Exhibit C _ Project Team Composition Form.docx

This is a Project Team Composition Form for Design Professional Services related to Project J-460-DP, the School of Optometry at Georgia Southern University in Statesboro, Georgia. The form serves as a template for architectural and engineering firms to identify all major team members participating in the design project, including the applying firm and associated consultants across multiple disciplines such as structural, civil, mechanical, electrical, and plumbing. Respondents must indicate the percentage of services and fees to be rendered by each proposed firm and designate applicable Minority-Owned Business Enterprise (MBE) and Woman-Owned Business Enterprise (WBE) status for each team member. The form requires certification and signature from an officer of the applying firm, confirming that the percentage allocations of services and fees for each discipline have been discussed with and are acceptable to all respective firms participating in the project.

The document does not contain information regarding pricing terms, contract duration, set-asides, funding sources, or award dates. This form is a component of the broader Request for Qualifications (RFQ) process for the School of Optometry design project and is intended to ensure transparency in team composition, subcontractor participation, and diversity participation across the design disciplines involved in the project delivery.