Capital - Contractors Qualifications Questionaire.pdf
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- Solicitation number
- 145010
- Issued by
- Howard County, Maryland
About this file
This is a Contractors Qualifications Questionnaire issued by Howard County, Maryland for the Long Reach Fire Station No. 9 Upgraded Fuel Storage & Dispensing System project. The questionnaire is designed to evaluate bidder qualifications and experience related to underground storage tank (UST) and aboveground storage tank (AST) construction and installation work. Bidders must provide detailed information on their most recent and next most recent relevant projects, including project titles, locations, construction dates, project specifications, total dollar amounts, and supervisory personnel. The form requires identification of key personnel and their specific responsibilities on identified projects, as well as contact information for emergency response supervisory personnel available 24 hours per day, 365 days per year.
The questionnaire requires bidders to identify their bonding capability and provide any other pertinent information considered relevant to their qualifications. Bidders must indicate whether work was performed as a subcontractor and, if so, provide prime contractor information and supervisory contact details. Additionally, for the second most recent project, bidders must identify the firm performing engineering inspection services. Each bid submission must be accompanied by either an electronic copy of a bid bond or certified check in the amount of five percent of the total bid, made payable to the Director of Finance, Howard County, with certified checks submitted to the Office of Procurement and Contract Administration prior to the bid due date and time.
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Text version
Name of Contractor: _____________________________________________________________________
Solicitation No: __________________________________________________________________________
1. BIDDER’S CONSTRUCTION EXPERIENCE, list most recent first.
(a) Most Recent Work:
Work for which Bidder was responsible:
Project Title and/or Other Identifying Number for the Work: _____________________________
Location (Street Address, City/County, State): ________________________________________
Start Construction Date____________________ End Construction Date: ___________________
Project details (UST/AST type, size, dispenser system, etc.): _____________________________
Bidder’s total dollar amount for the Work described: ___________________________________
Bidder’s Superintendent for the Work: ______________________________________________
Bidder’s Project Manager for the Work:______________________________________________
Agency or Firm for whom work was performed (They might be contacted as a reference):
Name: ________________________________________________________________________
Address: ______________________________________________________________________
Telephone Number:______________________________________________________________
Names of persons having supervisory responsibility within Agency or Firm for whom Work was performed: ____________________________________________________________________
Was the Work of the Bidder performed as a Subcontractor? _____ (yes), _____ (no)
If “yes” Bidder shall complete the following:
Name of Prime Contractor: ________________________________________________________
Address of Prime Contractor: ______________________________________________________
Telephone No. of Prime Contractor: _________________________________________________
Names of persons having supervisory responsibility within the Prime Contractor’s firm for whom the Work was performed:____________________________________________________
Other pertinent information regarding this project:
HOWARD COUNTY, MARYLAND
QUALIFICATIONS QUESTIONNAIRE
1. BIDDER’S CONSTRUCTION EXPERIENCE (continued), list most recent first.
(b) Next Most Recent Work:
Work for which Bidder was responsible:
Project Title and/or Other Identifying Number for the Work: _____________________________
Location (Street Address, City/County, State): ________________________________________
Start Construction Date____________________ End Construction Date: ___________________
Project details (UST/AST type, size, dispenser system, etc.): _____________________________
Bidder’s total dollar amount for the Work described: ___________________________________
Bidder’s Superintendent for the Work: ______________________________________________
Bidder’s Project Manager for the Work:______________________________________________
Agency or Firm for whom work was performed (They might be contacted as a reference):
Address: ______________________________________________________________________
Telephone Number:______________________________________________________________
Names of persons having supervisory responsibility within Agency or Firm for whom Work was performed: ____________________________________________________________________
Firm performing Engineering Inspection Services:
Address: ______________________________________________________________________
Telephone Number:______________________________________________________________
Names of persons having supervisory responsibility within firm performing Engineering
Inspection Services: _____________________________________________________________
Was the Work of the Bidder performed as a Subcontractor? _____ (yes), _____ (no)
If “yes” Bidder shall complete the following:
Name of Prime Contractor: ________________________________________________________
Address of Prime Contractor: ______________________________________________________
Telephone No. of Prime Contractor: _________________________________________________
Names of persons having supervisory responsibility within the Prime Contractor’s firm for whom the Work was performed:____________________________________________________
Other pertinent information regarding this project:
2. NAMES OF KEY PERSONNEL AND THEIR WORK RELATED EXPERIENCE:
For each key personnel listed, the bidder shall indicate on which efforts identified above (1a, 1b, 1c, etc.) the key personnel worked and their responsibilities on that project.
3. NAMES AND TELEPHONE NUMBERS OF EMERGENCY RESPONSE SUPERVISORY
PERSONNEL AVAILABLE 24 HOURS/DAY 365 DAYS/YR.
5. BIDDERS BONDING CAPABILITY: _____________________________________________
6. OTHER INFORMATION CONSIDERED PERTINENT:
Signature Date Name of Contractor
Title Email Address
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