161001 RFP Staunton TOC Verona 7.21.pdf

DGS-30-300

(Rev. 07/22) Page 1 of 8

REQUEST FOR PROPOSALS

Issue Date: July 21, 2026 RFP# 161001

Title: A/E SERVICES FOR STAUNTON TRAFFIC OPERATIONS CENTER BUILDING-

VERONA

Commodity Code: PROFESSIONAL SERVICES – 90607, 92533

Issuing Agency & Address: Commonwealth of Virginia

Virginia Department of Transportation (VDOT) Attention: Joshua Saunders

Location of Work: Verona, Virginia

Period Of Contract: Single project services

All inquiries for information should be directed to: Joshua Saunders, via email at:

joshua.saunders@vdot.virginia.gov. No questions will be answered Orally. Questions should be received by 4:00pm EST August 5, 2026.

MAILED OR HAND DELIVERED PROPOSALS: Paper or hand-delivered proposals will not be accepted in response to this solicitation.

ALL RESPONSES TO THIS RFP MUST BE SUBMITTED ELECTRONICALLY ONLINE VIA

eVA. See Section VI.

Sealed proposals for furnishing the services described herein will be received until 4:00 p.m. local time on August 20th, 2026. Proposals must reach the above address by the deadline stated.

In compliance with this Request For Proposals, which includes the attached Table of Contents and all provisions and appendices attached and referenced therein, and subject to all the terms and conditions set forth herein, the undersigned offers and agrees to furnish the services described in the RFP cited above and submit this signed proposal which includes this completed and signed page, the completed and signed Forms AE-1, AE-1A, AE-2, AE-3, AE-4, AE-5 and AE-6 and other data as required by the RFP. It is understood that this proposal and the scope of services may be modified, by mutual agreement in subsequent negotiations.

Name And Address Of Offeror:

_________________________________ Date:____________________________

_________________________________ By_______________________________

(Signature in Ink) _________________________________ Typed Name:_______________________

_______________________Zip: Title:____________________________

FEIN/SSN # _______________________ Telephone No.( ) _______________

PRE-PROPOSAL CONFERENCE: A pre-proposal conference will not be held.

mailto:joshua.saunders@vdot.virginia.gov

(Rev. 07/22) Page 2 of 8

TABLE OF CONTENTS

Section No. Description Page No.

I Applicability of the A/E Manual 3

II Purpose 3

III Background 3

IV Scope of Services 4

V Participation of Small Businesses and Micro Businesses 5

VI Proposal Requirements 6

VII Evaluation and Award of Contracts 6

VIII Fees 8

IX Attachments 8 eVA Vendor Registration: The offeror shall be a registered vendor in eVA. See the attached eVA Vendor Registration Requirements.

NOTE: Electronic copies of A/E Data Forms AE-1 through AE-6 (DGS-30-004) and the Micro Businesses, Small Businesses, and Businesses Owned by Women and Minorities and Service Disabled Veterans Form (DGS-30-360) are available for download at the following website:

http://forms.dgs.virginia.gov/

(Rev. 07/22) Page 3 of 8

I. APPLICABILITY OF THE A/E MANUAL

The Architectural/Engineering (A/E) Manual shall apply to the contract awarded pursuant to this RFP and is incorporated by reference herein in its entirety.

Offeror's attention is directed to Chapter 2, Definitions, for definitions of terms used in this Request for Proposal (RFP). The terms "Agency" and "Owner" are used interchangeably in the material referenced in this RFP and mean the public body issuing this solicitation for services and with whom the successful A/E Offeror will enter into an agreement.

Offeror's attention is also directed to the Terms and Conditions of the A/E Contract (CO-3a).

II. PURPOSE

The purpose of this RFP is to solicit proposals with the intent to enter into a contract through competitive negotiations for the professional services of an A/E firm, authorized to do business in the Commonwealth of Virginia, with experience in Design and Project Management services. The project involves the design and construction of a new 6,000‑square‑foot, single‑story Staunton Traffic Operations Center on currently vacant land adjacent to the Verona Area Headquarters and Sub‑Residency at 184 Laurel Hill Road, Verona, VA. Tier III data center requirements will apply exclusively to the Operations Center, Situation Room, and Server Room. All remaining areas of the facility will be designed as standard commercial office space.

The selected Architectural & Engineering firm will be responsible for developing complete site and building plans, coordinating with the Department of Engineering and Buildings (DEB) to obtain necessary permitting approvals, and providing project management and construction‑phase support, including progress inspections. This new facility will replace the existing building, which no longer meets the operational needs of the district.

All work and services must be performed in accordance with the most recent version of the Commonwealth of Virginia Construction Professional Services Manual (CPSM).

The A/E shall provide professional services for the project described in Section III of this RFP consistent with the A/E Manual, as revised, and latest directives issued by DEB concerning construction and professional services for new and renovated State buildings.

III. BACKGROUND

The project will consist of the demolition of an existing two-story house and shed of the Staunton District, and support VDOT district operational requirements, communication systems, and mission-critical traffic management functions. The Design and Project Management services for the new Staunton Traffic Operations Center Building will be located in Verona, Virginia. The selected A&E firm will develop complete site and building plans, work with DEB for permitting and regulatory approvals, and provide construction administration and inspection support through project completion.

