8-0006148 Attachment B - AE Questionnaire Form.docx
DOCX document 54 KB Posted
- Solicitation number
- 0006148
- Issued by
- Texas
About this file
The document is an Architecture and Engineering (A/E) Questionnaire form from the Texas Facilities Commission Facilities Design and Construction, designed to collect comprehensive details about architectural and engineering firms seeking to provide professional services. The questionnaire is specifically related to a Texas Juvenile Justice Department project to construct two new detention facilities in Ellis and Brazoria Counties, with the aim of gathering detailed information about potential service providers' organizational structure, personnel, capabilities, and project history.
The form requests extensive information including firm demographics, business classification, personnel breakdown by discipline, services provided, professional liability coverage, geographical limits, and project performance history. Key sections require firms to detail their personnel composition, professional registrations, service offerings (such as architectural, civil, mechanical, and electrical services), and demonstrate capability through past project performance. The document includes spaces to document five most relevant completed projects, tracking schedule and budget compliance, which allows the Texas Facilities Commission to evaluate a firm's technical competence, reliability, and historical performance in similar construction and design projects.
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A/E QUESTIONNAIRE
Texas Facilities Commission Facilities Design and Construction P.O. Box 13047 Austin, Texas 78711-3047
1. Firm Name:
2. Address:
3. Tax Payer ID #:
4. E-mail Address:
5. Web Address:
6. Telephone:
Fax:
7. Other Locations:
| 8. Organization Class: |
| Individual |
| |_| |
| Partnership |
| |_| |
| Corporation |
| |_| |
| Association |
| |_| |
9. Date Established:
10. Former Business Name:
11. Date of Dissolution:
12. Subsidiary of:
| 13. Historically Underutilized Business Information: |
| HUB? |
| Yes |
| |_| |
| No |
| |_| |
| Black American |
| |_| |
| Hispanic American |
| |_| |
| Native American |
| |_| |
| American Woman |
| |_| |
Other (specify)
| 14. Principals & Officers: |
| (Names & Responsibilities: Management, Design, Production, Specification, |
Construction Administration, Business Development)
| Name |
| Responsibility |
| Name |
| Responsibility |
15. Key Personnel & Responsibilities:
| Name |
| Responsibility |
16. Number of Personnel by Discipline*:
| Discipline |
| Number |
| Number Registered |
| Discipline |
| Number |
| Number Registered |
Administration
Interior Arch
Architects
Civil
Landscape Arch
Environmental
Planning
Drafting
Programming
Inspection
Structural
Other (specify)
Mechanical
Electrical
HVAC
Net Total:
**Respondent must be registered/licensed, or have personnel on direct staff that are registered/licensed in at least one of the professional services discipline required to perform the services requested in this RFQ. Professional Services are defined in TGC 2254.002(A) (2).
| 17. Services Provided by Firm: |
| (Please Check) |
| Administration |
| |_| |
| Architectural |
| |_| |
| Drafting |
| |_| |
| Inspection |
| |_| |
| Interior Arch |
| |_| |
| Landscape Arch |
| |_| |
| Planning |
| |_| |
| Programming |
| |_| |
| Structural |
| |_| |
| Mechanical |
| |_| |
| Electrical |
| |_| |
| HVAC |
| |_| |
| Civil |
| |_| |
| Other (specify): |
| 18. Professional Liability Coverage Errors & Omissions, etc.: |
| Yes |
| |_| |
| No |
| |_| |
Amount:
19. Services Provided through Consultant (Please Check):
| Administration |
| |_| |
| Architectural |
| |_| |
| Drafting |
| |_| |
| Inspection |
| |_| |
| Interior Arch |
| |_| |
| Landscape Arch |
| |_| |
| Planning |
| |_| |
| Programming |
| |_| |
| Structural |
| |_| |
| Mechanical |
| |_| |
| Electrical |
| |_| |
| HVAC |
| |_| |
| Civil |
| |_| |
| Other (specify): |
| Name of Consultants |
| Address |
20. Geographical Limits:
21. Work Type Distribution by Proportion of Annual Average:
Work Type (Facility Use)
% by Fee
% by No. of Projects
Commercial, Office, Retail
Industrial
Educational
Medical
Other Institutional
Other (specify)
Type:
New Building Design
Restoration
Renovation
Interior Design
Urban or Site Planning
Prime Engineering
Other (specify)
| 22. Projects in Last Five Years: |
| See Attached |
23. Date of Questionnaire:
| 24. Preparer | |
| Name: |
Title:
Signature:
Schedule Compliance 5 most relevant completed projects
Design Phases
Construction Phase
| Insert Name of Project Here |
| Study/ Analysis |
| Preliminary Design |
| Design |
| Working Drawings |
| Construction Start |
| Substantial Completion |
Contract Completion Date
Actual Completion Date
Explanatory Note
Design Phases
Construction Phase
| Insert Name of Project Here |
| Study/ Analysis |
| Preliminary Design |
| Design |
| Working Drawings |
| Construction Start |
| Substantial Completion |
Contract Completion Date
Actual Completion Date
Explanatory Note
Design Phases
Construction Phase
| Insert Name of Project Here |
| Study/ Analysis |
| Preliminary Design |
| Design |
| Working Drawings |
| Construction Start |
| Substantial Completion |
Contract Completion Date
Actual Completion Date
Explanatory Note
Design Phases
Construction Phase
| Insert Name of Project Here |
| Study/ Analysis |
| Preliminary Design |
| Design |
| Working Drawings |
| Construction Start |
| Substantial Completion |
Contract Completion Date
Actual Completion Date
Explanatory Note
Design Phases
Construction Phase
| Insert Name of Project Here |
| Study/ Analysis |
| Preliminary Design |
| Design |
| Working Drawings |
| Construction Start |
| Substantial Completion |
Contract Completion Date
Actual Completion Date
Explanatory Note
Budget Compliance 5 most relevant completed projects
Insert Name of Project Here
Comments:
| Owner's Budget |
| $ - |
| A/E Cost Estimate |
| $ - |
| Successful Respondent Amount |
| $ - |
| Construction Contract Amount |
| $ - |
| Final Construction Cost |
| $ - |
| Difference Between Initial Owner Budget and Contract Award |
| $ - |
Insert Name of Project Here
Comments:
| Owner's Budget |
| $ - |
| A/E Cost Estimate |
| $ - |
| Successful Respondent Amount |
| $ - |
| Construction Contract Amount |
| $ - |
| Final Construction Cost |
| $ - |
| Difference Between Initial Owner Budget and Contract Award |
| $ - |
Insert Name of Project Here
Comments:
| Owner's Budget |
| $ - |
| A/E Cost Estimate |
| $ - |
| Successful Respondent Amount |
| $ - |
| Construction Contract Amount |
| $ - |
| Final Construction Cost |
| $ - |
| Difference Between Initial Owner Budget and Contract Award |
| $ - |
Insert Name of Project Here
Comments:
| Owner's Budget |
| $ - |
| A/E Cost Estimate |
| $ - |
| Successful Respondent Amount |
| $ - |
| Construction Contract Amount |
| $ - |
| Final Construction Cost |
| $ - |
| Difference Between Initial Owner Budget and Contract Award |
| $ - |
Insert Name of Project Here
Comments:
| Owner's Budget |
| $ - |
| A/E Cost Estimate |
| $ - |
| Successful Respondent Amount |
| $ - |
| Construction Contract Amount |
| $ - |
| Final Construction Cost |
| $ - |
| Difference Between Initial Owner Budget and Contract Award |
| $ - |
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