ESBD_415839_1746206702971_Attachment B - AE_Questionnaire-PR-0004732.doc

DOC document 252 KB Posted

Attached to
IDIQ Professional MEP Engineering Services and Related Professional Services
Solicitation number
0004660
Issued by
Texas

About this file

This document is an Architect/Engineer (A/E) Questionnaire for Request for Qualifications (RFQ) #PR-0004732 issued by the Texas Facilities Commission for Facilities Design and Construction. The questionnaire is a comprehensive form designed to collect detailed information from potential architectural and engineering service providers, including firm details, personnel composition, service capabilities, professional credentials, and project history. The document provides space for respondents to outline their organizational structure, key personnel, personnel disciplines, services provided, professional liability coverage, geographical service limits, and project type distribution.

The questionnaire includes sections for documenting the firm's schedule and budget compliance, requiring respondents to detail their 10 most relevant completed projects with specific information on design phases, construction timelines, owner's budgets, cost estimates, and final construction costs. While no specific dollar amounts or contract terms are filled in, the form is structured to evaluate a firm's past performance, technical capabilities, and track record in delivering architectural and engineering projects. The document also includes a section for Historically Underutilized Business (HUB) information, allowing firms to identify if they qualify under various minority or special status categories.

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A/E QUESTIONNAIRE – RFQ #PR-0004732

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
Disable Veteran
FORMCHECKBOX
Other (specify)
FORMCHECKBOX
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:

Schedule Compliance 10 most relevant completed projects

Project 1
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

Project 2
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

Project 3
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

Project 4
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

Project 5
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

Schedule Compliance

Project 6
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

Project 7
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

Project 8
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

Project 9
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

Project 10
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

Budget Compliance

Insert Name of Project Here

Project 1
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

Project 2
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

Project 3
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

Project 4
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

Project 5
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
$ -

Budget Compliance

Insert Name of Project Here

Project 6
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

Project 7
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

Project 8
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

Project 9
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

Project 10
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
$ -

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