IV. SCOPE OF SERVICES:

1) The selected A/E shall furnish all expertise, labor and resources for complete design and construction period services for the project in accordance with the requirements of the A/E

(Rev. 07/22) Page 4 of 8

Manual. The following generally highlights the services that the A/E will be required to perform:

A. Refine, clarify, and define the Agency’s project description, data, and requirements as necessary to develop a Schematic design of the project which meets the Agency’s requirements and is within the stipulated “design-not-to-exceed” construction budget.

Respond to all DEB and other agency review comments and resolve outstanding design issues at the various phases by taking appropriate action in the design of the project.

B. Develop a Preliminary Design submission consistent with the requirements of the A/E

Manual. Respond to all DEB and other agency review comments and resolve outstanding design issues prior to submission of construction documents.

C. Provide complete construction contract documents with professional seals and signatures in accord with the procedures of the A/E Manual. Documents must be complete and ready for bidding not later than 6 (six) months after Contract Award.

D. Assure that the construction contract documents are in conformance with generally accepted architectural and engineering practices and comply fully with all applicable codes and regulations including, but not limited to, the Virginia Uniform Statewide Building Code, and the accessibility standards referenced in the CPSM.

E. Provide specifications which reflect current requirements, standards and product availability.

F. Where applicable, develop and prepare construction documents for an Erosion and Sediment

Control Plan and a Stormwater Management Plan. Obtain approvals from required Agencies.

G. Where applicable, coordinate entrance design with and obtain approval from the Virginia

Department of Transportation office having jurisdiction.

H. Coordinate the design of utility connections with local utility provider(s) and obtain necessary approvals. Agency will pay filing fees and connections charges, as required.

I. Prepare A/E cost estimates for the project per the A/E Manual.

J. Represent the Agency by presenting necessary oral and/or graphic presentations to State

Agencies such as the Art and Architectural Review Board, the Division of Engineering and Buildings or any other group having interest in the project.

K. Complete all forms and documents in formats required by the A/E Manual and process in accord with the Agency's instructions.

L. Provide services to assist the Agency in the bidding and award of the construction contract.

M. Provide services for the construction phase, as required by the A/E Manual, for the administration of the contract.

2) DELIVERABLES:

The deliverables shall include the following at a minimum:

A. Schematic Design submission

(Rev. 07/22) Page 5 of 8

B. Preliminary Design submission

C. Construction documents

D. Programming documents

E. Engineer’s Cost Estimates

F. Permit application packages

G. Bid phase support

H. Construction administration

I. Final record drawing review

3) KEY PERSONNEL:

Key personnel identified in the proposal shall remain assigned to the project unless substitution is approved in writing by VDOT. Substitute personnel shall possess qualifications equal or greater than those originally proposed.

V. PARTICIPATION OF SMALL BUSINESSES AND MICRO BUSINESSES:

Under Executive Order 35 (2019), Cabinet Secretaries and all executive branch agencies are directed to continue and advance the following on a race and gender neutral basis: exceed a target goal of 42% on discretionary spending with small businesses certified by DSBSD (the Virginia Department of Small Business and Supplier Diversity).

Owner’s Small Business Participation Goal: 42%

VI. PROPOSAL REQUIREMENTS:

A. Proposals shall be signed by an authorized representative of the A/E. By submitting a proposal, the Offeror certifies that all information provided in response to this RFP is true and accurate. Failure to provide information required by this RFP will ultimately result in rejection of the proposal.

B. Proposals should be prepared simply and economically, providing a straightforward, concise description of the A/E's capabilities for satisfying the requirements of the RFP. Emphasis should be on completeness and clarity of content.

C. The Offeror’s proposal shall include: the completed and signed RFP cover page 1; and the completed and signed Forms AE-1, AE-1A, AE-2, AE-3, AE-4, AE-5 and AE-6; The proposal shall be electronically submitted.

D. All documentation submitted with the proposal shall be included in that single bound volume.

Elaborate brochures and other representations beyond those sufficient for presenting a complete and effective proposal are neither required nor desired.

(Rev. 07/22) Page 6 of 8

E. Any information thought to be relevant, but not specifically applicable to the enumerated scope of Work, may be provided as an appendix to the proposal. If publications are supplied by the Offeror to respond to a requirement, the response should include reference to the document number and page number. Publications provided without such reference will not be considered relevant to the RFP.

F. To reduce the effort and expense of responding to RFP's, provide uniformity in the type information requested, and enhance the review and evaluation process, the standard Forms AE-1 through AE-6, ARCHITECTURAL/ENGINEERING FIRM DATA (DGS-30-004), shall be used by A/E's responding to State agency RFP's.

G. Descriptions of these forms and instructions for completing the forms are included in the A/E

Manual. Forms AE-1, AE-1A, AE-2, AE-3, AE-4, AE-5 and AE-6 is available for download at the http://forms.dgs.virginia.gov website.

