MB-1818 SPECIAL QUESTIONNAIRE.pdf
PDF 465 KB Posted
- Attached to
- Fairgrounds Super Barn Boiler Improvements
- Solicitation number
- MB-1818
- Issued by
- Oklahoma County, Hobart City, Oklahoma
About this file
This document is a Special Questionnaire Application for Contractors Prequalification issued by Oklahoma City for the Fairgrounds Super Barn Boiler Improvements project (MB-1818). The questionnaire is designed to assess a contractor's qualifications and capability to perform construction work, requiring detailed information about the applicant's business history, construction experience, completed projects, bonding capacity, and organizational capabilities. Contractors must provide comprehensive details about their business, including years in operation, types of construction work performed, subcontracting practices, past contract performance, and potential limitations.
The prequalification process evaluates contractors based on multiple criteria, including construction experience of officers and principals, completed project history, potential litigation, quality assurance and safety programs, and any past issues with contract completion or liquidated damages. The Awarding Public Agency reserves the right to determine the lowest and best responsive bidder, and notes that all information provided may be considered in the qualification process. Incomplete or unanswered sections could result in disqualification, emphasizing the importance of thorough and accurate documentation in the bidding process.
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Other files
| File | Type | Posted |
|---|---|---|
| Anti Noncollusion Affidavit.pdf | ||
| Business Relationship Affidavit.pdf | ||
| MB-1818 BIDDING DOCUMENTS.pdf |
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Text version
1. APPLICANT (Show Complete Legal Name) AUTHORIZED AGENT
APPLICANT STREET ADDRESS
BUSINESS ADDRESS, IF DIFFERENT
CITY STATE ZIP PHONE #
APPLICATION SUBMITTED BY/CONTACT PERSON
CONTRACTOR I.D. NO./FEDERAL TAX I.D. NO.
E-MAIL ADDRESS
HOW MANY YEARS HAS THE APPLICANT BEEN IN
BUSINESS UNDER YOUR PRESENT BUSINESS NAME? YEARS
2. DESCRIBE CATEGORIES OF CONSTRUCTION WORK THIS APPLICANT PERFORMS AS A CONTRACTOR
3. DESCRIBE CATEGORIES OF CONSTRUCTION WORK THIS APPLICANT SUBCONTRACTS, IF ANY
4. HAS THIS APPLICANT EVER FAILED TO COMPLETE OR REFUSED TO ENTER INTO A CONSTRUCTION CONTRACT AWARDED TO SAID
APPLICANT? YES IF YES, WITH WHOM, WHERE WHEN AND WHY?
5. HAS ANY OFFICER OR PRINCIPAL OF THIS APPLICANT EVER FAILED TO COMPLETE A CONSTRUCTION CONTRACT IN THEIR
NAME? YES NO IF YES, STATE NAME OF INDIVIDUAL, AND REASON THEREFOR:
*All Information provided in this questionnaire may be considered in determining qualification for the Contract. Any questions left unanswered could result in the bidder to not be qualified or awarded the Contract.
SPECIAL QUESTIONNAIRE APPLICATION FOR
CONTRACTORS PREQUALFICATION OKLAHOMA CITY
NO
INDIVIDUAL'S NAME PRESENT POSITION YEARS EXPERIENCE LICENSES AND LICENSE NO.’s
7. LIST COMPLETED PROJECTS (SEE SPECIAL PROVISIONS TECHNICAL)
DESCRIPTION OF PROJECT-
LOCATION OF PROJECT
Including the name of the owner, and phone numbers
DATE
PROJECT
COMPLETED
CONTRACT
AMOUNT
8. DESCRIBE ANY BOND LIMITATIONS IMPOSED BY BONDING COMPANY BECAUSE OF ANTICIPATED CONSTRUCTION
DURATION.
9. NAME AND ADDRESS OF BONDING COMPANY:
10. HAS THIS APPLICANT BEEN CHARGED FOR LIQUIDATED DAMAGES IN THE PAST FIVE YEARS?
IF YES, WHEN WHERE AND WHY?
