ESBD_437191_1752860239218_Attachment B -AE_Questionnaire.doc
DOC document 192 KB Posted
- Solicitation number
- 0004835
- Issued by
- Texas
About this file
This document is an Architect/Engineer (A/E) Questionnaire 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 architectural and engineering firms seeking to provide professional services. It covers various aspects of a firm's capabilities, including organizational structure, business classification, personnel breakdown, services provided, geographical limits, and project history.
The questionnaire includes sections for firms to detail their professional qualifications, such as the number of personnel by discipline, professional liability coverage, services provided directly and through consultants, and a breakdown of work types by project proportion. Notably, the document requires firms to demonstrate their expertise by listing their five most relevant completed projects, including schedule and budget compliance details. The form also includes optional sections for Historically Underutilized Business (HUB) certification and specific professional service disciplines, which may provide additional consideration during the selection process.
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A/E 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:
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
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
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
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
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 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 |
| $ - |
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