SF 330 Part 1 For Completion.doc

ARCHITECT - ENGINEER QUALIFICATIONS

PART I - CONTRACT-SPECIFIC QUALIFICATIONS

A. CONTRACT INFORMATION

1. TITLE AND LOCATION (City and State):

2. PUBLIC NOTICE DATE:

3. SOLICITATION OR PROJECT NUMBER:

B. ARCHITECT-ENGINEER POINT OF CONTACT

4. NAME AND TITLE:

5. NAME OF FIRM:

6. TELEPHONE NUMBER:

7. FAX NUMBER:

8. E-MAIL ADDRESS:

C. PROPOSED TEAM

(Complete this section for the prime contractor and all key subcontractors.)

9a.

PRIME (CHECK HERE):

9a.

JOINT-VENTURE PARTNER (CHECK HERE):

9a.

SUBCONTRACTOR (CHECK HERE):

9a.

FIRM NAME:

9a.

IF BRANCH OFFICE CHECK HERE:

10a.

ADDRESS

11a.

ROLE IN THIS CONTRACT

9b.

PRIME (CHECK HERE):

9b.

JOINT-VENTURE PARTNER (CHECK HERE):

9b.

SUBCONTRACTOR (CHECK HERE):

9b.

FIRM NAME:

9b.

IF BRANCH OFFICE CHECK HERE:

10b.

ADDRESS

11b.

ROLE IN THIS CONTRACT

9c.

PRIME (CHECK HERE):

9c.

JOINT-VENTURE PARTNER (CHECK HERE):

9c.

SUBCONTRACTOR (CHECK HERE):

9c.

FIRM NAME:

9c.

IF BRANCH OFFICE CHECK HERE:

10c.

ADDRESS

11c.

ROLE IN THIS CONTRACT

9d.

PRIME (CHECK HERE):

9d.

JOINT-VENTURE PARTNER (CHECK HERE):

9d.

SUBCONTRACTOR (CHECK HERE):

9d.

FIRM NAME:

9d.

IF BRANCH OFFICE CHECK HERE:

10d.

ADDRESS

11d.

ROLE IN THIS CONTRACT

9e.

PRIME (CHECK HERE):

9e.

JOINT-VENTURE PARTNER (CHECK HERE):

9e.

SUBCONTRACTOR (CHECK HERE):

9e.

FIRM NAME:

9e.

IF BRANCH OFFICE CHECK HERE:

10e.

ADDRESS

11e.

ROLE IN THIS CONTRACT

9f.

PRIME (CHECK HERE):

9f.

JOINT-VENTURE PARTNER (CHECK HERE):

9f.

SUBCONTRACTOR (CHECK HERE):

9f.

FIRM NAME:

9f.

IF BRANCH OFFICE CHECK HERE:

10f.

ADDRESS

11f.

ROLE IN THIS CONTRACT

D. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached; check here)

E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT

(Complete one Section E for each key person.)

12. NAME:

13. ROLE IN THIS CONTRACT:

14a.

YEARS EXPERIENCE - TOTAL:

14b.

YEARS EXPERIENCE - WITH CURRENT FIRM:

15. FIRM NAME AND LOCATION (City and State):

16. EDUCATION (DEGREE AND SPECIALIZATION):

17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE):

18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.):

19a(1) RELEVANT PROJECT - TITLE AND LOCATION (City and State):

19a(2)

RELEVANT PROJECT - YEAR COMPLETED - PROFESSIONAL SERVICES:

19a(2) RELEVANT PROJECT - YEAR COMPLETED - CONSTRUCTION (If applicable):

19a(3) RELEVANT PROJECT - BRIEF DESCRIPTION (Brief scope, size, cost etc.) AND SPECIFIC ROLE:

19a(3) RELEVANT PROJECT - BRIEF DESCRIPTION - Check here if project performed with current firm:

19b(1) RELEVANT PROJECT - TITLE AND LOCATION (City and State):

19b(2)

RELEVANT PROJECT - YEAR COMPLETED - PROFESSIONAL SERVICES:

19b(2) RELEVANT PROJECT - YEAR COMPLETED - CONSTRUCTION (If applicable):

19b(3) RELEVANT PROJECT - BRIEF DESCRIPTION (Brief scope, size, cost etc.) AND SPECIFIC ROLE:

19b(3) RELEVANT PROJECT - BRIEF DESCRIPTION - Check here if project performed with current firm:

19c(1) RELEVANT PROJECT - TITLE AND LOCATION (City and State):

19c(2)

RELEVANT PROJECT - YEAR COMPLETED - PROFESSIONAL SERVICES:

19c(2) RELEVANT PROJECT - YEAR COMPLETED - CONSTRUCTION (If applicable):

19c(3) RELEVANT PROJECT - BRIEF DESCRIPTION (Brief scope, size, cost etc.) AND SPECIFIC ROLE:

