Standard Form 330 - Architect-Engineer Qualifications

ARCHITECT-ENGINEER QUALIFICATIONS

OMB Control Number: 9000-0157

Expiration Date: 2/29/2024

STANDARD FORM 330 (REV. 7/2021) PAGE 1 OF INSTRUCTIONS

Prescribed by GSA - FAR (48 CFR) 53.236-2(b)

PURPOSE

Federal agencies use this form to obtain information from

architect-engineer (A-E) firms about their professional

qualifications. Federal agencies select firms for A-E contracts on

the basis of professional qualifications as required by 40 U.S.C.

chapter 11, Selection of Architects Engineers, and Part 36 of the

Federal Acquisition Regulation (FAR).

The Selection of Architects and Engineers statute requires the

public announcement of requirements for A-E services (with

some exceptions provided by other statutes), and the selection of

at least three of the most highly qualified firms based on

demonstrated competence and professional qualifications

according to specific criteria published in the announcement.

The Act then requires the negotiation of a contract at a fair and

reasonable price starting first with the most highly qualified firm.

The information used to evaluate firms is from this form and other

sources, including performance evaluations, any additional data

requested by the agency, and interviews with the most highly

qualified firms and their references.

GENERAL INSTRUCTIONS

Part I presents the qualifications for a specific contract.

Part II presents the general qualifications of a firm or a specific

branch office of a firm. Part II has two uses:

1. An A-E firm may submit Part II to the appropriate central,

regional or local office of each Federal agency to be kept on file.

A public announcement is not required for certain contracts, and

agencies may use Part II as a basis for selecting at least three of

the most highly qualified firms for discussions prior to requesting

submission of Part I. Firms are encouraged to update Part II on

file with agency offices, as appropriate, according to FAR Part

36. If a firm has branch offices, submit a separate Part II for

each branch office seeking work.

2. Prepare a separate Part II for each firm that will be part of

the team proposed for a specific contract and submitted with Part

I. If a firm has branch offices, submit a separate Part II for each

branch office that has a key role on the team.

INDIVIDUAL AGENCY INSTRUCTIONS

Individual agencies may supplement these instructions. For

example, they may limit the number of projects or number of

pages submitted in Part I in response to a public announcement

for a particular project. Carefully comply with any agency

instructions when preparing and submitting this form. Be as

concise as possible and provide only the information requested

by the agency.

DEFINITIONS

Architect-Engineer Services: Defined in FAR 2.101.

Branch Office: A geographically distinct place of business or

subsidiary office of a firm that has a key role on the team.

Discipline: Primary technical capabilities of key personnel, as

evidenced by academic degree, professional registration,

certification, and/or extensive experience.

Firm: Defined in FAR 36.102.

Key Personnel: Individuals who will have major contract

responsibilities and/or provide unusual or unique expertise.

SPECIFIC INSTRUCTIONS

Part I - Contract-Specific Qualifications

Section A. Contract Information.

1. Title and Location. Enter the title and location of the

contract for which this form is being submitted, exactly as shown

in the public announcement or agency request.

2. Public Notice Date. Enter the posted date of the agency's

notice on the Federal Business Opportunity website

(FedBizOpps), other form of public announcement or agency

request for this contract.

3. Solicitation or Project Number. Enter the agency's

solicitation number and/or project number, if applicable,

exactly as shown in the public announcement or agency request

for this contract.

Section B. Architect-Engineer Point of Contact.

4-8. Name, Title, Name of Firm, Telephone Number, Fax

(Facsimile) Number and E-mail (Electronic Mail) Address.

Provide information for a representative of the prime contractor

or joint venture that the agency can contact for additional

information.

AUTHORIZED FOR LOCAL REPRODUCTION

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork

Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.

The OMB control number for this collection is 9000-0157. We estimate that it will take 29 hours (25 hours for part 1 and 4 hours for Part 2) to read the

instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this

burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F

Street, NW, Washington, DC 20405.

Section C. Proposed Team.

9-11. Firm Name, Address, and Role in This Contract.

