FWC 24.25-67 RFSOQ-FINAL.pdf

FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION

1875 ORANGE AVE E

TALLAHASSEE, FL 32311-6160

(850) 488-6551

REQUEST FOR STATEMENT OF QUALIFICATIONS

FOR PROFESSIONAL SERVICES

Continuing Contract

FWC 24/25-67

CONTINUING SERVICES CONTRACT FOR PROFESSIONAL SERVICES FOR ENVIRONMENTAL

/RESTORATION ENGINEERING

Project Design, Surveying and Mapping, Engineering

Statewide

INTENT

The Florida Fish and Wildlife Conservation Commission (FWC), requests statement of qualifications from design, surveying and mapping, and engineering firms/teams to provide project design, survey, modeling, permitting, construction administration, and other related professional engineering services necessary to complete a wide variety of environmental resource projects throughout Florida. Services such as geotechnical, archeological, and other assessments or tasks not specifically mentioned might be performed by others under the responsibility of the selected firm and are considered incidental to complete a specific project. Desired expertise includes but is not limited to: development of complete project implementation masterplans with associated hydrologic modeling for a variety of aquatic habitat restoration and enhancement projects. Such projects may take place in freshwater lakes, rivers and streams, forested, non-forested and ephemeral wetlands, marine systems, and bays, estuaries and other wetland or upland areas.

Specific project activities may include, but are not limited to, dam design and removal, drone survey capacity, lake drawdowns and accumulated sediment removal; stream-course restorations; weir, berm and dam construction; hydraulic and mechanical dredging; pumping; excavation; bank stabilization; living shorelines establishment, oyster reef and coral restoration, aquatic vegetation planting and ecological/hydrologic restoration to return areas to a more historic hydroperiod. Projects may occur in environmentally and/or archeologically sensitive areas. Demonstrated environmental permitting experience with various governmental agencies, including the Florida Department of Environmental Protection, the Water Management Districts, and U.S. Army Corps of Engineers, is essential. Firms are advised that plans and specifications for projects may be reused. Work may be in rugged, remote locations difficult to access that will require innovative approaches to avoid impacts to natural systems. .

A minimum of 3 Respondents may be selected under this Continuing Contract and will be responsible for assigned projects having estimated construction costs, planning or study fees not exceeding the threshold amounts for construction and planning or study fees provided for in Section 287.055, Florida Statutes (F.S.)

or as hereinafter may be amended. Qualified Certified minority-owned, woman-owned and service-disabled veteran business enterprises, as certified by the State of Florida Office of Supplier Diversity, are encouraged by the Commission to participate in the RFSOQ process.

PROCUREMENT MANAGER

Joshua Stringer (Joshua.Stringer@myfwc.com)

TERM AND RENEWAL

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 2 of 7

This contract will be for an initial period of five (5) years with an option to renew for one (1) additional five (5) year period upon the same terms and conditions contained in the executed contract.

If this contract is renewed, the Consultant shall be entitled to a one-time wage rate increase adjustment to the range of rates equal to the Consumer Price Index (CPI) “All Items,” but under no circumstances shall any increase exceed fifteen (15) percent. These updated Consultant wage rates shall be provided to the Commission Contract Manager at the time of renewal.

DIVERSITY

THE COMMISSION IS COMMITTED TO SUPPORTING FLORIDA’S DIVERSE BUSINESS INDUSTRY

AND POPULATION THROUGH ENSURING PARTICIPATION BY MINORITY, WOMEN, AND

VETERAN-OWNED BUSINESS ENTERPRISES IN THE ECONOMIC LIFE OF THE STATE. THE

STATE OF FLORIDA MENTOR PROTÉGÉ PROGRAM CONNECTS MINORITY, WOMEN, AND

VETERAN-OWNED BUSINESS ENTERPRISES WITH PRIVATE CORPORATIONS FOR BUSINESS

DEVELOPMENT MENTORING. WE STRONGLY ENCOURAGE CONTRACTORS DOING BUSINESS

WITH THE STATE OF FLORIDA TO CONSIDER THIS INITIATIVE. FOR MORE INFORMATION ON

THE MENTOR PROTÉGÉ PROGRAM, PLEASE CONTACT THE OFFICE OF SUPPLIER

DEVELOPMENT AT (850) 487-0915 OR OSDINFO@DMS.MYFLORIDA.COM.CALENDAR OF EVENTS

The table below contains the Calendar of Events for this advertisement. Respondents shall become familiar with the Calendar of Events. The dates and times within the Calendar of Events may be subject to change.

