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ARCHITECT-ENGINEER (A/E) QUESTIONNAIRE
(Complete this section and submit with SOQ package as Exhibit A)
INSTRUCTIONS
Please fill out this questionnaire. The information supplied on this questionnaire may be used to assess and assist in the selection of the most appropriate A/E from a Board-approved ranked list for a project(s) that may require expertise and/or experience in a specific area. You are hereby advised that information supplied on this questionnaire cannot be held confidential and is subject to public disclosure, per the Public Records Act.
Orange County Sheriff-Coroner Department (OCSD), Research & Development/Facilities Planning oversees a multi-million dollar annual construction budget and is responsible for the management of capital projects, tenant improvement projects and major maintenance renovations for all Orange County Sheriff-Coroner Facilities. Needed firms are those that provide planning studies, preliminary design, surveying, hydrology, civil engineering, architecture, landscape architecture, geotechnical engineering, plans and specifications, cost estimates, construction management, environmental documentation (including biological, archaeological, and paleontological) and regulatory permits.
Firms requesting to be considered for professional services for OCSD projects shall complete the following questionnaire.
Instructions for submitting the A-E Questionnaire:
1. Provide information in the applicable sections of the questionnaire.
2. Keep a copy of the completed questionnaire for your records.
If you have any questions regarding this questionnaire, please direct them to Staff Specialist Maria Vera with OCSD Facilities Planning via the County’s online bid system at https://opengov.com under the page for this solicitation.
TABLE OF CONTENTS
| Page |
| A-E Identification | 3 |
| Major Project History | 4 |
| A-E Experience | 5 |
| Planning/Environmental Experience | 6 |
| A-E Expertise | 7 |
| Liability Questionnaire | 8 |
NOTE
Because of disclosure laws related to the Public Records Act, information supplied by firms cannot be held confidential
Exhibit A
RESEARCH AND DEVELOPMENT DIVISION
FACILITIES PLANNING
A-E IDENTIFICATION
DATE:
Name of person completing this questionnaire:
E-mail Address:
Name:
Title:
Phone:
1. Firm Name
2. Year Established
| 3. Type Organization (Check One) | |
| |_|Individual | |_|Corporation | |
| |_|Partnership | |_|Joint Venture | |_|Other |
| 4. Telephone No. | |
| 5. Former Firm Name(s) If Any, and Years Established |
| 6. Local Office Address |
7. Branch Offices:
8. Personnel (Give Name, Registration, State, Year and Identify Principals with ** and Associates with *
| A. Architects | |
| B. | Civil and Structural Engineers |
C. Engineers (e.g. Geotechnical, Mechanical, Electrical, etc.)
D. Planners
E. Landscape Architects F. Others (e.g. Archeologist, Biologist, Paleontologist, PMP, LEED, etc.)
| Architects |
| Engineers |
| Planners |
| Other (Specify) |
| Other (Specify) |
| Support |
| Total |
NOTE: ATTACH ADDITIONAL PAGES IF NEEDED
Exhibit A
MAJOR PROJECT HISTORY
Provide the following information:
List ten major projects which your firm was lead (architect, engineer, landscape architect, designer, planning firm, etc.) of record or had primary responsibility for the project during the past four years:
| Project Name and Location |
| Type (Describe professional specialty utilized for project) |
| Name and Address of Lead Agency/Owner |
| Estimated Construction or Project Cost |
| Percent Completed |
| Were you the lead firm/consultant? |
Yes/No
NOTE: ATTACH ADDITIONAL PAGES IF NEEDED
A-E EXPERIENCE
Check the type of work or facilities in which your firm possesses more than 3 years of experience:
| |_| |
| Aerial Surveying |
| |_| |
| Libraries |
| |_| |
| Airport Facilities |
| |_| |
| Lighting |
| |_| |
| Animal Shelters, Animal Clinics |
