SPECIAL QUESTIONNAIRE.pdf
PDF 563 KB Posted
- Attached to
- Solar Lighting Improvements
- Solicitation number
- UPSLI-0001
- Issued by
- Oklahoma County, Oklahoma
About this file
This document is a Special Questionnaire Application for Contractors Prequalification for Oklahoma City, designed to assess a contractor's eligibility and qualifications for potential construction contracts. The three-page form requires comprehensive details about the applicant's business, including construction work categories performed, years in business, project history, and organizational capabilities. The questionnaire seeks information on past project completions, construction experience of officers and principals, licensing, bonding limitations, litigation history, and organizational quality assurance and safety programs.
The prequalification application allows the Awarding Public Agency to evaluate a contractor's suitability beyond just price, with explicit notes that the agency is not required to award to the lowest bidder and reserves the right to determine the "lowest and best responsive bidder". The form emphasizes that any unanswered questions could result in disqualification, and all provided information will be considered in the contractor qualification process. Key areas of assessment include past project performance, potential contract failures, liquidated damages history, bonding capacity, litigation record, and organizational management systems.
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Other files
| File | Type | Posted |
|---|---|---|
| UPSLI-0001- Solar Lighting Specifications.pdf | ||
| Anti Noncollusion Affidavit.pdf | ||
| Business Relationship Affidavit.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 Box12: Off |
File details come from the government source that posted it. Updated .