VII. EVALUATION AND AWARD OF CONTRACTS:

A. Evaluation Criteria: Proposals shall be evaluated by the Agency using the following criteria:

Evaluation Criteria

Weight

Expertise, experience, and qualifications of the A/E's primary designer in each relative discipline for providing the services described in Section V, Scope of Services

Geographic location of the A/E's office where work will be performed in relation to the project location(s).

Current and projected work load, plan to complete the work and ability to complete the work in a timely manner.

Expertise and past experience of the A/E in providing services on projects of similar size, scope and features as those required on this project.

Qualifications and experience of the A/E's project manager to be assigned to this project.

A/E's recent (past 10 years) experience / history in designing projects within an established "Design-not-to-exceed" budget.

A/E's experience in providing services in conformance to the State's Construction and Capital Outlay procedures including Codes, (Rev. 07/22) Page 7 of 8

Standards, Accessibility and Building Efficiency.

Use of SBSD certified small businesses as consultants, subcontractors, suppliers or support services.

Size of the firm relative to the size of the project(s).

Financial Responsibility as evidenced by the A/E's carrying Professional Liability Insurance.

Total 100

Generally, the selection committee will consider the A/E's overall suitability to provide the required services within the project's time, budget and operational constraints, and it will consider the comments and/or recommendations of the A/E's previous clients, as well as other references.

B. AWARD OF CONTRACT: After evaluation of the Proposals received in response to the RFP, the Agency shall engage in individual discussions and interviews with two or more Offerors deemed fully qualified, responsible and suitable on the basis of initial responses, and with professional competence to provide the required services. Repetitive informal interviews are permitted. Offerors shall be encouraged to elaborate on their qualifications, performance data, and staff expertise relevant to the proposed contract. Offerors may also propose alternate concepts or methodology. At the conclusion of the informal interviews and on the basis of evaluation factors set forth in Section VIII and the information provided and developed in the selection process to this point, the Agency shall rank, in the order of preference, the interviewed Offerors whose professional qualifications and proposed services are deemed most meritorious. Negotiations shall then be conducted with the Offeror ranked first. If a contract satisfactory and advantageous to the Agency can be negotiated at a fee considered fair and reasonable, the award shall be made to that Offeror. Otherwise, negotiations with the Offeror ranked first shall be formally terminated and negotiations conducted with the Offeror ranked second, and so on, until such a contract can be negotiated at a fair and reasonable fee.

Should the Agency determine in writing and in its sole discretion that only one Offeror is fully qualified, or that one offer is clearly more highly qualified and suitable than the others under consideration, a contract may be negotiated and awarded to that Offeror.

Proprietary information from competing Offerors (including any data on estimated manhours or rates and the plan for accomplishing the scope of work) will not be disclosed to the public or to competitors, provided such information is duly marked as "Proprietary Information" by the Offeror and the designation is justified as required by Section 2.2-4342, Code of Virginia, as revised.

VIII. FEES:

The fee for services shall be negotiated on a lump sum basis considering the Scope of Services required, the estimated manhours required for each level/discipline and the typical labor rates for the various skill levels required for the work. The Memorandum of Understanding prepared by the Agency will document the negotiated acceptable labor rates for the various levels/disciplines and these rates will be used for any hourly rate work of the A/E that is authorized by the Agency.

(Rev. 07/22) Page 8 of 8

IX. ATTACHMENTS

Attachment A: eVA Vendor Registration Requirements (DGS-30-384)

Attachment B: Micro Businesses, Small Businesses, and Businesses Owned by Women and

Minorities and Service Disabled Veterans Form (DGS 30-360) – provided as example only

Attachment C: Architectural/Engineering Firm Data, Forms AE-1 through AE-6 (DGS-30-004) – provided as example only

Attachment D: Proprietary/Confidential Information Summary Form

DGS-30-384

(Rev. 01/21)

ATTACHMENT A

Vendor eVA Registration Requirements eVA Business-to-Government Vendor Registration, Contracts, and Order: The eVA Internet electronic procurement solution, web site portal www.eVA.virginia.gov,streamlines and automates government purchasing activities in the Commonwealth. The eVA portal is the gateway for vendors to conduct business with state agencies and public bodies. All vendors desiring to provide construction and/or professional services to the Commonwealth shall participate in the eVA Internet e-procurement solution by completing the free eVA Vendor Registration. All bidders or offerors must register in eVA and pay the Vendor Transaction Fees specified below; failure to register will result in their bid/proposal being rejected.

Vendor transaction fees are determined by the date the original purchase order is issued and the current fees can be found on the eVA website at https://eva.virginia.gov/evabilling.html.

eVA Orders and Contracts: The solicitation/contract will result in multiple purchase order(s) with the eVA applicable transaction fee assessed for each order.

http://insidevdot/C17/Images0/Image%20Library/Logos%20-%20Official/VDOT%20Logo%20-%20TIF%20high%20res/VDOT_Logo_(vert).tif

DGS 30-360

(Rev 07/22)

ATTACHMENT B

PARTICIPATION IN STATE PROCUREMENT TRANSACTIONS

BY

MICRO BUSINESSES, SMALL BUSINESSES,

AND

BUSINESSES OWNED BY WOMEN, MINORITIES AND SERVICE-DISABLED VETERANS

The Proposer is required to provide information concerning utilization of micro businesses, small businesses, women-owned businesses, minority-owned businesses and service-disabled veteran-owned businesses proposed for this project as well as on past projects. Failure to complete and return this form with the response to the RFP will result in the proposing firm being considered “non-responsive”.