| |_| |
| Local Streets |
| |_| |
| Arterial Highways |
| |_| |
| Maintenance Service Shops/Maintenance Bldgs. |
| |_| |
| Assessment Engineering |
| |_| |
| Marinas, Harbors, Ports |
| |_| |
| Auditoriums and Theaters |
| |_| |
| Mine Rehabilitation |
| |_| |
| Biology, Archaeology, Paleontology |
| |_| |
| Office Buildings |
| |_| |
| Bridges |
| |_| |
| Parking Garages/ Service Garages/ Parking Structures |
| |_| |
| CEQA, regulatory agency permits |
| |_| |
| Parking Lots (flat) |
| |_| |
| Civic Centers, Community Centers |
| |_| |
| Parks – City / Community/ Local/ Regional and/or State Parks |
| |_| |
| Coastal Engineering |
| |_| |
| Plan Review (Building Regulation Compliance) |
| |_| |
| Communications |
| |_| |
| Plumbing and Piping Design |
| |_| |
| Community Buildings |
| |_| |
| Power Generation, Transmission, Distribution |
| |_| |
| Computer Facilities |
| |_| |
| Prisons and Correctional Facilities |
| |_| |
| Contract Administration/Contract Mgmt. |
| |_| |
| Pump Stations |
| |_| |
| Construction Management |
| |_| |
| Recreational Trails, Hiking Trails |
| |_| |
| Cost Estimating |
| |_| |
| Regional Storm Drains |
| |_| |
| Courthouses |
| |_| |
| Retarding Basins |
| |_| |
| Dams |
| |_| |
| Sanitary Engineering |
| |_| |
| Dining Halls, Clubs, Restaurants |
| |_| |
| Sanitary Landfill |
| |_| |
| Domestic Water Distribution & Storage |
| |_| |
| Schools |
| |_| |
| Dredging |
| |_| |
| Seismic Retrofitting |
| |_| |
| Engineering Geology |
| |_| |
| Sewage Collections, Treatment & Disposal |
| |_| |
| Erosion & Sediment Transport |
| |_| |
| Soils Engineering |
| |_| |
| Fire Stations |
| |_| |
| Solar Energy Utilization |
| |_| |
| Fire Prevention Systems |
| |_| |
| Space Planning |
| |_| |
| Geotechnical Engineering |
| |_| |
| Storm Water Pumping |
| |_| |
| Groundwater Geology |
| |_| |
| Structural Engineering |
| |_| |
| Heating, Ventilating, Air Conditioning |
| |_| |
| Surveying |
| |_| |
| Historic Buildings & Structures |
| |_| |
| Traffic Signalization |
| |_| |
| Hospitals/Clinics and Medical Facilities |
| |_| |
| Walk-in Freezers and Refrigerators |
| |_| |
| Industrial Buildings |
| |_| |
| Warehouses |
| |_| |
| Industrial Waste |
| |_| |
| Water Conservation |
| |_| |
| Landscape Architecture |
| |_| |
| Water Supply |
| |_| |
| Large Open Channels |
| |_| |
| Water Treatment |
| |_| |
| Law Enforcement Facilities |
| |_| |
| Other (Specify) |
PLANNING/ENVIRONMENTAL EXPERIENCE
Check the types of work or facilities in which your firm possesses expertise and at least 3 years of work experience:
| Types of Planning Documents |
| Key Planning/Environmental Issues (cont’d) |
| |_| |
| Biological Studies |
| |_| |
| Noise |
| |_| |
| EIR Findings |
| |_| |
| Oak Woodlands |
| |_| |
| Environmental Assessments |
| |_| |
| Public Controversy |
| |_| |
| Environmental Impact Reports (EIRs) |
| |_| |
| Public Services and Utilities |
| |_| |
| Environmental Impact Studies (EISs) |
| |_| |
| Recreation |
| |_| |
| Growth Management |
| |_| |
| Riparian or Wetland Issues |
| |_| |
| Mitigation Monitoring Reports |
| |_| |
| Sensitive Fauna (Specify) |
| |_| |
| NCCP Plans |
| |_| |
| Sensitive Flora (Specify) |
| |_| |
| Negative Declarations |
| |_| |
| Service/Groundwater Quality |
| |_| |
| Resource Management Plans (RMPs) |
| |_| |
| Traffic/Circulation |
| |_| |
| Specific Plans/Planned Communities |
| |_| |
| Wildlife Corridor |
| |_| |
| Technical Report (e.g., Traffic Study for an EIR) |
| |_| |
| Aviary/Bird Nesting |
| |_| |
| Zoning/General Plans |
| |_| |
| Other (Specify) |
| Key Planning/Environmental Issues |
| Types of Development |
| |_| |
| Accessibility Compliance (ADA) |
| |_| |
| Flood Control Projects |
| |_| |
| Adaptive Re-use |
| |_| |
| Harbors, Marinas, Port |
Aesthetics Air Quality Industrial/Commercial Jails
| |_| |
| Coastal Marsh |
| |_| |
| Landfills |
| |_| |