19c(3) RELEVANT PROJECT - BRIEF DESCRIPTION - Check here if project performed with current firm:

19d(1) RELEVANT PROJECT - TITLE AND LOCATION (City and State):

19d(2)

RELEVANT PROJECT - YEAR COMPLETED - PROFESSIONAL SERVICES:

19d(2) RELEVANT PROJECT - YEAR COMPLETED - CONSTRUCTION (If applicable):

19d(3) RELEVANT PROJECT - BRIEF DESCRIPTION (Brief scope, size, cost etc.) AND SPECIFIC ROLE:

19d(3) RELEVANT PROJECT - BRIEF DESCRIPTION - Check here if project performed with current firm:

19e(1) RELEVANT PROJECT - TITLE AND LOCATION (City and State):

19e(2)

RELEVANT PROJECT - YEAR COMPLETED - PROFESSIONAL SERVICES:

19e(2) RELEVANT PROJECT - YEAR COMPLETED - CONSTRUCTION (If applicable):

19e(3) RELEVANT PROJECT - BRIEF DESCRIPTION (Brief scope, size, cost etc.) AND SPECIFIC ROLE:

19e(3) RELEVANT PROJECT - BRIEF DESCRIPTION - Check here if project performed with current firm:

F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S

QUALIFICATIONS FOR THIS CONTRACT

(Present as many projects as requested by the agency, or 10 projects, if not specified.

Complete one Section F for each project.)

D. EXAMPLE PROJECT KEY NUMBER:

E. TITLE AND LOCATION (City and State):

F. YEAR COMPLETED - PROFESSIONAL SERVICES:

G. YEAR COMPLETED - CONSTRUCTION (If applicable):

23a.

PROJECT OWNER'S INFORMATION - PROJECT OWNER:

23b.

PROJECT OWNER'S INFORMATION - POINT OF CONTACT NAME:

23c.

PROJECT OWNER'S INFORMATION - POINT OF CONTACT TELEPHONE NUMBER:

24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost):

25. FIRMS FROM SECTION INVOLVED WITH THIS PROJECT

G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS

26. NAMES OF KEY PERSONNEL

(From Section E, Block 12)

27. ROLE IN THIS CONTRACT

(From Section E, Block 13)

28. EXAMPLE PROJECTS LISTED IN SECTION F

(Fill in “Example Projects Key” section below before completing table. Place “X” under project key number for participation in same or similar role.)

29. EXAMPLE PROJECTS KEY

H. ADDITIONAL INFORMATION

30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS

NEEDED:

· The prospective contractor shall demonstrate any relevant experience in regards to energy conservation, pollution prevention, waste reduction, and the use of recovered materials as they relate to example projects as input within Section F of this document.

· The prospective contractor shall demonstrate the ability to deliver the 100% design submittals in accordance with the delivery

Schedule as outlined in the statement of work.

· The prospective contractor shall demonstrate past performance on contracts with Government agencies and private industry in terms of cost control, quality of work and compliance with performance schedules. Specifically, each contractor shall provide a tabular listing of representative designs that received excellent performance ratings, awards or special notice with respect to design excellence, innovation, time savings, etc. These listings must be from projects that are similar and relevant in nature to projects that are described in the statement of work. Indicate your role in the project and identify the proposed team members that worked on these projects. Additionally, each firm shall provide information on up to five (3) current or prior contracts (Government or Commercial) under which your firm has provided A&E service support that is similar in scope, magnitude and/or complexity to the services required by the statement of work as incorporated within this public announcement. The following information shall be provided for each client reference:

· Customer name and address.

· Customer points of contact (name, title, email address, telephone number and fax number) for contractual matters (e.g., Contracting Officer) and technical performance (e.g., COR).

· Contract number.

· Total dollar value of the contract. If performed as part of a team, provide the dollar value of your firm’s contribution.

· Period of contract performance.

· Description of services provided, including the specific services provided by your firm.

The Government may contact any references or additional clients to verify information submitted and/or to seek additional information. For purposes of evaluating a firm’s past performance, the Government may consider any information obtained or otherwise known that it deems relevant, and a firm will be evaluated neither favorably or unfavorably for lack of relevant past performance.

· The prospective contractor shall demonstrate its knowledge of the locality regarding this project, which is the Washington DC metropolitan area.

· Note that pricing or a price proposal will be requested once negotiations commence subsequent to a preferred firm being chosen per FAR 36.606. Pricing shall not be submitted as part of this document.

9. AUTHORIZED REPRESENTATIVE

The foregoing is a statement of facts.

31. SIGNATURE OF AUTHORIZED REPRESENTATIVE:

32. DATE SIGNED:

33. NAME AND TITLE OF SIGNER:

STANDARD FORM 330 (6/2004) PAGE 1