PART I – DEFINITIONS

The definitions below are applicable to vendors doing business with the Commonwealth of Virginia. Federal definitions shall govern with respect to meeting federally funded highway construction and other federally financed programs.

DSBSD: Virginia Department of Small Business and Supplier Diversity Historically Black Colleges and Universities: Any college or university that was established prior to 1964; whose principal mission was, and is, the education of black Americans; and that is accredited by a nationally recognized accrediting agency or association determined by the Secretary of Education.

Micro Business: A small business certified as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD). For purposes of DSBSD micro certification, the business must have no more than 25 employees and has no more than $3 million in average annual revenue over the three-year period prior to certification.

Minority Individual: An individual who is a citizen of the United States or a legal resident alien and who satisfies one or more of the following definitions:

1. African American: A person having origins in any of the original peoples of Africa and who is regarded as such by the community of which this person claims to be a part.

2. Asian American: A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands, including but not limited to Japan, China, Vietnam, Samoa, Laos, Cambodia, Taiwan, Northern Mariana Islands, the Philippines, a U.S. territory of the Pacific, India, Pakistan, Bangladesh, or Sri Lanka, and who is regarded as such by the community of which this person claims to be a part.

3. Hispanic American: A person having origins in any of the Spanish-speaking peoples of Mexico, South or Central America, or the Caribbean Islands or other Spanish or Portuguese cultures and who is regarded as such by the community of which this person claims to be a part.

4. Native American: A person having origins in any of the original peoples of North America and who is regarded as such by the community of which this person claims to be a part or who is recognized by a tribal organization.

Minority-Owned Business: A business certified as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD). The Code of Virginia defines this to include businesses that are at least 51 percent owned by one or more minority individuals who are U.S. citizens or legal resident aliens, or in the case of a corporation, partnership, or limited liability company or other entity, at least 51 percent of the equity ownership interest in the corporation, partnership, or limited liability company or other entity is owned by one or more minority individuals who are U.S. citizens or legal resident aliens, and both the management and daily business operations are controlled by one or more minority individuals, or any historically black college or university, regardless of the percentage ownership by minority individuals or, in the case of a corporation, partnership, or limited liability company or other entity, the equity ownership interest in the corporation, partnership, or limited

Service Disabled Veteran: A veteran who (i) served on active duty in the United States military ground, naval, or air service,

(ii) was discharged or released under conditions other than dishonorable, and (iii) has a service-connected disability rating fixed by the United States Department of Veterans Affairs.

Service Disabled Veteran-Owned Business: A business certified as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD). The Code of Virginia defines this to include businesses that are at least 51 percent owned by one or more service disabled veterans or, in the case of a corporation, partnership, or limited liability company or other entity, at least 51 percent of the equity ownership interest in the corporation, partnership, or limited liability company or other entity is owned by one or more individuals who are service disabled veterans and both the management and daily business operations are controlled by one or more individuals who are service disabled veterans.

Small Business: A business certified by the Virginia Department of Small Business and Supplier Diversity (DSBSD) as compliant with Code of Virginia, §§ 2.2-1604 and 2.2-4310. The Code of Virginia defines a “small business” as one that is at least 51% independently owned and controlled by one or more individuals, or in the case of a cooperative association organized pursuant to Chapter 3 (§ 13.1-301 et seq.) of Title

13.1 as a nonstock corporation, controlled by one or more members, who are U.S. citizens or legal resident aliens, and together with affiliates, has 250 or fewer employees or average gross receipts of $10 million or less averaged over the previous three years. One or more of the individual owners or members shall control both the management and daily business operations of

Women-Owned Business: A business certified as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD). The Code of Virginia defines this to include businesses which are at least 51 percent owned by one or more women who are U.S. citizens or legal resident aliens, or in the case of a corporation, partnership, or limited liability company or other entity, at least 51 percent of the equity ownership interest is owned by one or more women who are U.S. citizens or legal resident aliens, and both the management and daily business operations are controlled by one or more women.

DGS-30-360

(Rev. 07/22)

OFFEROR / PROPOSER:

Firm Name:

Contact Person:

Phone Number:

DPOR Registration # :

PROPOSAL FOR:

Agency:

Project Title:

Project Code No.:

VA Department of PARTICIPATION STATUS: Small Business and

Supplier Diversity As defined by Part I: (DSBSD) Certificate #

Is the Proposer a Micro Business?

Is the Proposer a Small Business?

Is the Proposer a Woman-Owned Business?

Is the Proposer a Minority-Owned Business?

Is the Proposer a Service-Disabled Veteran-Owned Small Business?

REMARKS / COMMENTS:

PART II

DATA ON FIRM SUBMITTING PROPOSAL

DGS-30-360 PART III

(Complete additional pages if needed.)