Provide the contractual relationship, name, full mailing address,

and a brief description of the role of each firm that will be

involved in performance of this contract. List the prime

contractor or joint venture partners first. If a firm has branch

offices, indicate each individual branch office that will have a key

role on the team. The named subcontractors and outside

associates or consultants must be used, and any change must

be approved by the contracting officer. (See FAR Part 52 Clause

"Subcontractors and Outside Associates and Consultants

(Architect-Engineer Services)"). Attach an additional sheet in the

same format as Section C if needed.

Section D. Organizational Chart of Proposed Team.

As an attachment after Section C, present an organizational

chart of the proposed team showing the names and roles of all

key personnel listed in Section E and the firm they are

associated with as listed in Section C.

Section E. Resumes of Key Personnel Proposed for this

Contract.

Complete this section for each key person who will

participate in this contract. Group by firm, with personnel of the

prime contractor or joint venture partner firms first. The following

blocks must be completed for each resume:

12. Name. Self-explanatory.

13. Role in this contract. Self-explanatory.

14. Years Experience. Total years of relevant experience

(block 14a), and years of relevant experience with current firm,

but not necessarily the same branch office (block 14b).

15. Firm Name and Location. Name, city and state of the

firm where the person currently works, which must correspond

with one of the firms (or branch office of a firm, if appropriate)

listed in Section C.

16. Education. Provide information on the highest relevant

academic degree(s) received. Indicate the area(s) of

specialization for each degree.

17. Current Professional Registration. Provide information

on current relevant professional registration(s) in a State or

possession of the United States, Puerto Rico, or the District of

Columbia according to FAR Part 36.

18. Other Professional Qualifications. Provide information

on any other professional qualifications relating to this contract,

such as education, professional registration, publications,

organizational memberships, certifications, training, awards, and

foreign language capabilities.

19. Relevant Projects. Provide information on up to five

projects in which the person had a significant role that

demonstrates the person's capability relevant to her/his proposed

role in this contract. These projects do not necessarily have to

be any of the projects presented in Section F for the project team

if the person was not involved in any of those projects or the

person worked on other projects that were more relevant than

the team projects in Section F. Use the check box provided to

indicate if the project was performed with any office of the current

firm. If any of the professional services or construction projects

are not complete, leave Year Completed blank and indicate the

status in Brief Description and Specific Role (block (3)).

Section F. Example Projects Which Best Illustrate Proposed

Team's Qualifications for this Contract.

Select projects where multiple team members worked

together, if possible, that demonstrate the team's capability to

perform work similar to that required for this contract. Complete

one Section F for each project. Present ten projects, unless

otherwise specified by the agency. Complete the following

blocks for each project:

20. Example Project Key Number. Start with "1" for the first

project and number consecutively.

21. Title and Location. Title and location of project or

contract. For an indefinite delivery contract, the location is the

geographic scope of the contract.

22. Year Completed. Enter the year completed of the

professional services (such as planning, engineering study,

design, or surveying), and/or the year completed of construction,

if applicable. If any of the professional services or the

construction projects are not complete, leave Year Completed

blank and indicate the status in Brief Description of Project and

Relevance to this Contract (block 24).

23a. Project Owner. Project owner or user, such as a

government agency or installation, an institution, a corporation or

private individual.

23b. Point of Contact Name. Provide name of a person

associated with the project owner or the organization which

contracted for the professional services, who is very familiar with

the project and the firm's (or firms') performance.

23c. Point of Contact Telephone Number. Self-explanatory.

24. Brief Description of Project and Relevance to this

Contract. Indicate scope, size, cost, principal elements and

special features of the project. Discuss the relevance of the

example project to this contract. Enter any other information

requested by the agency for each example project.

STANDARD FORM 330 (REV. 7/2021)

PAGE 2 OF INSTRUCTIONS

Jane A. Smith

Joseph B. Williams

Tara C. Donovan

Chief Architect

Chief Mechanical Engineer

Chief Electricial Engineer

29. EXAMPLE PROJECTS KEY

25. Firms from Section C Involved with this Project. Indicate

which firms (or branch offices, if appropriate) on the project team

were involved in the example project, and their roles. List in the

same order as Section C.

