ESBD_427689_1749658173596_Attachment B - AE_Questionnaire-PR-0004731 (3).doc

DOC document 252 KB Posted

Attached to
IDIQ Professional Enviromental Engineering Services
Solicitation number
0004731
Issued by
Travis County, Austin City, Texas

About this file

This document is an Architecture/Engineering (A/E) Questionnaire for Request for Qualifications (RFQ) #PR-0004731 issued by the Texas Facilities Commission for Facilities Design and Construction located in Austin, Texas. The questionnaire is a comprehensive form designed to collect detailed information from potential architectural and engineering service providers, requiring respondents to provide extensive details about their firm's organizational structure, personnel, services, project history, and professional capabilities. The document seeks to evaluate firms' qualifications for potential design and construction services, with sections covering organizational details, personnel disciplines, professional services offered, geographical limits, project experience, and budget compliance.

The questionnaire includes specific sections for firms to demonstrate their expertise, such as listing key personnel, detailing the number of registered professionals across various disciplines, indicating services provided (including architectural, civil, mechanical, electrical, and planning services), and providing a schedule of their 10 most relevant completed projects. The form also includes a section for Historically Underutilized Business (HUB) certification, allowing minority-owned, women-owned, and disabled veteran-owned businesses to identify themselves. Notably, the document requires respondents to be registered or licensed in professional service disciplines relevant to the project, with a focus on evaluating firms' past performance, project management capabilities, and budget compliance through detailed project history documentation.

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A/E QUESTIONNAIRE – RFQ #PR-0004731

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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