OFFEROR / PROPOSER:

Firm Name:

Contact Person:

Phone Number:

PROPOSAL FOR PROJECT:

Agency:

Project:

Project Code No.:

List Offeror's plans to involve micro businesses, small businesses, businesses owned by women, businesses owned by minorities, and businesses owned by service-disabled veterans in the performance of this contract either as part of a joint venture, as a partnership, as subcontractors, as consultants, or as suppliers. Offerors are encouraged to provide additional information and expand upon the following format.

DPOR Registration # (if applicable)

Estimated Contract

Amount ...

LISTING OF SMALL/DIVERSE BUSINESSES PROPOSED FOR THIS PROJECT

Date Form Completed:

DSBSD Certificate

… or % of Total

Contract Firm Name Firm Address Services or Materials ProvidedContact Person/

Phone Number

Sm al l B us in es s

Firm Type

Se rv ic e

D is ab le d Ve te ra n- O w ne d B us in es s

M in or ity

-O w ne d

B us in es s

M ic ro B us in es s

W om en -O w ne d B us in es s

DGS-30-360

(Complete additional pages if needed)

OFFEROR / PROPOSER:

Firm Name:

Contact Person:

Phone Number:

SMALL BUSINESS UTILIZATION REPORT FOR PAST PROJECT:

Agency: % Project: Actual small business participation: %

Project Code No.: (Include ONLY small and micro business participation)

List micro businesses, small businesses, businesses owned by women, businesses owned by minorities, and businesses owned by service-disabled veterans with which the offeror has contracted or done business with on the project noted above. Also list the dollar amount spent with each of these businesses. Offerors are encouraged to provide additional information and expand upon the following format.

Firm Name Firm Address DSBSD Certificate # Services or Materials ProvidedDPOR Registration

# (if applicable)

PART IV

LISTING OF PAST UTILIZATION OF SMALL/DIVERSE BUSINESSES BY PROPOSER

Contact Person/ Phone Number

Is this the final report?

Proposed small business participation:

Date Form Completed:

M ic ro B us in es s

M in or ity

-O w ne d

B us in es s

% Of Total ContractContract Amount

W om en -O w ne d B us in es s

Se rv ic e

D is ab le d Ve te ra n- O w ne d B us in es s

Sm al l B us in es s

Firm Type

GENERAL INSTRUCTIONS

DO NOT attempt to fill in these forms "on-line". First download and save a copy to you computer, then fill in the saved copy.

Read the Specific Instructions below to assist you in completing the various AE Data forms.

Click on the sheet tabs below to go to the appropriate form.

( If you need more than one copy of a specific type of form, make a copy of this Excel file.)

Fill in the fields highlighted in yellow. You can use the tab key to move easily from field-to-field. You can also use the mouse to select the field you wish fill. (On large text fields, you must use the mouse to select them, rather than the tab key.)

Some fields contain selection lists. These fields are denoted with an arrow just to the right of the field. To select from the list of choices, click on the arrow and then select the appropriate choice.

When complete, print the appropriate forms, assemble them in order, and submit them to the address noted in the RFP.

Be factual and concise. Remember that the Building Committee members will be reviewing numerous responses to an RFP before selecting 3 to 5 firms for an interview.

Deviation from the prescribed format is NOT encouraged as it makes it more difficult for the Building Committee to review submittals. Form AE-6 allows you to include other supplemental data which is not covered on Forms AE-1 through AE-5.

SPECIFIC INSTRUCTIONS

Form AE-1 & 1A SYNOPSIS OF RESPONDING FIRM Insert RFP # to which response is being made.

Insert name of Responding Firm.

Insert name of Project and Project Code (PC #).

1 Show name, physical address and mailing address of respondent.

Provide telephone number and FAX # of respondent.

Provide SSN, if Sole Proprietorship, or Federal Employer Identification Number (FEIN) for other forms of ownership.

2a,b Provide information requested.

3 Provide name & address of Parent Company or Home Office Provide its telephone number and FAX #

4 Show Type of Ownership of firm and any disadvantaged firm statuses which also apply.

Provide the firm's APELSCIDLA license number. ( APELSCIDLA = Commonwealth of Virginia's Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects.

Refer to the Department of Professional and Occupational Regulation for additional information.)

If applicable, provide the firm's DSBSD Certification #. ( DSBSD = Commonwealth of Virginia's Department of Small Business and Supplier Diversity. )

5 Show name of principal(s) to contact concerning this RFP response. Show position title and telephone number.

6 Show the name of consultant(s) or other office, the nature of the consultant or other office's project responsibility/discipline. Answer with a yes or no if proposed consultant has worked with respondent.

7 Indicate number on "In-House" technical person(s) in various disciplines and skills levels. (Attach Form AE-2 for each consultant or other office.)

8 Show the name of the Professional Liability Insurance Carrier and the policy Limits of Liability with deductible.

ATTACHMENT C

INSTRUCTIONS FOR COMPLETING AE DATA FORMS FOR

SUBMISSION TO COMMONWEALTH OF VIRGINIA

AGENCIES IN RESPONSE TO REQUESTS FOR PROPOSALS

DGS-30-004

(Rev. 03/19)

9 Describe proposed involvement of Micro and Small businesses.

10 List State Agencies for whom the firm has worked in last 10 years.

11 List up to five (5) recently designed projects that have similar scopes or features. Provide Representative Project Data Form AE-5 for each.