| Coastal Sage Scrub |
| |_| |
| Libraries |
| |_| |
| Cultural Resources |
| |_| |
| NCCP |
| |_| |
| Cumulative Impacts |
| |_| |
| Parks, Beaches, Trails, Camping Grounds |
| |_| |
| Energy/Natural Resources |
| |_| |
| Public Infrastructure (Roads/Bridges/Communication/Parking Structure) |
Flood Risk Geotechnical Residential Seawall
| |_| |
| Grasslands |
| |_| |
| Combination (Specify Types) |
| |_| |
| Hazardous Materials |
| |_| |
| Other (Specify) |
|_| Historic Preservation/Renovation |_| Invasive Vegetation, Arundo Removal |_| Land Use Compatibility |_| Landform Alteration
A-E EXPERTISE
Rank the top 10 types of projects in terms of your firm’s areas of expertise and interest (1 = highest or most expertise, 2 = next highest, etc.):
| Accessibility Compliance (ADA) |
| Hazardous Waste Removal |
| Transportation/Traffic |
Studies.)
| Acoustic Engineering |
| Historical Preservation/Restoration |
| Utilities (Water/Sewer/Electrical, etc.) |
| Adaptive Re-use |
| Jail and Correctional Facilities Design |
Water Quality Mgmt.
| Aerial Topography/Photogrammetric |
| Land Planning/Design |
Well Drilling/Monitoring
| Air Quality Specialist |
| Landscape Architecture |
Bridge Projects
| Archaeology/Paleontology |
| Law Enforcement Facilities Design |
Geology
| Architecture |
| Materials Testing & Special Inspections |
Geotechnical Engineering
| CEQA Preparation – EIR/ EIS/ ND/ MND |
| Mitigation Monitor/Resource Mgmt Coordination |
Other (Specify)
| Civil Engineering |
| Open Space Design and Development |
| Construction Management |
| Ornithology |
| Cultural Resource(s) |
| Project Management |
| Electrical Engineering |
| Public Meeting Facilitator |
| Flood Control Projects |
| Restoration Biologist/Ecologist |
| Food Services |
| Road Projects ( incl. Asphalt/Slurry/Seal/Concrete Pavement) |
| General Biology/Ecology |
| Shooting Range |
| General / Site Planning (Urban Design) |
| Soils Engineering |
| GIS / Survey |
| Space Planning |
| Harbor / Marina Projects |
| Structural Engineering |
| Heating, Ventilating, Air Conditioning |
| Seismic Retrofit |
LIABILITY QUESTIONNAIRE
| 1. Name of Firm: | | |
| 2. Total number of employees: | | |
| 3. Number of engineers employed: | | |
| 4. Number of architects employed: | | |
| 5. Does your firm employ other professional people? | YES |_| | NO |_| |
If so, give number and professions:
6. Approximate annual total value of all architect and engineering contracts (optional):
7. Approximate annual total value of architect and engineering contracts with the County of Orange
8. Name of insurance carrier writing your architects and engineers professional liability insurance:
9. Annual premium for architects and engineers professional liability insurance:
| Current policy year: |
| Immediately preceding policy year: |
10. What are the limits of your current architects and engineers liability insurance policy?
11. What deductibles, if any, are contained in your current architects and engineers liability insurance policy?
12. Would your firm purchase architects and engineer's professional liability insurance if it were not required for the purpose of obtaining contracts with the County of Orange?
| YES |_| | NO |_| |
| 13. When preparing bids on contracts let by the county of Orange, do you somehow add in the cost of your architects and engineers insurance? | YES |_| | NO |_| |
14. If so, (e.g. specific percentage of annual premium included as part of general expenses, etc.) explain fully, showing dollars:
15. If available, attach copies of the following:
A. Your application for architects and engineers liability insurance or, B. Your current architects and engineers liability insurance policy or, C. Your Certificate of Insurance
16. How long have you had your present architects and engineer's liability insurance?
17. What is the expiration date of your architects and engineers liability insurance?