ESBD_366445_1720045535292_Exhibit I A-E Questionnaire Form.pdf
PDF 133 KB Posted
- Solicitation number
- 808-24-241993
- Issued by
- El Paso County, El Paso City, Texas
About this file
This document is an A/E Questionnaire Form related to a request for qualifications (RFQ) issued by the Texas Historical Commission (THC) for professional architectural/engineering services for Visitor Center Structural Repair Design at Magoffin Home State Historic Site in El Paso, Texas. The form requests information about the firm, including contact details, organization type, principals and key personnel, services provided, and previous project experience. It also includes schedule compliance and budget compliance sections for the firm to provide details on five relevant completed projects. The RFQ seeks qualified individuals or firms to provide the requested professional services in accordance with the terms and conditions outlined in the RFQ.
The RFQ is for the state of Texas, specifically in the jurisdictions of El Paso County and the City of El Paso. The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information related to the contract opportunity.
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Text version
A/E QUESTIONNAIRE FORM
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 Partnership
Corporation
Association
9. Date Established:
10. Former Business Name:
11. Date of Dissolution:
12. Subsidiary of:
13. Historically Underutilized Business Information: HUB? Yes No
Black American Hispanic American Native American American Woman
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 Architectural Drafting Inspection
Interior Arch Landscape Arch Planning Programming
Structural Mechanical Electrical HVAC
Civil Other (specify):
18. Professional Liability Coverage Errors & Omissions, etc.: Yes No
Amount:
19. Services Provided through Consultant (Please Check):
Administration Architectural Drafting Inspection
Interior Arch Landscape Arch Planning Programming Structural Mechanical Electrical HVAC
Civil 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:
Schedule Compliance 5 most relevant completed projects
Design Phases Construction Phase
Insert Name of Project Here Study/ Analysis
Preliminary Design
Design Working Drawings
Construction Start
Substantial Completion
Contract Completion Date Actual Completion Date
Explanatory Note
Analysis
Preliminary
Design
Design Working
Drawings
Construction
Start
Substantial
Completion
Contract Completion Date
Analysis
Preliminary Design
Design Working Drawings
Construction Start
Substantial Completion
Contract Completion Date
Analysis
Preliminary Design
Design Working Drawings
Construction Start
Substantial Completion
Contract Completion Date
Analysis
Preliminary Design
Design Working Drawings
Construction Start
Substantial Completion
Contract Completion Date
Budget Compliance 5 most relevant completed projects
Insert Name of Project Here Comments:
Owner's Budget $ -
A/E Cost Estimate $ -
Successful Respondent Amount $ -
Construction Contract Amount $ -
Final Construction Cost $ -
Difference Between Initial Owner Budget and Contract Award
Insert Name of Project Here Comments:
Owner's Budget $ -
A/E Cost Estimate $ -
Successful Respondent Amount $ -
Construction Contract Amount $ -
Final Construction Cost $ -
Difference Between Initial Owner Budget and Contract Award
Insert Name of Project Here Comments:
Owner's Budget $ -
A/E Cost Estimate $ -
Successful Respondent Amount $ -
Construction Contract Amount $ -
Final Construction Cost $ -
Difference Between Initial Owner Budget and Contract Award
Insert Name of Project Here Comments:
Owner's Budget $ -
A/E Cost Estimate $ -
Successful Respondent Amount $ -
Construction Contract Amount $ -
Final Construction Cost $ -
Difference Between Initial Owner Budget and Contract Award
Insert Name of Project Here Comments:
Owner's Budget $ -
A/E Cost Estimate $ -
Successful Respondent Amount $ -
Construction Contract Amount $ -
Final Construction Cost $ -
Difference Between Initial Owner Budget and Contract Award
NOTE: THIS FORM MUST BE COMPLETED & RETURNED WITH THE RESPONSE
File details come from the government source that posted it. Updated .