIB131605 Draper Library HVAC AHU-1 Replacement - CONST
Issued by
Utah

About this file

This is a Contractor Responsibility Questionnaire for Salt Lake County Library Services related to the Draper Library HVAC AHU-1 Replacement construction project. The document serves as a pre-qualification assessment tool to evaluate contractor responsibility and capability to perform the work. The questionnaire requires responding contractors to provide detailed information about their business qualifications, experience, financial stability, insurance coverage, and past performance on similar projects. Contractors must demonstrate compliance with applicable laws and regulations, including prevailing wage requirements, bonding capabilities, and safety protocols relevant to HVAC system replacement and construction work.

The questionnaire functions as part of the procurement process to ensure that only qualified and responsible contractors are selected to bid on or perform the AHU-1 replacement work at the Draper Library facility. Contractors are required to provide supporting documentation and evidence of their qualifications, including proof of licensure, insurance certificates, financial statements, and references from previous projects of comparable scope. The document establishes baseline requirements and standards that bidders must meet to be deemed responsible and eligible to proceed with submitting proposals for this construction contract.

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Text version

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

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EXHIBIT: [EXHIBIT A]
STANDARD: CONTRACTOR RESPONSIBILITY QUESTIONNAIRE.
CONST: CONSTRUCTION SERVICES FOR:
ID: LIBDRAHVAC
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: Will your firm and your sub-contractors support third-party building systems commissioning if required on this project?
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: DRAPER LIBRARY - AHU-1 REPLACEMENT
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: Not Applicable.
09: 09
CHECK 09A: Off
CHECK 09B: Off
QUESTION 09: Not Applicable
10: 10
CHECK 10A: Off
CHECK 10B: Off
QUESTION 10: Not Applicable
QUESTION 11: Not Applicable
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 .