It is the Respondent’s responsibility to check for any changes. All changes to the Calendar of Events will be made through an addendum to the advertisement on the Vendor Information Portal (Vendor Information Portal). Respondents are responsible for submitting all required documentation by the dates and times specified in the Calendar of Events.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

https://vendor.myfloridamarketplace.com/

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 3 of 7

SCHEDULE DUE DATE METHOD

RFSOQ Advertised March 21, 2025 Posted on the Vendor Information Portal:

Vendor Information Portal

Deadline for Questions Must be received

PRIOR to:

April 2, 2025

@ 5:00 PM ET

See Deadline for Questions Clause

Anticipated date for Responses to Written Questions April 9, 2025 Posted on the Vendor Information Portal:

Vendor Information Portal

SEALED RESPONSES DUE

(Remember: Solicitation number should be clearly marked on package)

Must be received PRIOR to:

April 30, 2025

@ 3:30 PM ET

Submit BEFORE the due date and time to the following address:

Florida Fish & Wildlife Conservation Commission Attn: Purchasing 1875 Orange Ave E Tallahassee, Florida 32311-6160

Evaluation Period April 30, 2025 to May 29, 2025

Florida Fish and Wildlife Conservation Commission

Anticipated Shortlist Results June 5, 2025 Posted on the Vendor Information Portal:

Vendor Information Portal

Anticipated Interviews & Presentations of Shortlisted Respondents

June 25, 2025 and

June 26, 2025

Interviews and presentations will be held at the following address:

Florida Fish & Wildlife Conservation Commission 1875 Orange Ave E Tallahassee, Florida 32311-6160

Anticipated Date of Intended Award July 8, 2025 Posted on the Vendor Information Portal:

Vendor Information Portal

ECONOMY OF PRESENTATION

Each response shall be prepared simply and economically, providing a straightforward, concise delineation of Respondent’s capabilities to satisfy the requirements of this RFSOQ. Elaborate binding, colored displays, and promotional materials are not required. However, examples of services provided may be included as attachments to the response. Emphasis in each response must be on completeness and clarity of content.

To expedite the evaluation of responses, it is essential that Respondents follow the format and instructions contained herein. All costs associated with preparing a response to this RFSOQ is the sole responsibility of the Respondent.

https://vendor.myfloridamarketplace.com/ https://vendor.myfloridamarketplace.com/

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 4 of 7

MANDATORY RESPONSIVENESS REQUIREMENTS FOR RESPONSE SUBMISSION

Respondents interested in being considered for this project must submit eight (8) printed copies and one electronic copy of the entire response in PDF format on a flash drive. Submissions shall include a table of contents with tabbed sections in the following order:

1. A letter of interest detailing the Respondent's qualifications, related experience, abilities to do the work and meet the selection criteria referenced above.

2. Professional Qualifications Supplement (PQS). Specify the number of billable staff members within the office address listed in Item 2, whether or not you have current or previous DMS or Agency State Work. You must use the DMS Form AE12a-Rev 10/20.

3. A copy of the Respondent's current Florida Department of Business and Professional Regulation License.

4. A Respondent submitting a response shall be registered in the MyFloridaMarketPlace (MFMP) system and, where required, the Sunbiz system prior to the RFSOQ award. Business entities which must be on file with Sunbiz include the following foreign and domestic entities: Corporations for and not for profit, Limited Liability Companies (LLC), Limited Partnerships (LP) including Limited Liability Limited Partnerships (LLLP), and organizations doing business under a fictitious name (DBA). A Respondent may not be considered for an award if not registered in the MFMP and Sunbiz system.

5. Completed Federal GSA Standard Form 330 (Rev. 8/2016).

SPECIAL NOTE FOR INTERESTED FIRMS: For information only, you may download the DMS Professional Services Evaluation Form and the Selection of Design Professional booklet for selection criteria information.

