8--8- Exhibit A- Contractor Responsibility Questionnaire- PAR132405.pdf
PDF 874 KB Posted
- Solicitation number
- SLCo PAR132405 Hunter Park Trail Connection - CONST
- Issued by
- Utah
About this file
This is a Contractor Responsibility Questionnaire for Salt Lake County's construction services project PAR132405, Hunter Park Trail Connection. The project involves construction of a new concrete trail including site preparation, grading, and installation of associated hardscape elements within specified construction drawing limits. The scope includes a Base Bid and three Bid Alternates, with adjustments to impacted irrigation systems. All disturbed areas including landscaping, surfaces, and finishes must be patched and repaired as part of the work. Proposers must complete all sections of this questionnaire or risk being deemed non-responsive and/or non-responsible, and the County reserves the right to investigate any responses further.
The questionnaire requires contractors to demonstrate specific qualifications and experience, including OSHA recordable incident rates at or below Utah industry averages, completion of all construction projects without liquidated damages assessments, and at least five years of experience as a General Contractor on projects of similar size and scope. Contractors must provide three references from comparable projects completed within the last five years, evidence of proper Utah state licensing, proof of bondability for the work, and documentation of all employees assigned to the project with summaries of their applicable construction experience. Additionally, contractors must disclose any pending, threatened, settled, or otherwise disposed of investigations, arbitration, litigation, or claims from the last three years, and if irrigation work is involved, both the contractor and any irrigation subcontractor must meet specified qualifications, training, and certification requirements outlined in the irrigation specifications.
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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: PAR132405 |
| OWNER: SALT LAKE COUNTY - SMALL PROJECT |
| NO: NO |
| 01: 01 |
| 02: 02 |
| 03: 03 |
| 04: 04 |
| 05: 05 |
| Check Box 04b: Off |
| 06: 06 |
| 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. |
| CHECK 08A: Off |
| CHECK 08B: 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: PAR132405 Hunter Park Trail Connection |
| 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: Contractor shall provide information regarding any investigations, arbitration, litigation, or claims that are pending, threatened, settled, or otherwise disposed of within the last three (3) years. |
| 09: 09 |
| CHECK 09A: Off |
| CHECK 09B: Off |
| QUESTION 09: Contractor shall provide a list of employees to be assigned to this Project and a summary of their applicable construction experience. |
| 10: 10 |
| CHECK 10A: Off |
| CHECK 10B: Off |
| QUESTION 10: Contractor and irrigation subcontractor, if used, shall meet the qualifications, training, and certification requirements specified in the irrigation specifications. |
| QUESTION 11: Contractor shall provide evidence that Contractor is bondable for the work to be performed. |
| QUESTION 12: Not Applicable |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| 11: 11 |
| 12: 12 |
| Check Box5: Off |
| Check Box6: Off |
| 08: 08 |
| 07: 07 |
| QUESTION 07: Contractor shall provide evidence that Contractor is properly licensed to perform the Work in the State of Utah. |
File details come from the government source that posted it. Updated .