Section G. Key Personnel Participation in Example Projects.

This matrix is intended to graphically depict which key

personnel identified in Section E worked on the example projects

listed in Section F. Complete the following blocks (see example

below).

26. and 27. Names of Key Personnel and Role in this

Contract. List the names of the key personnel and their

proposed roles in this contract in the same order as they appear

in Section E.

28. Example Projects Listed in Section F. In the column

under each project key number (see block 29) and for each key

person, place an "X" under the project key number for

participation in the same or similar role.

29. Example Projects Key. List the key numbers and titles of

the example projects in the same order as they appear in Section

Section H. Additional Information.

30. Use this section to provide additional information

specifically requested by the agency or to address selection

criteria that are not covered by the information provided in

Sections A-G.

Section I. Authorized Representative.

31. and 32. Signature of Authorized Representative and

Date. An authorized representative of a joint venture or the

prime contractor must sign and date the completed form.

Signing attests that the information provided is current and

factual, and that all firms on the proposed team agree to work on

the project. Joint ventures selected for negotiations must make

available a statement of participation by a principal of each

member of the joint venture.

33. Name and Title. Self-explanatory.

STANDARD FORM 330 (REV. 7/2021)

PAGE 3 OF INSTRUCTIONS

SAMPLE ENTRIES FOR SECTION G (MATRIX)

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 first, before

completing table. Place "X" under project key number for

participation in same or similar role.)

1 2 3 4 5 6 7 8 9 10

X X

NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

XYZ Corporation Headquarters, Boston, MA

Founder's Museum, Newport, RI

Federal Courthouse, Denver, CO

Justin J. Wilson Federal Building,

Baton Rouge, LA

Part II - General Qualifications

See the "General Instructions" on page 1 for firms with branch

offices. Prepare Part II for the specific branch office seeking

work if the firm has branch offices.

1. Solicitation Number. If Part II is submitted for a specific

contract, insert the agency's solicitation number and/or project

number, if applicable, exactly as shown in the public

announcement or agency request.

2a-2e. Firm (or Branch Office) Name and Address. Self-

explanatory.

3. Year Established. Enter the year the firm (or branch

office, if appropriate) was established under the current name.

4. Unique Entity Identifier. Insert the unique entity identifier

issued by the entity designated at SAM. See FAR part 4.6.

5. Ownership.

a. Type. Enter the type of ownership or legal structure of the

firm (sole proprietor, partnership, corporation, joint venture, etc.).

b. Small Business Status. Refer to the North American

Industry Classification System (NAICS) code in the public

announcement, and indicate if the firm is a small business

according to the current size standard for that NAICS code (for

example, Engineering Services (part of NAICS 541330),

Architectural Services (NAICS 541310), Surveying and Mapping

Services (NAICS 541370)). The small business categories and

the internet website for the NAICS codes appear in FAR part 19.

Contact the requesting agency for any questions. Contact your

local U.S. Small Business Administration office for any questions

regarding Business Status.

6a-6c. Point of Contact. Provide this information for a

representative of the firm that the agency can contact for

additional information. The representative must be empowered

to speak on contractual and policy matters.

7. Name of Firm. Enter the name of the firm if Part II is

prepared for a branch office.

8a-8c. Former Firm Names. Indicate any other previous

names for the firm (or branch office) during the last six years.

Insert the year that this corporate name change was effective

and the associated unique entity identifier. This information is

used to review past performance on Federal contracts.

9. Employees by Discipline. Use the relevant disciplines and

associated function codes shown at the end of these instructions

and list in the same numerical order. After the listed disciplines,

write in any additional disciplines and leave the function code

blank. List no more than 20 disciplines. Group remaining

employees under "Other Employees" in column b. Each person

can be counted only once according to his/her primary function.

If Part II is prepared for a firm (including all branch offices), enter

the number of employees by disciplines in column c(1). If Part II

is prepared for a branch office, enter the number of employees

by discipline in column c(2) and for the firm in column c(1).