QUALIFICATIONS SELECTION CRITERIA

Respondents must be properly licensed in the State of Florida at the time of submittal. Respondents are advised that plans and specifications for Architect Engineer projects may be reused. Selections will be made in accordance with Chapter 287.055, F.S.

TASK ASSIGNMENT AUTHORIZATION

The Contract Manager shall document the file with a justification as to why a particular firm was chosen for task assignment(s) using the following criteria as project circumstances require:

1. Disciplines – Is the selected firm the best fit for staffing expertise work for the proposed project and/or possibly the sub discipline(s) if deemed necessary?

2. Experience – Does the firm have the local permitting experience for the type of work proposed?

3. Scale – Does the project scale correlate to the size of the firm (fit)?

4. Availability – Can the firm meet the required project timelines?

5. Continuity – Would there be a cost savings due to site familiarity and/or previous work on the site?

6. Geographic location – Is the firm in the same geographic region as the project?

CONFIDENTIALITY/PUBLIC RECORDS LAW

Respondents are cautioned that Florida law generously defines what constitutes a public record and grants broad rights of public access to those records (e.g., section 119.07, F.S.). If a Respondent considers any https://www.dms.myflorida.com/business_operations/real_estate_development_and_management/building_construction/forms_and_documents https://www.gsa.gov/forms-library/architect-engineer-qualifications https://www.dms.myflorida.com/business_operations/real_estate_development_and_management/building_construction/forms_and_documents https://www.dms.myflorida.com/business_operations/real_estate_development_and_management/building_construction/forms_and_documents

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 5 of 7 portion of the documents, data or records submitted in their Response to this solicitation to be confidential, proprietary, trade secret or otherwise not subject to disclosure pursuant to Chapter 119, F.S., the Florida Constitution or other authority, the Respondent must mark the document as “Confidential.” The Respondent shall also provide the Commission with a separate PDF redacted copy of its Response and briefly describe in writing the grounds and specific legal citations for claiming exemption from public records law. This redacted copy shall contain the Commission’s solicitation name, number and the Respondent’s name on the cover and shall be clearly titled “Redacted Copy.” The Redacted Copy should only redact those portions of material that the Respondent claims is confidential, proprietary, trade secret or otherwise not subject to public disclosure pursuant to Chapter 119, F.S., the Florida Constitution or other authority. If after the notice of intended decision or thirty (30) days after response opening, whichever is earlier, the Commission receives a public record request related to the solicitation, the Commission will provide the Redacted Copy to the requestor. If the Respondent fails to properly indicate any material enclosed in their Response is confidential, the Commission is authorized to produce documents, data or records in their entirety as submitted to the Commission in answer to a public records request. The Commission will endeavor to provide notice to the Respondent of all public records requests received related to documents provided by the Respondent that were marked pursuant to this paragraph. In no event shall the Respondent hold the Commission or any of its employees or agents liable for disclosing, or otherwise failing to protect the confidentiality of information submitted in response to this solicitation.

CONTACT LIMITATION DURING SOLICITATION PERIOD

Between the release of the solicitation and the end of the 72-hour period following the Commission posting the notice of intended award (excludes Saturdays, Sundays, and state holidays), respondents to this solicitation or persons acting on their behalf may not contact any employee or officer of the executive or legislative branch concerning any aspect of this solicitation, except in writing to the procurement manager or as provided in the solicitation documents. Violation of this provision may be grounds for rejecting a response.

VERBAL INSTRUCTION PROCEDURE

Respondents may not consider any verbal instructions as binding upon the Commission. No negotiations, discussions, or actions shall be initiated or executed by the Respondent as a result of any discussion with any Commission employee. Only those communications from the Commission that are in writing, may be considered as a duly authorized expression on behalf of the Commission.

DEADLINE FOR QUESTIONS

Any questions from Respondents concerning the RFSOQ shall be submitted in writing to the Procurement Manager. Questions must be received no later than the date and time specified in the Calendar of Events (Page 2). Questions may be sent via email with the solicitation number in the subject line. It is the responsibility of the Respondent to confirm receipt of questions if needed.