NO 11. HAS ANY BONDING COMPANY OR AGENT COMPLETED THIS APPLICANT'S WORK IN THE PAST FIVE YEARS? YES
IF YES, WHEN WHERE AND WHY
6. CONSTRUCTION EXPERIENCE OF THE OFFICER AND PRINCIPALS OF THIS APPLICANT. ( Include any )
YES NO
robert.witt Line
12. LIST ANY LITIGATION WITH THE OWNERS OF PROJECTS IN THE PAST FIVE YEARS
OWNER'S NAME ADDRESS/PHONE NUMBER CONTRACT
AMOUNT
NATURE OF LITIGATION
13. DOES THIS APPLICANT HAVE A QUALITY ASSURANCE /QUALITY CONTROL PROGRAM?
14. DOES THIS ORGANIZATION HAVE A HEALTH AND SAFETY PROGRAM?
YES NO
YES NO
NOTE:
*All Information provided in this questionnaire may be considered in determining qualification for the Contract.
Any questions left unanswered could result in the bidder to not be qualified or awarded the Contract.
*The Awarding Public Agency is not required to award the Contract for that Project to the low bidder and reserves the right to determine and award to the Bidder the Awarding Public Agency determines lowest and best responsive bidder.
IF YES, PLEASE ATTACH
IF YES, PLEASE ATTACH
| 1 APPLICANT Show Complete Legal Name: |
| STREET ADDRESS: |
| MAILING ADDRESS: |
| CITY: |
| CONTACT PERSON: |
| CONTRACTOR ID NOFEDERAL TAX ID NO: |
| YEARS: |
| 2 DESCRIBE CATEGORIES OF WORK THAT THIS ORGANIZATION TO PERFORM AS A CONTRACTOR 1: |
| 3 DESCRIBE CATEGORIES OF WORK THIS ORGANIZATION USUALLY SUBCONTRACTS IF ANY 1: |
| fill_14: |
| 7 1: |
| DESCRIPTION OF PROJECTRow1: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow1: |
| DATE PROJECT COMPLETEDRow1: |
| DESCRIPTION OF PROJECTRow2: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow2: |
| DATE PROJECT COMPLETEDRow2: |
| Row1: |
| DESCRIPTION OF PROJECTRow3: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow3: |
| DATE PROJECT COMPLETEDRow3: |
| Row2: |
| DESCRIPTION OF PROJECTRow4: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow4: |
| DATE PROJECT COMPLETEDRow4: |
| Row3: |
| DESCRIPTION OF PROJECTRow5: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow5: |
| DATE PROJECT COMPLETEDRow5: |
| Row4: |
| DESCRIPTION OF PROJECTRow6: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow6: |
| DATE PROJECT COMPLETEDRow6: |
| Row5: |
| DESCRIPTION OF PROJECTRow7: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow7: |
| DATE PROJECT COMPLETEDRow7: |
| Row6: |
| DESCRIPTION OF PROJECTRow8: |
| LOCATION OF PROJECT Including the name of the owner inspector their addresses phone numbersRow8: |
| DATE PROJECT COMPLETEDRow8: |
| Row7: |
| DESCRIBE ANY BOND LIMITATIONS IMPOSED BY BONDING COMPANY BECAUSE OF ANTICIPATED CONSTRUCTION: |
| DURATION: |
| 10 NAME AND ADDRESS OF BONDING COMPANY 1: |
| 10 NAME AND ADDRESS OF BONDING COMPANY 2: |
| IF YES WHEN WHERE AND WHY 1: |
| IF YES WHEN WHERE AND WHY 2: |
| IF YES WHEN WHERE AND WHY 3: |
| HAS ANY BONDING COMPANY OR AGENT OF ANY BONDING COMPANY EVER COMPLETED THIS ORGANIZATIONS WORK: |
| fill_11: |
| fill_12: |
| OWNER S NAMERow1: |
| ADDRESSPHONE NUMBERRow1: |
| CONTRACT AMOUNTRow1: |
| OWNER S NAMERow2: |
| ADDRESSPHONE NUMBERRow2: |
| CONTRACT AMOUNTRow2: |
| NATURE OF LITIGATION: |
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| Check Box11: Off |
| Check Box12: Off |
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