10. Profile of Firm's Experience and Annual Average

Revenue for Last 5 Years. Complete this block for the firm or

branch office for which this Part II is prepared. Enter the

experience categories which most accurately reflect the firm's

technical capabilities and project experience. Use the relevant

experience categories and associated profile codes shown at the

end of these instructions, and list in the same numerical order.

After the listed experience categories, write in any unlisted

relevant project experience categories and leave the profile

codes blank. For each type of experience, enter the appropriate

revenue index number to reflect the professional services

revenues received annually (averaged over the last 5 years) by

the firm or branch office for performing that type of work. A

particular project may be identified with one experience category

or it may be broken into components, as best reflects the

capabilities and types of work performed by the firm. However,

do not double count the revenues received on a particular

project.

11. Annual Average Professional Services Revenues of Firm

for Last 3 Years. Complete this block for the firm or branch office

for which this Part II is prepared. Enter the appropriate revenue

index numbers to reflect the professional services revenues

received annually (averaged over the last 3 years) by the firm or

branch office. Indicate Federal work (performed directly for the

Federal Government, either as the prime contractor or

subcontractor), non-Federal work (all other domestic and foreign

work, including Federally-assisted projects), and the total.

12. Authorized Representative. An authorized

representative of the firm or branch office must sign and date the

completed form. Signing attests that the information provided is

current and factual. Provide the name and title of the authorized

representative who signed the form.

STANDARD FORM 330 (REV. 7/2021)

PAGE 4 OF INSTRUCTIONS

List of Disciplines (Function Codes)

STANDARD FORM 330 (REV. 7/2021)

PAGE 5 OF INSTRUCTIONS

Code Description

Hydraulic Engineer

Hydrographic Surveyor

Hydrologist

Industrial Engineer

Industrial Hygienist

Interior Designer

Land Surveyor

Landscape Architect

Materials Engineer

Materials Handling Engineer

Mechanical Engineer

Mining Engineer

Oceanographer

Photo Interpreter

Photogrammetrist

Planner: Urban/Regional

Project Manager

Remote Sensing Specialist

Risk Assessor

Safety/Occupational Health Engineer

Sanitary Engineer

Scheduler

Security Specialist

Soils Engineer

Specifications Writer

Structural Engineer

Technician/Analyst

Toxicologist

Transportation Engineer

Value Engineer

Water Resources Engineer

Code Description

Acoustical Engineer

Administrative

Aerial Photographer

Aeronautical Engineer

Archeologist

Architect

Biologist

CADD Technician

Cartographer

Chemical Engineer

Chemist

Civil Engineer

Communications Engineer

Computer Programmer

Construction Inspector

Construction Manager

Corrosion Engineer

Cost Engineer/Estimator

Ecologist

Economist

Electrical Engineer

Electronics Engineer

Environmental Engineer

Environmental Scientist

Fire Protection Engineer

Forensic Engineer

Foundation/Geotechnical Engineer

Geodetic Surveyor

Geographic Information System Specialist

Geologist

Health Facility Planner

List of Experience Categories (Profile Codes)

Acoustics, Noise Abatement

Aerial Photography; Airborne Data and Imagery

Collection and Analysis

Agricultural Development; Grain Storage; Farm Mechanization

Air Pollution Control

Airports; Navaids; Airport Lighting; Aircraft Fueling

Airports; Terminals and Hangars; Freight Handling

Arctic Facilities

Animal Facilities

Anti-Terrorism/Force Protection

Asbestos Abatement

Auditoriums & Theaters

Automation; Controls; Instrumentation

Barracks; Dormitories

Bridges

Cartography

Cemeteries (Planning & Relocation)

