8--7- Exhibit A- Contractor Responsibility Questionnaire -SW132061.pdf
PDF 2 MB Posted
- Solicitation number
- SLCo SW132061 Salt Lake Valley Transfer Station PT Deck / Pit Repair - CONST
- Issued by
- Utah
About this file
This is a Contractor Responsibility Questionnaire for a construction services contract with Salt Lake County, Utah, regarding the Salt Lake Valley Transfer Station PT Deck/Pit Repair project (ID: SW132061). The questionnaire requires prospective bidders to demonstrate their qualifications and experience by responding to a comprehensive set of evaluation criteria. Key requirements include verification that contractors have maintained OSHA recordable incident rates at or below the Utah industry average, completed all prior construction projects without liquidated damages assessments, and worked on projects of similar size and scope within the last five years as the general contractor. Additionally, bidders must demonstrate experience on commercial and/or government projects outside of residential work within the last three years and provide three references for comparable projects completed within the last five years.
The questionnaire includes specialized technical requirements specific to this project, including demonstrated experience with specialty concrete on similar commercial applications, possession of AWS D1.1 Structural Welding Certification for Steel, and prior approval as an installer of specialty concrete. Bidders must complete all questions on the form and include it in their bid package as a required submittal document. Salt Lake County reserves the right to conduct further investigation into any responses provided. The project scope involves repairing the post-tension concrete deck surface and replacing and repairing the pit surround with metal treatment. Failure to answer all questions may result in the proposer being deemed non-responsive and/or non-responsible.
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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: 730 TSTIP |
| 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: Not Applicable |
| 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: Salt Lake Valley Transfer Station PT Deck / Pit Repair |
| 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: Will the bidding contractor have experience with specialty concrete on similar commercial applications. |
| 09: 09 |
| CHECK 09A: Off |
| CHECK 09B: Off |
| QUESTION 09: Will the bidding contractor have AWS D1.1, "Structural Welding Certification - Steel. |
| 10: 10 |
| CHECK 10A: Off |
| CHECK 10B: Off |
| QUESTION 10: Will the bidding contractor have a prior approved installer of the specialty concrete. |
| 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 .