General: Provide respondents typed name, title, signature and date.

Form AE-2 CONSULTANT / OTHER OFFICE

Complete an AE-2 form for each consultant firm who will assist the responding (i.e., prime) firm on this project.

If other offices of the responding firm will be employed on this project, complete an AE-2 form for each such office.

General:

Insert RFP # being responded to Insert name of Entity responding Insert name of Project and PC #

1 Show consultant/other office firm name, physical address and mailing address.

Provide telephone number and FAX # of respondent.

Provide SSN, if Sole Proprietorship, or Federal Employer Identification Number (FEIN) for other forms of ownership.

2a,b Provide information requested.

3 Provide name & Address of Parent Company or Home Office of Consultant Provide its telephone number and FAX #.

4 Show Type of Ownership of firm and any disadvantaged firm statuses which also apply.

Provide the firm's APELSCIDLA license number. ( APELSCIDLA = Commonwealth of Virginia's Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects.

Refer to the Department of Professional and Occupational Regulation for additional information.)

If applicable, provide the firm's DSBSD Certification #. ( DSBSD = Commonwealth of Virginia's Department of Small Business and Supplier Diversity. )

5 Show name, title, and phone number of principal(s) who will be "in charge" of this firm's work on this project.

6 Indicate number of "In-House" technical personnel by discipline and skill level in consultant's or other office.

7 Describe Functions or Services to be provided by this consultant or other office.

8 Indicate on how many projects this consultant has provided services to the prime in the past 10 years.

9 Show the consultant's Professional Liability Limits of Insurance with deductible.

General: Provide consultant's typed name, title, signature and date.

Form AE-3 PROJECT STAFFING ORGANIZATION General:

Insert RFP # being responded to Insert name of Entity responding Insert name of Project and PC #

1 List Project Manager and primary responsible charge designer for each discipline or specialty. Complete a separate Form AE-4 for each person listed.

2 Will the persons listed be available to design this project? Do you have sufficient staff to commit to design this project on schedule considering the other work you and your consultants have? Explain.

3 How do you propose to assign responsibilities and coordinate the various disciplines involved?

4 Explain how you propose to assure that the documents clearly and fully describe the work to be done and how the work shown by various disciplines will be coordinated.

General: Provide respondent's typed name, title, signature and date.

Form AE-4 PERSONNEL QUALIFICATIONS Use Separate AE-4 for EACH KEY PERSON for this project)

General:

Insert RFP # to which response is being made.

Insert name of Responding Firm.

Insert name of Project and Project Code (PC #).

1 Name, Title, and usual job assignment of key person for this project.

2 This person's job assignment for THIS project.

3 This person's employer.

4 This person's total years of applicable experience and years of experience with current employer.

5 List College/University attended, Degree earned, year completed, and curriculum or area of specialization.

6 Provide information on initial professional registration. Provide Virginia 6 digit registration/license number as it appears on the APELSA certificate.

7 Indicate if individual has attended a CPSM training seminar, and if so, enter the date of the last CPSM seminar attended.

8 Tell what experience or qualifications this person has which makes her or him especially valuable for this particular project.

General: Provide respondent's typed name, title, signature and date.

Form AE-5 REPRESENTATIVE PROJECT DATA General:

Insert RFP# to which response is being made.

Insert name of Responding Firm.

Insert name of Project and Project Code (PC #).

Using copies of form AE-5, provide information on no more than 5 representative projects which best demonstrate the proposed team's experience and qualifications for this type of project. List projects which have features, functions, types of construction, systems, type of use, or type of occupancy similar to those envisioned for this project.

1 Provide representative project name, type of facility (e.g., dorm, hospital, etc.) and the project location.

2 Provide information concerning the Owner or Agency for possible reference check.

3 Provide information concerning the Contractor who built the project.

4 For each discipline shown, list the names of the firms which were responsible for the design in that discipline. Also list the key personnel, still with the firm, for each discipline. Include the most significant special consultant, if any.

5 List the applicable codes which applied to this project.

6 Briefly describe the project and its features. What is special about this project that would be of interest to the Building Committee for the proposed project?

7 Provide requested construction data.

8 Describe any Micro and Small Business participation. Include name of firm(s), their project function, and percent of fee.

Form AE-6 SUPPLEMENTAL INFORMATION General:

Insert RFP# to which response is being made.

Insert name of Responding Firm.

Insert name of Project and Project Code (PC #).

Provide additional Relevant information in brief outline or bullet format.

Why should your firm be selected for an interview?

What expertise can you or your consultants bring to this project to assure optimum functional space utilization design and its timely and cost effective completion?

Photographs of past projects or other elaborate material are not required unless specifically requested in the RFP.

Firms selected for interviews may, at that time, present supplemental data to further clarify their qualification, skills, abilities, performance record and approach to providing the services.

State Corporation Commission ID Number / Partnership Name:

Micro Business Small Business Woman Owned Bus.

