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PART II - GENERAL QUALIFICATIONS <br />(If a firm has branch offices, complete for each specific branch office seeking work.) <br />a. SIGNATURE <br />ARCHITECT-ENGINEER QUALIFICATIONS <br />2a. FIRM (or Branch Office) NAME <br />2b. STREET <br />2c. CITY 2d. STATE 2e. ZIP CODE <br />3. YEAR ESTABLISHED 4. UNIQUE ENTITY IDENTIFIER <br />5. OWNERSHIP <br />b. Discipline c. Number of Employees <br />10. PROFILE OF FIRM'S EXPERIENCE <br />AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS <br />b. Experience c. Revenue Index <br />Number <br />(see below) <br />STANDARD FORM 330 (REV. 8/2016) PAGE 6 <br />1. SOLICITATION NUMBER (If any) <br />8a. FORMER FIRM NAME(S) (If any)8b. YEAR ESTABLISHED <br />9. EMPLOYEES BY DISCIPLINE <br />Total <br />(1) FIRM (2) BRANCH <br /> 1. Less than $100,000 <br /> 2. $100,000 to less than $250,000 <br /> 3. $250,000 to less than $500,000 <br /> 4. $500,000 to less than $1 million <br /> 5. $1 million to less than $2 million <br />11. ANNUAL AVERAGE PROFESSIONAL <br />SERVICES REVENUES OF FIRM <br />FOR LAST 3 YEARS <br />(Insert revenue index number shown at right) <br />7. NAME OF FIRM (If Block 2a is a Branch Office) <br />6a. POINT OF CONTACT NAME AND TITLE <br />6c. E-MAIL ADDRESS <br />8c. UNIQUE ENTITY IDENTIFIER <br />a. Federal Work <br />b. Non-Federal Work <br />c. Total Work <br />12. AUTHORIZED REPRESENTATIVE <br />The foregoing is a statement of facts. <br />b. DATE <br />c. NAME AND TITLE <br />a. Function <br />Code <br />a. Profile <br />Code <br />6b. TELEPHONE NUMBER <br />a. TYPE <br />b. SMALL BUSINESS STATUS <br />PROFESSIONAL SERVICES REVENUE INDEX NUMBER <br /> 6. $2 million to less than $5 million <br /> 7. $5 million to less than $10 million <br /> 8. $10 million to less than $25 million <br /> 9. $25 million to less than $50 million <br />10. $50 million or greater <br />Other Employees <br />Chrome Engineering, Inc. <br />16650 N. Kendall Drive, Suite 205 <br />Miami FL 33196 <br />Oscar J. Cruz, P.E., President <br />(305) 432-6826 ocruz@chromeeng.com <br />RFQ No. 20-07-01 <br />2018 <br />Corporation <br />FDOT SBE and DBE, MDC SBE <br />57 Structural Engineer <br />B02 <br />Rehabilitation (Buildings; Structures; Facilites) <br />Structural Design; Special Structures <br />Bridges <br />Tunnels & SubwaysT06 <br />R06 <br />S09 <br />3 <br />4 08 CADD Technician 2 <br />2 <br />2 <br />2 <br />3 <br />1 <br />2 <br />2 <br />Oscar J. Cruz, P.E., President <br />08/11/2020 <br />087465862 <br />175