Laserfiche WebLink
<br />· AUG-21-2007 <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />22:47 From: <br /> <br />To: 14078988400 <br /> <br />Page:2/8 <br /> <br />1. SOLICITATION NUMBER (lfany) <br /> <br />ARCHITECT - ENGINEER QUALlFICA TrONS <br />PART 11- GENERAL QUALIFICATIONS <br />(/f a firm has branch offlces. complete for each specific branch office seeking work) <br />2a. FIRM(OK~cl2~FICEp~~. ... .. 3 Y,;;STABl.ISHED J 4. DUNSNU.MBE~ <br /> <br />2H-~EW ~ 5. OWNERSHIP <br />_\~O D \l \tJ..JJ ~e- <br />20. blTY <br />~"C-\-i <br />&s. POINT OF CON'T: CT NflME AND TI'l'l!: <br /> <br /> <br /> <br />3~'+% <br /> <br />II. iYPE <br /> <br />2e. iip CODE <br /> <br />~-~ ~pO-P. <br />b.SMALlBU N~SS ATUS <br /> <br />\L \( ,\-\ ka...O <br />!lb. TEl Ef'HONE NUMBER <br />'5tc \. '4SS . OS, <0 <br />~. ro.RMER FIRM NAME(S) {If llnyJ <br /> <br />7. NAME OF FiRM (It bloClt 2.> ir. " b'lVlCh ~J <br /> <br /> <br />. PUNC.,\?F\L- <br />6c. lE-MAll ADDRESS <br /> <br />8b. YR. EST....BlISHED <br /> <br />8C. pUNS NU"'8eR <br /> <br /> 9. EMPLOYEES BY DISCtPLlNe 10. PROFILE O,F FIRM'S EXPERIENCE ANO <br /> ANNUAL AVERAGE REVENUE FOR LAST 5 YeARS <br /> .. '.. . c: Revenue <br />a. Function C No. of Employees I. <br /> b. Di~plil1e Profile b.Experience Index <br /> Code (1) rlRM (:2) BAANCH Co<le Number <br /> .. .... .. <br /> o. , . . <br />.. .. Part iI: ~ -- <br /> .... ...- <br /> .. ..- y OU 1U\l~~ fill out this (onn for tach office ~ <br /> from which you: have. proposed staff for this I- -.- <br /> ....- projed.For'exa~plc;.ifKimley-Horn is using <br /> ..- staff fru~ bo.t~ (nJr.J'a~pa arid West Palm <br /> . - I- . <br /> Beac.. _offices then ~~ have ~u fill out this form <br /> .. '..- twic~D.ce'for "ra:mp~ and c.inte for West <br /> ,. ..... Palm Beach. '. ... . <br /> . . <br /> . . <br /> 0 " ... , i <br /> "" <br /> . . ... .- <br /> ,. <br /> Total .. .. I I <br /> " <br /> '- <br />11. ANNUAL AVERAGE PROFeSSIONAL S!:RVlces P.R.OEE~~I ,...^' : OC"':"'UE INnFX NIIMRFR <br /> REVENUES Or FIRM I <br /> FOR LAST 3 YCARS 1. ltlliti itlan $100,000 (;. $2 milliOn To less than $5 million .. <br /> (lrtsort revenue mdtJJt. number shown at right) <br /> 'l $100,000 to leu than $25D,000 7. $S mmion to less Vlan $10 miJIlQll <br />a. Federal WOrk 3. $250.000 10 leu than $500,000 8 $1 0 minion to less Vlan $25 million <br />- .. 4. ~500,OOu 10 1tlS$ Ulan $1 million Q. $25 mUlion to Ie$$ than $!a million <br />b. No~F.d8ral Wo", <br />o. ~j'*4fk . . 5. $1 million 10 Ic~s thlln $2 minion 10. $50 million or greater <br />~ UI... -- 1 <!. AUTHORIZED REPRESENTATIVE <br />l. ',- The foregoing is a statement of facts. <br />i. SIGNA I'(J (f .. .. ..- <br /> b. lJJ\TE <br /> <br />c NAME AND Tfl1.E <br />~,u-\ Itt~ ~ t> l. ec.A2- <br />AUTHORlZeO FOR lOCAl. KEPROOLJC ON f <br />MANDATORY use CATE OF t-ORM 5/112004 <br /> <br />L\O.O<?.O"l <br /> <br />P L.\ ~ C\ ~ ~L <br /> <br />$TANDARO FORM 330 (112004) PAGE 6 <br />