Minority Owned Bus.

Svc. Disabled Veteran

Firm's APELSCIDLA License #:

Firm's DSBSD Certification #:

FIRM NAME

Mechanical Engineers Electrical Engineers

CONTINUE SYNOPSIS OF RESPONDING FIRM ON FORM AE-1A

TOTALS

Landscape Architects Interior Designers Asbestos Designers Surveyors

Specifications CADD Operators Construction Admin. / Insp.

Structural Engineers

Project Managers

OFFICE WHERE WORK WILL BE DONE ENTIRE FIRM

7) NUMBER OF PERSONNEL IN FIRM:

Soils Engineer

UnlicensedLicensed Unlicensed Licensed

Name Title Email Address Phone Number

PRIME BEFORE?

WORKED WITH

FUNCTION / RESPONSIBILITY

TELEPHONE:

5) NAMES OF NOT MORE THAN TWO PRINCIPALS TO CONTACT:

6) PROPOSED CONSULTANTS OR OTHER OFFICES PROVIDING SERVICES:

Sole Proprietorship

FAX:

b) List other names and years:

RFP #

3) NAME AND ADDRESS OF PARENT COMPANY / HOME OFFICE: 4) SPECIFIC TYPE OF OWNERSHIP:

Submittal For (Project Title):

Submitted By (Firm Name):

FAX:

FEIN / SSN:

Check all that apply:

Limited Liability Co.

Professional Corp.

Partnership

AE-1

TELEPHONE:

a) Years under present name…………..

PC # :

(Rev. 03/19)

1) FIRM NAME AND ADDRESS: (office where work will be done) 2) YEARS IN BUSINESS:

ARCHITECTURAL / ENGINEERING FIRM DATA

SYNOPSIS OF RESPONDING FIRM

DGS-30-004

Architects Civil Engineers

00 0

9) DESCRIBE PROPOSED PARTICIPATION OF MICRO BUSINESSES AND SMALL BUSINESSES: (Function and % of fee involved) The proposed total small business participation is %.

11) LIST NOT MORE THAN FIVE PROJECTS DESIGNED WITHIN THE LAST TEN YEARS WHICH HAVE SIMILAR SCOPES OR

FEATURES TO THIS PROJECT. ATTACH A REPRESENTATIVE PROJECT FORM AE-5 FOR EACH.

PROJECT DATE OF AWARD

Title: Date:

The foregoing is a statement of fact.

Signature:Typed Name:

AE-1A

AGENCY PROJECT

8) LIST PROFESSIONAL LIABILITY INSURANCE CARRIER, LIMITS OF LIABILITY, AND DEDUCTIBLE:

10) LIST STATE AGENCIES FOR WHICH THE FIRM HAS HAD A PRIME CONTRACT: (within the last ten years)

RFP #

ARCHITECTURAL / ENGINEERING FIRM DATA

SYNOPSIS OF RESPONDING FIRM (continued)

Submitted By (Firm Name): 0

DGS-30-004

(Rev. 03/19)

LOCATION

State Corporation Commission ID Number / Partnership Name:

Micro Business Small Business Woman Owned Bus.

Minority Owned Bus.

Svc. Disabled Veteran

Firm's APELSCIDLA License #:

Firm's DSBSD Certificate #:

8) ON HOW MANY PROJECTS HAS THE CONSULTANT WORKED WITH THE PROPOSER IN THE LAST TEN YEARS?

9) LIMITS OF PROFESSIONAL LIABILITY INSURANCE AND DEDUCTIBLE:

Title: Date:

Signature:

The foregoing is a statement of fact.

Typed Name:

6) NUMBER OF PERSONNEL IN FIRM:

ENTIRE FIRM

00 0TOTALS

Landscape Architects Interior Designers Asbestos Designers Surveyors Construction Admin. / Insp.

7) FUNCTIONS OR SERVICES TO BE PROVIDED:

Specifications

TELEPHONE:

Architects Civil Engineers

Professional Corp.

PC # :

(Rev. 03/19)

ARCHITECTURAL / ENGINEERING FIRM DATA

CONSULTANT / OTHER OFFICE

DGS-30-004

AE-2

TELEPHONE:

Limited Liability Co.

Partnership Sole Proprietorship

FAX:

2) YEARS IN BUSINESS 1) FIRM NAME AND ADDRESS: (office where work will be done)

Submitted By (Firm Name):

RFP #

Project Managers Licensed Unlicensed Licensed

OFFICE WHERE WORK WILL BE DONE

5) NAMES OF NOT MORE THAN TWO PRINCIPALS TO CONTACT: (Title and Phone Number)

Check all that apply:

Submittal For (Project Title):

a) Years under present name………..

b) List other names and years:

3) NAME AND ADDRESS OF PARENT COMPANY / HOME OFFICE: 4) SPECIFIC TYPE OF OWNERSHIP:

FEIN / SSN:

Soils Engineer

FAX:

Structural Engineers Mechanical Engineers Electrical Engineers

Unlicensed

Phone Number

CADD Operators

Name Title Email Address

1) KEY PERSONNEL DESIGNATED FOR THIS PROJECT: (Include Form AE-4 for Each)

2) DESCRIBE AVAILABILITY OF STAFF AND CONSULTANTS TO WORK ON THIS PROJECT:

3) DESCRIBE PROJECT METHODOLOGY, I.E., HOW WILL THE WORK FUNCTIONS, RESPONSIBILITIES AND

COORDINATION BE PERFORMED?

