2-RFQ-Attachment00-ConsultantSelectionContactForm.docx

This is a Consultant Selection Contact Form for the Department of Social and Health Services (DSHS) in Washington State related to the SCC Emergency Generator Power Replacement project. The form serves as the designated point of contact document for Statement of Qualifications submissions under various project delivery methods, including Design Bid Build, Design Build, Progressive Design Build, GC/CM, and Job Order Contracting (JOC) selections. The form requests essential firm and contact information, including firm name, Unique Business Identifier (UBI), Tax Identification Number (TIN), professional license number, and primary contact details such as name, title, email, telephone, and business address.

The contact form does not specify pricing terms, project timelines, response deadlines, or contract award information, as it functions solely as an administrative document for identifying the qualified consultant's representative point of contact. This form is part of Phase 1 of the RFQ process for the emergency generator power replacement project and must be completed and submitted by firms seeking to participate in the qualifications evaluation stage.