6--7- Exhibit A- Contractor Responsibility Questionnaire - Draper Library - AHU-1.pdf
PDF 310 KB Posted
- 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 .