If questions are received, an addendum will be issued and shall be posted on the Vendor Information Portal (Vendor Information Portal). It is the Respondent’s responsibility to check periodically for any information updates to the solicitation which are posted to the VIP website. The Commission bears no responsibility for any delays, or resulting impacts, associated with a respondent’s failure to obtain the information made available through the VIP website.

MAILING INSTRUCTIONS

All responses shall be submitted in a SEALED PACKAGE addressed to:

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 6 of 7

Florida Fish and Wildlife Conservation Commission Attn: Purchasing 1875 Orange Ave E Tallahassee, Florida 32311-6160.

The package shall be plainly marked on the outside with the SOLICITATION NUMBER.

THE COMMISSION IS NOT RESPONSIBLE FOR THE OPENING OF ANY PACKAGES THAT ARE NOT PROPERLY

MARKED.

PLEASE NOTE: The Commission’s official business hours of operation are 8:00 AM–5:00 PM ET, exclusive of Saturdays, Sundays and state holidays. Selecting delivery services, such as next day first delivery, may result in attempted delivery prior to opening or closing, and the Commission will not be available to accept those deliveries. THE COMMISSION IS NOT RESPONSIBLE FOR LATE SUBMISSIONS DUE TO COMPLICATIONS

RELATED TO SELECTED DELIVERY SERVICES.

The Commission’s time/date stamp clock shall serve as the official authority to determine timeliness of the responses. Responses, which for any reason are not timely received, will not be considered. Late responses will be declared non-responsive and will not be further evaluated. Unsealed and/or unsigned responses received by telegram, facsimile transmission or other similar means are not acceptable, and will be declared non-responsive and will not be further evaluated. Submittals that do not comply with the requirements or instructions of this solicitation document will be declared non-responsive and will not be further evaluated.

INTERVIEWS

The Selection Committee will conduct interviews with and may require public presentation by no fewer than 3 respondents regarding their qualifications, approach to the project, and ability to furnish the required services. Selection of finalists for interview will be made on the basis of professional services qualifications, including qualifications heavily weighted for related engineering experience, project type-specific experience and demonstrated ability of professional personnel, secondary factors include billable staff, recent, current and projected workloads of the firms, Florida licensed staff, and volume of DMS and other State Agency work conducted historically. The weighted criteria are attached..

The list of Respondents selected for interview by the Selection Committee will be posted on the Vendor Information Portal (MyFloridaMarket Place Vendor Information Portal). Each invited respondent will be notified by email, which will include the Respondent’s assigned interview/presentation date and time. All interviews will be held at the address indicated in the Calendar of Events.

AWARD POSTING

Official notice of final selection results will be posted electronically as an Agency Decision on the Vendor Information Portal (MyFloridaMarket Place Vendor Information Portal). The Agency Decision will remain posted for a period of 72 hours (excludes Saturdays, Sundays, and state holidays). Failure to file a protest within the time prescribed in Section 120.57(3), Florida Statutes shall constitute a waiver of proceedings under Chapter 120 Florida Statutes. Due to projected workload, it is anticipated that multiple firms may be selected. The actual number selected will depend on the number and qualifications of the submittals and is at the sole discretion of the selection committee.

RFSOQ – Revised 06.03.2024 FWC 24/25-67, Page 7 of 7

DISABILITY ACCESS

Pursuant to the provisions of the Americans with Disabilities Act according to Section 286.26, F.S., any person requiring special accommodations to participate in this meeting is asked to advise the agency at least 48 hours before the meeting by contacting the Procurement Manager.

Department of Management Services Division of Real Estate Development and Management

Professional Services Evaluation

A C D E H J K L M N O P Q R S T U V A - No. 2 on PQS

B - No. 4 on PQS Selection Committee Members: C - No. 4 on PQS

D - No. 4 on PQS E - No. 5 on PQS

Typed Name Signature F - No. 5 on PQS G - No. 5 on PQS H - No. 5 on PQS

Typed Name Signature I - No. 5 on PQS J - Volume of DMS + Agency Work-Table B K - Current Workload-Table C

Typed Name Signature L - Design Experience & Ability M- Permitting Experience & Ability N - Modeling/MP Experience & Ability

