ESBD_357866_1714572496049_0001672 Attachment B - TAB Questionnaire Form.doc
DOC document 148 KB Posted
- Attached to
- Testing, Adjusting, and Balancing Services FY24-25 Deferred Maintenance Project in Statewide Buildings
- Solicitation number
- 0001672
- Issued by
- Travis County, Austin City, Texas
About this file
This document is a questionnaire from the Texas Facilities Commission (TFC) requesting qualifications for Testing, Adjusting, and Balancing (TAB) services for the Statewide Deferred Maintenance Project FY24-25. The scope of work includes pre-auditing, testing and reporting, construction phase auditing, testing and reporting, and final completion auditing, testing and reporting for HVAC systems across multiple state buildings. The contract term is anticipated to be 1,095 calendar days, with services commencing within 10 days of the notice to proceed. Mandatory pre-submittal teleconferences will be held on May 14 and 15, 2024, and qualifications are due by May 23, 2024. The contract is expected to be awarded by the Commission on July 18, 2024, with the contract executed by August 22, 2024.
The TAB services requested must comply with non-discrimination requirements of the State of Texas. Respondents must register for a Bonfire account to submit their qualifications through the Electronic State Business Daily (ESBD) website. The questionnaire requests information on the firm's background, services, personnel, and relevant project experience.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
TESTING, ADJUSTING, AND BALANCING (TAB) SERVICES QUESTIONNAIRE
Texas Facilities Commission
Facilities Design and Construction
P.O. Box 13047
Austin, Texas 78711-3047
1. Firm Name:
2. Address:
3. Tax Payer ID #:
4. E-mail Address:
5. Web Address:
6. Telephone:
Fax:
7. Other Locations:
| 8. Organization Class: |
| Individual |
| FORMCHECKBOX |
| Partnership |
| FORMCHECKBOX |
| Corporation |
| FORMCHECKBOX |
| Association |
| FORMCHECKBOX |
9. Date Established:
10. Former Business Name:
11. Date of Dissolution:
12. Subsidiary of:
| 13. Historically Underutilized Business Information: |
| HUB? |
| Yes |
| FORMCHECKBOX |
| No |
| FORMCHECKBOX |
| Black American |
| FORMCHECKBOX |
| Hispanic American |
| FORMCHECKBOX |
| Native American |
| FORMCHECKBOX |
| American Woman |
| FORMCHECKBOX |
Other (specify)
| 14. Principals & Officers: |
| (Names & Responsibilities: Management, Design, Production, Specification, |
Construction Administration, Business Development)
| Name |
| Responsibility |
| Name |
| Responsibility |
15. Key Personnel & Responsibilities:
| Name |
| Responsibility |
16. Number of Personnel by Discipline*:
| Discipline |
| Number |
| Number Registered |
| Discipline |
| Number |
| Number Registered |
Administration
Interior Arch
Architects
Civil
Landscape Arch
Environmental
Planning
Drafting
Programming
Inspection
Structural
Other (specify)
Mechanical
Electrical
HVAC
Net Total:
**Respondent must be registered/licensed, or have personnel on direct staff that are registered/licensed in at least one of the professional services discipline required to perform the services requested in this RFQ. Professional Services are defined in TGC 2254.002(A) (2).
| 17. Services Provided by Firm: |
| (Please Check) |
| Administration |
| FORMCHECKBOX |
| Architectural |
| FORMCHECKBOX |
| Drafting |
| FORMCHECKBOX |
| Inspection |
| FORMCHECKBOX |
| Interior Arch |
| FORMCHECKBOX |
| Landscape Arch |
| FORMCHECKBOX |
| Planning |
| FORMCHECKBOX |
| Programming |
| FORMCHECKBOX |
| Structural |
| FORMCHECKBOX |
| Mechanical |
| FORMCHECKBOX |
| Electrical |
| FORMCHECKBOX |
| HVAC |
| FORMCHECKBOX |
| Civil |
| FORMCHECKBOX |
Other (specify):
| 18. Professional Liability Coverage Errors & Omissions, etc.: |
| Yes |
| FORMCHECKBOX |
| No |
| FORMCHECKBOX |
Amount:
19. Services Provided through Consultant (Please Check):
| Administration |
| FORMCHECKBOX |
| Architectural |
| FORMCHECKBOX |
| Drafting |
| FORMCHECKBOX |
| Inspection |
| FORMCHECKBOX |
| Interior Arch |
| FORMCHECKBOX |
| Landscape Arch |
| FORMCHECKBOX |
| Planning |
| FORMCHECKBOX |
| Programming |
| FORMCHECKBOX |
| Structural |
| FORMCHECKBOX |
| Mechanical |
| FORMCHECKBOX |
| Electrical |
| FORMCHECKBOX |
| HVAC |
| FORMCHECKBOX |
| Civil |
| FORMCHECKBOX |
Other (specify):
| Name of Consultants |
| Address |
20. Geographical Limits:
21. Work Type Distribution by Proportion of Annual Average:
Work Type (Facility Use)
% by Fee
% by No. of Projects
Commercial, Office, Retail
Industrial
Educational
Medical
Other Institutional
Other (specify)
Type:
New Building Design
Restoration
Renovation
Interior Design
Urban or Site Planning
Prime Engineering
Other (specify)
| 22. Projects in Last Five Years: |
| See Attached |
23. Date of Questionnaire:
24. Preparer
Name:
Title:
Signature:
Budget Compliance 5 most relevant completed projects
Insert Name of location of Project Here
Comments:
| Construction Contract Amount |
| $ - |
| TAB Agent Original Contract Amount |
| $ - |
TAB Agent Final Contract Amount
Insert Name of location of Project Here
Comments:
| Construction Contract Amount |
| $ - |
| TAB Agent Original Contract Amount |
| $ - |
TAB Agent Final Contract Amount
Insert Name of location of Project Here
Comments:
| Construction Contract Amount |
| $ - |
| TAB Agent Original Contract Amount |
| $ - |
TAB Agent Final Contract Amount
Insert Name of location of Project Here
Comments:
| Construction Contract Amount |
| $ - |
| TAB Agent Original Contract Amount |
| $ - |
TAB Agent Final Contract Amount
Insert Name of location of Project Here
Comments:
| Construction Contract Amount |
| $ - |
| TAB Agent Original Contract Amount |
| $ - |
TAB Agent Final Contract Amount
File details come from the government source that posted it. Updated .