csoq-form.docx

DOCX document 61 KB Posted

Attached to
RFQ for Design Professional Services - Capital Infrastructure Projects
Solicitation number
0000040930
Issued by
Sacramento County, San Francisco City, California

About this file

This is a Consultant Statement of Qualifications (CSOQ) form issued by UC Davis Health, a California state agency, in response to a Request for Qualifications (RFQ) for design professional services supporting capital infrastructure projects. The RFQ solicits statements of qualifications from qualified firms to provide design professional services to the Facilities Planning and Development division's Capital Infrastructure Team, which manages approximately 500 active initiatives valued at $5 billion. The submission deadline is 2 p.m. Thursday, December 3, 2026, with the RFQ package available for download beginning Thursday, November 12, 2026. The Capital Infrastructure Team addresses infrastructure modernization, building system replacements, deferred maintenance, facility renovations, information technology, security, building automation, and critical healthcare systems, frequently within occupied healthcare facilities requiring complex phasing, multidisciplinary coordination, regulatory compliance, and continuity of essential operations. Services requested include preliminary investigations, programming, criteria development, design, permitting, construction administration, and project closeout for both HCAI and Non-HCAI projects utilizing traditional and collaborative delivery methods such as Design-Build and Progressive Design-Build.

The CSOQ form requires firms to provide general information, contact details, staff qualifications including licensed professionals and technical support personnel, managerial and quality control approaches, previous UC project experience, and key personnel information with references. Responding firms must detail up to three major projects completed within the past five years and provide two professional references. Following submission, a Screening Committee will review qualification statements, conduct reference checks, and recommend a short list of firms for interviews, after which a Selection Committee will conduct discussions prior to final firm selection. No pricing information, set-asides, incumbent contractor details, or contract term specifications are detailed in this form document.

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Text version

GENERAL INFORMATION

FIRM NAME:

MAIN (STREET) ADDRESS:

CITY:

STATE:

ZIP CODE:

BRANCH (STREET) ADDRESS:

CITY:

STATE:

ZIP CODE:

REMIT TO ADDRESS:

CITY:

STATE:

ZIP CODE:

CONTACT

CONTACT NAME & TITLE:

TELEPHONE:

FAX:

EMAIL:

WEB PAGE:

STAFF [PRINCIPAL (P) AND ASSOCIATE (A) (CHECK "P" OR "A" FOR EACH)]

NAME
P
A
DEGREE OR CERTIFICATE
INSTITUTION
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AVERAGE STAFF EMPLOYED IN LOCAL OFFICE: (AVERAGE OF PAST 5 YEARS)

LICENSED PROFESSIONALS:
PROFESSIONALS ON LICENSURE TRACK:
TECHNICAL SUPPORT:
CLERICAL:
OTHER:

WHAT IS YOUR MANAGERIAL APPROACH, TEAM APPROACH AND QUALITY CONTROL PROGRAM? (PROVIDE ATTACHMENT, IF NECESSARY)

INDICATE PREVIOUS UC PROJECT EXPERIENCE (IF ANY).

PROJECT EXPERIENCE

LIST UP TO THREE (3) MAJOR PROJECTS WITHIN THE PAST FIVE (5) YEARS THAT INDICATES YOUR EXPERIENCE (LIST MOST RECENT FIRST).

Project No. 1 Name:
Owner (include phone):
Contract Award Amount:
Final Project Cost:
Project Sq. Ft.:
Original Construction Time:
Actual Construction Time:
Year of Completion:
Type of Facility:

Project Description:

Project No. 2 Name:
Owner (include phone):
Contract Award Amount:
Final Project Cost:
Project Sq. Ft.:
Original Construction Time:
Actual Construction Time:
Year of Completion:
Type of Facility:

Project Description:

Project No. 3 Name:
Owner (include phone):
Contract Award Amount:
Final Project Cost:
Project Sq. Ft.:
Original Construction Time:
Actual Construction Time:
Year of Completion:
Type of Facility:

Project Description:

FACILITIES DESIGN & CONSTRUCTION

UC DAVIS HEALTH

4800 2ND AVENUE, SUITE 3010

SACRAMENTO, CA 95817

EMAIL: LCCOUCEIRO@UCDAVIS.EDU

CONSULTANT STATEMENT OF QUALIFICATIONS

UC Davis HealthPage 1 of 3Rev. 01-2016
UC Davis HealthPage 2 of 3Rev. 01-2016

KEY PERSONNEL INFORMATION

PROJECT ROLE
NAME
DEGREES
INSTITUTION
YEARS OF PROF. EXPERIENCE
DISCIPLINE, LICENSE NUMBER, EXPIRATION DATE & STATE
YEARS W/FIRM

REFERENCES [PROVIDE TWO (2)]

Name:
Title:
Firm:
Telephone:
Name:
Title:
Firm:
Telephone:
Where do you normally look for information about proposed University projects?

Please attach to this form any other information you wish us to consider, such as your firm's brochure or a discussion of your recent work.

PRIVACY NOTIFICATION

The State of California Information Practices Act of 1977 (effective July 1, 1978) requires the University of California to provide the following information to individuals who are asked to supply personal information about themselves.

The principal purpose for requesting the information on this form is for use in the selection process for Design Professionals and Consultants commissioned by the University. University Policy authorizes maintenance of this information.

Furnishing all information requested on this form is mandatory – failure to provide such information will delay or may even prevent completion of the action for which the form is being filled out. Information furnished on this form will be used by the Facilities Design & Construction Office in the consideration of commissions to Design Professionals and Consultants.

Individuals have the right to have access to this record as it pertains to themselves.

The official responsible for maintaining the information contained on this form is the Manager, Facilities Design and Construction.

FACILITIES DESIGN & CONSTRUCTION

UC DAVIS HEALTH

4800 2ND AVENUE, SUITE 3010

SACRAMENTO, CA 95817

UC Davis Health Page 3 of 3 Rev. 07-2019 image1.jpeg

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