Typed Name Signature O - Ability to Perform P - Total For Preliminary Q - Applicants for Interview

Typed Name Signature R - Relevant Project References S - Understanding Program & Requirement T - Approach & Method

Typed Name Signature U - Total For Interview

3 3 9 9 9 9 42 Y / N 3 9 9 21

NA 0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

Project Name:

9 9

0 (ZERO)

Varies

Current Workload

Locations are not defined and located throughout the state of Florida

Katherine Burke

Kent Smith

Corey Anderson

Su bt ot al

F ee s on

H ol d

G

Su bt ot al

F ee s R em ai ni ng

Pr ev io us

F ee

V ol um e fo r D

M S

St at e

Ag en cy

W or k

N um be r o f A ct iv e

Pr oj ec t

F Fee Volume

Varies

REMARKSDATA

Project Name:

Project Location:

V - CCNA Negotiation Order

I

C C

N A

R an k O rd er

Beacham Furse

Interview

M ile s Fr om P ro je ct S ite

Lo ca tio ns a re n ot d ef in ed an d lo ca te d th ro ug ho ut th e st at e of F lo rid a

Date for Preliminary Evaluation: B

Ap pr oa ch

M et ho do lo gy

Pa st

P er fo rm an ce

R ef er en ce s

Bi lla bl e

O ffi ce S ta ff

Bi lla bl e

O ffi ce S ta ff

To ta l f or

In te rv ie w (n on c um ul at iv e)

U nd er st an di ng P ro gr am

R eq ui re m en ts

Date for Interview Evaluation:

R el ev an t P er m itt in g

Ex pe rie nc e

H yd ro lo gi c

M od el in g/ M as te r P la nn in g Ex pe rie nc e

Fa ct or ed

F ee

Bi lla bl e O ffi ce

S ta ff

Varies Varies

NON-COMPLIANT

Project Number:

Available Points------------------------------------------------------------------------

Pr ev io us

F ee

V ol um e fo r D

M S

St at e

Ag en cy W o

C ur re nt

W or kl oa d

R el ev an t D es ig n

Ex pe rie nc e

To ta l F or

P re lim in ar y

(n on c um ul at iv e)

Ab ilit y to

P er fo rm

C on tra ct

D el iv er y

To ta l F ee s / B illa bl e O ffi ce

S ta ff

Locations are not defined and located throughout the state of Florida

Ap pl ic an ts fo r I nt er vi ew

Y e s or N o

RFQ APPLICANTS (alphabetical order)

Caity Savoia

Relevant Design Experience

PRELIMINARY EVALUATION

Relevant Permitting Experience

Available Points----------------------------------------------------------------------

Number on Committee-------------------------------------------------------------

NON-COMPLIANT

Fill out only Cyan color cells

Number on Committee---------------------------------------------------------------

Project Location:

0 (ZERO)

Project Number:

Form PD12 Revised 7/12 1 of 4

Professional Services Evaluation

9 = A+

8 = A

7 = A-

6 = B+

5 = B

4 = B-

3 = C+

2 = C

1 = C-

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

9 9

0 0

0 (ZERO)

9 = A+

8 = A

7 = A-

6 = B+

5 = B

4 = B-

3 = C+

2 = C

1 = C- Av er ag e

Sc or e

Number on Committee-------------------------------------------------------------

S ub to ta l:

S ub to ta l:

C or ey A nd er so n

BELOW

EXPECTATION

ABOVE

EXPECTATION

C or ey A nd er so n

NON-COMPLIANT

MEETS

EXPECTATION

Be ac ha m

F ur se

Ka th er in e Bu rk e

Ke nt

S m ith

Ability to Perform Contract Delivery

Available Points----------------------------------------------------------------------

Be ac ha m

F ur se

9 = A+

8 = A

7 = A-

ABOVE

EXPECTATION

MEETS

EXPECTATION 5 = B

BELOW

EXPECTATION

A ve ra ge

S co re

6 = B+

3 = C+

4 = B-

2 = C

C ai ty S av oi a

Be ac ha m

F ur se

Ka th er in e Bu rk e

Ke nt

S m ith

C or ey A nd er so n

C ai ty S av oi a

0 S ub to ta l:

Av er ag e

Sc or e

Hydrologic Modeling/Master Planning Experience

Available Points------------------------------------------------------------------------

