Standard Form 330 - Architect-Engineer Qualifications

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1. SOLICITATION NUMBER (If any)
ARCHITECT-ENGINEER QUALIFICATIONS
PART II - GENERAL QUALIFICATIONS
(If a firm has branch offices, complete for each specific branch office seeking work.)
2a. FIRM (OR BRANCH OFFICE) NAME
3. YEAR ESTABLISHED
4. DUNS NUMBER
2b. STREET
5. OWNERSHIP
a. TYPE
2c. CITY
2d. STATE
2e. ZIP CODE
b. SMALL BUSINESS STATUS
6a. POINT OF CONTACT NAME AND TITLE
7. NAME OF FIRM (If block 2a is a branch office)
6b. TELEPHONE NUMBER
6c. E-MAIL ADDRESS
8a. FORMER FIRM NAME(S) (If any)
8b. YR. ESTABLISHED
8c. DUNS NUMBER
10. PROFILE OF FIRM'S EXPERIENCE AND
9. EMPLOYEES BY DISCIPLINE
ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS
c. Revenue Index
c. No. of Employees
a. Function
a. Profile
b. Experience
Number
b. Discipline
Code
Code
(1) FIRM
(2) BRANCH
(see below)
Other Employees
Total
11. ANNUAL AVERAGE PROFESSIONAL
PROFESSIONAL SERVICES REVENUE INDEX NUMBER
SERVICES REVENUES OF FIRM
FOR LAST 3 YEARS
1.
Less than $100,000
6.
$2 million to less than $5 million
(Insert revenue index number shown at right)
2.
$100,00 to less than $250,000
7.
$5 million to less than $10 million
3.
$250,000 to less than $500,000
8.
$10 million to less than $25 million
a. Federal Work
4.
$500,000 to less than $1 million
9.
$25 million to less than $50 million
b. Non-Federal Work
5.
$1 million to less than $2 million
10. $50 million or greater
c. Total Work
12. AUTHORIZED REPRESENTATIVE
The foregoing is a statement of facts.
a. SIGNATURE
b. DATE
c. NAME AND TITLE
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 330
PAGE 6
(6/2004)

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