S-14-0002_Part_2.pdf

SERVICE RFQ SOL NO: AG-8173-S-14-0002

UNIT: APACHE-SITGREAVES NFs

PROJ NAME: RISK ASSESSMENT OF RECREATION AREA

PART 2

STANDARD FORM 330 (6/2004) PAGE 8

ARCHITECT-ENGINEER QUALIFICATIONS

PART II - GENERAL QUALIFICATIONS

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

1. SOLICITATION NUMBER (If any):

2a. FIRM (OR BRANCH OFFICE) NAME:

2b. FIRM (OR BRANCH OFFICE) STREET:

2c. FIRM (OR BRANCH OFFICE) CITY:

2d. FIRM (OR BRANCH OFFICE) STATE:

2e. FIRM (OR BRANCH OFFICE) ZIP CODE:

3. YEAR ESTABLISHED:

4. DUNS NUMBER:

5a. OWNERSHIP - TYPE:

5b. OWNERSHIP - SMALL BUSINESS STATUS:

6a. POINT OF CONTACT NAME AND TITLE:

6b. POINT OF CONTACT TELEPHONE NUMBER:

6c. POINT OF CONTACT E-MAIL ADDRESS:

7. NAME OF FIRM (If block 2a is a branch office):

8a. FORMER FIRM NAME(S) (If any) 8b. YR. ESTABLISHED 8c. DUNS NUMBER

STANDARD FORM 330 (6/2004) PAGE 9

9. EMPLOYEES BY DISCIPLINE

a. Function Code b. Discipline c(1). No. of Employees

- Firm c(2). No. of Employees - Branch

Other Employee

Total

STANDARD FORM 330 (6/2004) PAGE 9

1. PROFILE OF FIRM'S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS

a. Profile Code b. Experience c. Revenue Index Number (see below)

PROFESSIONAL SERVICES REVENUE INDEX NUMBER

1. Less than $100,000 6. $2 million to less than $5 million

2. $100,000 to less than $250,000 7. $5 million to less than $10 million

3. $250,000 to less than $500,00 8. $10 million to less than $25 million

4. $500,000 to less than $1 million 9. $25 million to less than $50 million

5. $1 million to less than $2 million 10. $50 million or greater

11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS

(Insert revenue index number shown above)

11a. Federal Work:

11b. Non-Federal Work:

11c. Total Work:

12. AUTHORIZED REPRESENTATIVE. The foregoing is a statement of facts.

12a. SIGNATURE:

12b. DATE SIGNED: