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<br />~~~~ <br /> <br />PART I - CONTRACT - SPECIFIC QUALIFICATIONS <br /> <br />l lal~el~U:~I'II~I::l:.l:h"B.[em <br /> <br />1. TITLE AND LOCATION (City and State) <br />City of Sunny Isles Beach Request for Qualifications for Professional Engineering Services <br /> <br />2. PUBLIC NOTICE DATE 3, SOLICITATION OR PROJECT NUMBER <br />04/26/201 0 I 0-04-0 I <br /> <br />l <br /> <br />4, NAME AND TITLE <br />Mr. Tim Blankenship, P.E. <br />5, NAME OF FIRM <br />Coastal Systems International, Inc. <br />6, TELEPHONE NUMBER <br />(305) 661-3655, ext. 130 <br /> <br />m.r.,:[ ~: ,..::( It I!!I =I ~ [~I ~ I =I =I:I:.I:e mr I\!JillIi el ~.,~, It~ <br /> <br />7. FAX NUMBER <br />(305) 661-1914 <br /> <br /> <br />8, E-MAIL ADDRESS <br />tblankenshi p@coastalsystemsint.com <br /> <br />. ...... <br /> <br />- . <br /> <br />" ... , <br /> <br />(Check) <br /> <br />w ffiz~ <br />:;; >-,~8t; <br />iI a:CD<.( <br />ll... <t:::> ([ <br />[L(J)f- <br /> <br />9. FIRM NAME <br /> <br />10. ADDRESS <br /> <br />11, ROLE IN THIS CONTRACT <br /> <br />a. x <br /> <br />B~ Coastal Systems International, Inc. <br /> <br />464 South Dixie Highway <br />Coral Gables, Florida 33146 <br /> <br />Coastal/Marine Engineering <br />Environmental Permitting <br />Field Investigations <br />Construction Administration <br /> <br />D CHECK IF BRANCH OFFICE <br /> <br />b. <br /> <br />Coastal Systems International, Inc. <br />~ CHECK IF BRANCH OFFICE <br /> <br />2047 Vista Parkway, #101 <br />West Palm Beach, Florida <br />33411 <br /> <br />Coastal/Marine Engineering <br />Environmental Permitting <br />Field Investigations <br />Construction Administration <br /> <br />c. <br /> <br />D CHECK IF BRANCH OFFICE <br /> <br />d. <br /> <br />D CHECK IF BRANCH OFFICE <br /> <br />e. <br /> <br />D CHECK IF BRANCH OFFICE <br /> <br />1. <br /> <br />D CHECK IF BRANCH OFFICE <br />,I [!l.lel :[cBm-..,., Uel ~ ,.'L,(~: ,., a ~ :[el:.l:e~ =l1JU.:f.:.!J!JJ <br /> <br />~ (Iti~ l <br /> <br />STANDARD FORM 330 (1/2004) PAGE 1 <br />