A ve ra ge

S co re

9 = A+

ABOVE

EXPECTATION 8 = A

7 = A-

6 = B+

MEETS

EXPECTATION 5 = B

4 = B-

3 = C+

BELOW

EXPECTATION 2 = C

1 = C-

0 (ZERO) NON-COMPLIANT

Ka th er in e Bu rk e

Ke nt

S m ith

C or ey A nd er so n

Be ac ha m

F ur se

C ai ty S av oi a

0 S ub to ta l:

Number on Committee---------------------------------------------------------------

1 = C-

C ai ty S av oi a

0Ka th er in e Bu rk e

Ke nt

S m ith

Form PD12 Revised 7/12 2 of 4

Professional Services Evaluation

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

3 9

0 (ZERO)

9 = A+ 8 = A 7 = A- 6 = B+ 5 = B 4 = B- 3 = C+ 2 = C 1 = C-

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

BELOW

EXPECTATION

Past Performance References C or ey

A nd er so n

Ka th er in e Bu rk e

Ke nt

S m ith

S ub to ta l:

ABOVE

EXPECTATION

Be ac ha m

F ur se

3 = EXCEEDS EXPECTATION

0C ai ty S av oi a

Available Points------------------------------------------------------------------------

Project Location: Locations are not defined and located throughout the state of Florida

Project Number: Varies Project Name: Varies

C ai ty S av oi a

S ub to ta l:

A ve ra ge

S co re

S ub to ta l:

Approach & Methodology

Ka th er in e Bu rk e

A ve ra ge

S co re

Ke nt

S m ith

Understanding Program & Project Requirements

NON-COMPLIANT

INTERVIEW EVALUATION

Available Points ---------------------------------------------------------------------------------- Number on Committee -------------------------------------------------------------------------

Available Points --------------------------------------------------------------------- Number on Committee ------------------------------------------------------------

ABOVE

EXPECTATION

MEETS

EXPECTATION

6 = B+

C ai ty S av oi a

NON-COMPLIANT

Number on Committee-----------------------------------------------------------

C or ey A nd er so n

Be ac ha m

F ur se

1 = DOES NOT MEET

0 = DOES NOT COMPLY

2 = MEETS EXPECTATION

3 = C+

A ve ra ge

S co reMEETS

EXPECTATION

0 0

0 0

0 0

0 0 0

0 0

0 0 0

0 0

Be ac ha m

F ur se

C or ey A nd er so n

0 (ZERO)

2 = C BELOW

EXPECTATION

Ke nt

S m ith

Ka th er in e Bu rk e

9 = A+ 8 = A 7 = A-

5 = B 4 = B-

1 = C-

Form PD12 Revised 7/12 3 of 4

Professional Services Evaluation

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

Volume of DMS and other Agency Work - Table B

DMS & Other State Agency Fee Volume (Column "D" Equals)

Current Workload / Professional & Technical Staff (Column "I" Equals)

To Project Director for Interview Evaluation

Complete the top and bottom portion of PD13 per the "balloon notes" and then email the form to the Design Professional or directly to their identified client for completion and timely return.

Points

Past Performance Reference Form PD13 or Form PD13 Alternate are both located on K-Drive at "Forms Active/Project Director Forms".

Points

PD13 - Past Performance Reference Form Instructions

Locations are not defined and located throughout the state of Florida Varies

Above $100,000.00

$0.00 - $80,000.00 $80,001 - $250,000.00 $250,001 - $550,000.00

Varies

$90,001 - $100,000.00

$0.00 - $51,000.00 $51,001.00 - $90,000.00

Project Number:

Above $550,000.00

Current Workload - Table C

OR

Complete PD 13 Alternate by calling the Owner's representative and filling in all sections according to notes at top of the form.

NOTE: Both forms have option of being typed or hand written.3

Miles From Project 0-200

201-400 401-600

Project Name:

Project Location:

0 0 0

0 0

00 0

0 0

0 00

Location to Proposed Project Table A

Miles from Project Site (Column "A" Equals)

Points

Form PD12 Revised 7/12 4 of 4