4) DESCRIBE THE METHOD OF QUALITY ASSURANCE YOU WILL USE FOR THE DOCUMENTS FOR THIS PROJECT.

The foregoing is a statement of fact.

Electrical Engineer Civil Engineer

AE-3

Submitted By (Firm Name):

DGS-30-004

(Rev. 03/19)

ARCHITECTURAL / ENGINEERING FIRM DATA

PROJECT STAFFING ORGANIZATION

RFP #

Submittal For (Project Title): PC # :

Function Name Title Firm / Office

Project Manager Architect

Date:

Typed Name:

Title:

Signature:

Structural Engineer Mechanical Engineer

1) NAME:

TITLE:

TYPICAL DUTY OR ASSIGNMENT:

2) ASSIGNMENT FOR THIS PROJECT:

PERCENT

Has this person attended a CPSM Training Seminar? If "Yes", list date of last attendance:

( List up to six (6) relevant projects and indicate individual's role and responsibility for each. )

The foregoing is a statement of fact.

or ENGINEER #

PC # :

OFFICE:

% OF TYPICAL 40 HOUR WORKWEEK THIS PERSON WOULD SPEND ON THIS PROJECT:

4) YEARS OF EXPERIENCE:

3) EMPLOYEE OF:

7) CONSTRUCTION AND PROFESSIONAL SERVICES MANUAL (CPSM) TRAINING:

Role / Responsibility

Date:

Typed Name:

Title:

Signature:

PERSONNEL QUALIFICATIONS

RFP #

5) EDUCATION: COLLEGE / DEGREE(S) / YEAR / SPECIALIZATION:

Project Completion DateProject

8) EXPERIENCE AND / OR QUALIFICATIONS RELEVANT TO THIS PROJECT:

YEARS WITH THIS FIRM

AE-4

6) ACTIVE REGISTRATION: Year first registered / State / Discipline or Type

COMMONWEALTH OF VIRGINIA 6-DIGIT REGISTRATION / CERTIFICATE / LICENSE NUMBER:

ARCHITECT #

YEARS TOTAL EXPERIENCE

DGS-30-004

(Rev. 03/19)

Submitted By (Firm Name):

BRIEF RESUME OF KEY INDIVIDUAL PROPOSED FOR THIS PROJECT. PROVIDE ONE FORM FOR EACH PERSON.

Submittal For (Project Title):

ARCHITECTURAL / ENGINEERING FIRM DATA

2) OWNER:

Project Administrator: Title:

Address: Email Address:

Phone Number:

FAX Number:

3) PRIME CONTRACTOR:

Project Manager: Phone Number:

Superintendent: FAX Number:

Prime A/E Architectural Structural Mechanical Electrical Civil

(Place "X" in all codes that applied to this project)

IBC Other (describe):

7) CONSTRUCTION DATA: Duration (months)

Type: PROJECT SCHEDULE:

Gross Area: sf Design

Construction

Number of Floor Levels:

Owner's Budget: Number of Change Orders:

A/E Estimate: Cost of Change Orders:

Low Bid: Substantial Completion Date:

Proposed Participation: % Final (Actual) Participation: %

The foregoing is statement of fact.

1) PROJECT NAME:

PC # :

Assignment on Project

PROJECT TYPE: LOCATION:

Discipline Firm / Employer Individual

4) NAMES OF KEY DESIGNERS/PROJECT MANAGERS STILL WITH THE FIRM AND THEIR SPECIFIC PROJECT RESPONSIBILITIES:

VUSBC ADAAG ASAD

5) NAMES OF APPLICABLE CODES:

Typed Name:

8) DESCRIBE ANY MICRO BUSINESS OR SMALL BUSINESS PARTICIPATION ON THE DESIGN PHASE (Firm, Function, % of Fee):

Title:

Signature:

Date:

AE-5

LIFE SAFETY

6) DESCRIPTION OF RELEVANT PROJECT FEATURES:

Sched Actual

Submittal For (Project Title):

DGS-30-004

(Rev. 03/19)

Submitted By (Firm Name):

RFP #

REPRESENTATIVE PROJECT DATA

The foregoing is a statement of fact.

Title:

Submittal For (Project Title):

Date:

Typed Name:

PC # :

Signature:

AE-6

RFP #

SUPPLEMENTAL INFORMATION

DGS-30-004

(Rev. 03/19)

Submitted By (Firm Name):

ATTACHMENT D – Proprietary/Confidential Information Summary Form

PROPRIETARY/CONFIDENTIAL INFORMATION

SUMMARY FORM

SECTION/TITLE PAGE

NUMBER(S)

REASON(S) FOR WITHHOLDING FROM

DISCLOSURE

*Identify the reason for withholding from disclosure in accordance with the Code of Virginia § 2.2-4342F.”

Attachment G