Exhibit_C___Project_Team_Composition_Form.docx

This is a Project Team Composition Form submitted by the Board of Regents of the University System of Georgia for Project J-178, the Dalton State College Academic Building. The form requires applying firms and associated consultants to identify all major team members, specify the percentage of services and fees to be rendered by each firm, and disclose Minority-Owned Business Enterprise (MBE) and Woman-Owned Business Enterprise (WBE) status where applicable. The document provides line items for the applying firm, associated firms, and discipline-specific consultants including structural, civil, mechanical, electrical, and plumbing engineers, with additional space for other consultants as appropriate. The form must be completed with the percentage allocation of services across all identified firms and disciplines.

The form requires certification by a signature and title of an applying firm officer, confirming that the percentage of services and fees for each discipline and firm have been discussed with and are acceptable to the respective firms. A date field is provided for execution of the certification. This document serves as a template for consortium composition and subcontractor participation, establishing the contractual structure and oversight requirements for the consulting team. The form does not contain specific pricing information, set-asides, award dates, or contract term details within its content, as it functions primarily as a team composition and MBE/WBE disclosure document.