DCO_TVS_CIV_Engineering_Services_(Synopsis_Attachment_e.2._SF330_Part_II).pdf

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DCO TVS Abidjan Transport Project (ATP) A-E Service Federal contract opportunity
Solicitation number
95332419E0001
Issued by
Millennium Challenge Corporation

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Synopsis Attachment e.2. SF330 Part II (Required)

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C:\PERFORM\FORMS\S330.FRP

Barbara Williams

PART II - GENERAL QUALIFICATIONS

(If a firm has branch offices, complete for each specific branch office seeking work.)

a. SIGNATURE

ARCHITECT-ENGINEER QUALIFICATIONS

2a. FIRM (or Branch Office) NAME 2b. STREET 2c. CITY 2d. STATE 2e. ZIP CODE

3. YEAR ESTABLISHED

4. UNIQUE ENTITY IDENTIFIER

5. OWNERSHIP

b. Discipline

c. Number of Employees

10. PROFILE OF FIRM'S EXPERIENCE

AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS

b. Experience

c. Revenue Index Number (see below)

STANDARD FORM 330 (REV. 8/2016) PAGE 6

1. SOLICITATION NUMBER (If any) 8a. FORMER FIRM NAME(S) (If any) 8b. YEAR ESTABLISHED

9. EMPLOYEES BY DISCIPLINE

Total

(1) FIRM

(2) BRANCH

1.

Less than $100,000 2.

$100,000 to less than $250,000 3.

$250,000 to less than $500,000 4.

$500,000 to less than $1 million 5.

$1 million to less than $2 million

11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM

FOR LAST 3 YEARS

(Insert revenue index number shown at right)

7. NAME OF FIRM (If Block 2a is a Branch Office) 6a. POINT OF CONTACT NAME AND TITLE 6c. E-MAIL ADDRESS 8c. UNIQUE ENTITY IDENTIFIER

a. Federal Work

b. Non-Federal Work

c. Total Work

12. AUTHORIZED REPRESENTATIVE

The foregoing is a statement of facts.

b. DATE

c. NAME AND TITLE

a. Function Code

a. Profile Code 6b. TELEPHONE NUMBER

a. TYPE

b. SMALL BUSINESS STATUS

PROFESSIONAL SERVICES REVENUE INDEX NUMBER

6.

$2 million to less than $5 million 7.

$5 million to less than $10 million 8.

$10 million to less than $25 million 9.

$25 million to less than $50 million 10.

$50 million or greater Other Employees

1. SOLICITATION NUMBER (If any):
5. a. TYPE:
5. b. SMALL BUSINESS STATUS:
7. NAME OF FIRM (If block 2a is a branch office):
2. a. FIRM (OR BRANCH OFFICE) NAME:
2. b. STREET:
2. c. CITY:
6. a. POINT OF CONTACT NAME AND TITLE:
8. a. FORMER FIRM NAME(S) (If any):
9. EMPLOYEES BY DISCIPLINE. a. FUNCTION CODE. Line 20 of 21.:
10. PROFILE OF FIRM'S EXPERIENCE

AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS. a. Profile Code. Line 10 of 22.:

9. EMPLOYEES BY DISCIPLINE. b. DISCIPLINE:
10. PROFILE OF FIRM'S EXPERIENCE

AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS. b. Experience:

6. c. E-MAIL ADDRESS:
2. d. STATE:
2. e. ZIP CODE:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 2. Branch:
9. EMPLOYEES BY DISCIPLINE. c. 2. Total Number of Employees at Branch:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. Number of Employees. 1. FIRM:
9. EMPLOYEES BY DISCIPLINE. c. 1. Total Number of Employees at Firm:
6. b. TELEPHONE NUMBER:
8. b. YEAR ESTABLISHED:
8. c. UNIQUE ENTITY IDENTIFIER:
12. c. NAME AND TITLE:
12. b. Date of Signature. Enter 2 digit month, 2 digit day and 4 digit year.:
10. PROFILE OF FIRM'S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS. c. Revenue Index Number (see below):
11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS (Insert revenue index number shown at right). a. Federal Work:
11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS (Insert revenue index number shown at right). b. Non-Federal Work:
11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS (Insert revenue index number shown at right). c. Total Work:
12a. Signature of Authorized Representative:

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