9--7- Exhibit A- Contractor Responsibility Questionnaire- LIB133030.pdf

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SLCo LIB133030 Magna Library Rooftop Equip Replacement - CONST
Solicitation number
SLCo LIB133030 Magna Library Rooftop Equip Replacement - CONST
Issued by
Utah

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This is a Contractor Responsibility Questionnaire for Salt Lake County, Utah, related to contract LIB133030 for the Magna Library Rooftop Equipment Replacement project. The questionnaire serves as a mandatory submittal requirement in the bid package and must be completed in its entirety or the proposer may be deemed non-responsive and/or non-responsible. The project involves the replacement of rooftop units (RTUs) and photovoltaic (PV) systems at the Magna Library facility. Contractors must provide responses to eleven substantive questions covering their past performance, safety record, project experience, and specialized qualifications relevant to RTU replacement work.

The questionnaire requires bidders to demonstrate specific qualifications and experience over defined timeframes. Key requirements include: confirmation of OSHA recordable incident rates at or below the Utah industry average; completion of all prior construction projects without liquidated damages assessments; experience as a general contractor on projects of similar size and scope within the last five years; commercial and/or government project experience outside residential work within the last three years; submission of three references from comparable projects within the last five years; AWS D1.1 Structural Welding Certification for Steel; demonstrated experience with rooftop unit replacement construction; and completion of all specialized RTU replacement projects without default claims or surety involvement. The County reserves the right to conduct further investigation into any submitted responses. The form does not specify contract pricing, award dates, or contract term details, as those elements are addressed in other bid documents.

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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: LIB133030
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: LIB133030 Magna Library Rooftop Equip 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: Will the bidding contractor have AWS D1.1, "Structural Welding Certification - Steel?
09: 09
CHECK 09A: Off
CHECK 09B: Off
QUESTION 09: Does your firm or your sub-contractor have experience with Roof Top Unit Replacement construction?
10: 10
CHECK 10A: Off
CHECK 10B: Off
QUESTION 10: Completed all Roof Top Unit (RTU) replacement projects without being removed from the project upon a claim by the

Owner for default or breach of contract?

QUESTION 11: Not Applicable
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: Completed all specialized Roof Top Unit (RTU) projects without the owner(s) calling in or involving sureties to assist in completing or assuming responsibility for completing a project?

File details come from the government source that posted it. Updated .