Charting: Nautical and Aeronautical

Chemical Processing & Storage

Child Care/Development Facilities

Churches; Chapels

Coastal Engineering

Codes; Standards; Ordinances

Cold Storage; Refrigeration and Fast Freeze

Commercial Building (low rise) ; Shopping Centers

Community Facilities

Communications Systems; TV; Microwave

Computer Facilities; Computer Service

Conservation and Resource Management

Construction Management

Construction Surveying

Corrosion Control; Cathodic Protection; Electrolysis

Cost Estimating; Cost Engineering and

Analysis; Parametric Costing; Forecasting

Cryogenic Facilities

Dams (Concrete; Arch)

Dams (Earth; Rock); Dikes; Levees

Desalinization (Process & Facilities)

Design-Build - Preparation of Requests for Proposals

Digital Elevation and Terrain Model Development

Digital Orthophotography

Dining Halls; Clubs; Restaurants

Dredging Studies and Design

Ecological & Archeological Investigations

Educational Facilities; Classrooms

Electrical Studies and Design

Electronics

Elevators; Escalators; People-Movers

Embassies and Chanceries

Energy Conservation; New Energy Sources

Engineering Economics

Environmental Impact Studies,

Assessments or Statements

Environmental and Natural Resource

Mapping

Environmental Planning

Environmental Remediation

Environmental Testing and Analysis

Fallout Shelters; Blast-Resistant Design

Field Houses; Gyms; Stadiums

Fire Protection

Fisheries; Fish ladders

Forensic Engineering

Forestry & Forest products

Garages; Vehicle Maintenance Facilities;

Parking Decks

Gas Systems (Propane; Natural, Etc.)

Geodetic Surveying: Ground and Air-borne

Geographic Information System Services:

Development, Analysis, and Data Collection

Geospatial Data Conversion: Scanning,

Digitizing, Compilation, Attributing, Scribing,

Drafting

Graphic Design

Harbors; Jetties; Piers, Ship Terminal

Facilities

Hazardous Materials Handling and Storage

Hazardous, Toxic, Radioactive Waste

Remediation

Heating; Ventilating; Air Conditioning

Health Systems Planning

Highrise; Air-Rights-Type Buildings

Highways; Streets; Airfield Paving; Parking

Lots

Historical Preservation

Hospital & Medical Facilities

Hotels; Motels

Housing (Residential, Multi-Family;

Apartments; Condominiums)

Hydraulics & Pneumatics

Hydrographic Surveying

STANDARD FORM 330 (REV. 7/2021)

PAGE 6 OF INSTRUCTIONS

Code Description Code Description

A01

A02

A03

A04

A05

A06

A07

A08

A09

A10

A11

A12

B01

B02

C01

C02

C03

C04

C05

C06

C07

C08

C09

C10

C11

C12

C13

C14

C15

C16

C17

C18

C19

D01

D02

D03

D04

D05

D06

D07

D08

E01

E02

E03

E04

E05

E06

E07

E08

E09

E10

E11

E12

E13

F01

F02

F03

F04

F05

F06

G01

G02

G03

G04

G05

G06

H01

H02

H03

H04

H05

H06

H07

H08

H09

H10

H11

H12

H13

List of Experience Categories (Profile Codes continued)

Product, Machine Equipment Design

Pneumatic Structures, Air-Support Buildings

Postal Facilities

Power Generation, Transmission, Distribution

Public Safety Facilities

Radar; Sonar; Radio & Radar Telescopes

Radio Frequency Systems & Shieldings

Railroad; Rapid Transit

Recreation Facilities (Parks, Marinas, Etc.)

Refrigeration Plants/Systems

Rehabilitation (Buildings; Structures; Facilities)

Remote Sensing

Research Facilities

Resources Recovery; Recycling

Risk Analysis

Rivers; Canals; Waterways; Flood Control

Roofing

Safety Engineering; Accident Studies; OSHA

Studies

Security Systems; Intruder & Smoke Detection

Seismic Designs & Studies

Sewage Collection, Treatment and Disposal

Soils & Geologic Studies; Foundations

Solar Energy Utilization

Solid Wastes; Incineration; Landfill

Special Environments; Clean Rooms, Etc.

Structural Design; Special Structures

Surveying; Platting; Mapping; Flood

Plain Studies

Sustainable Design

Swimming Pools

Storm Water Handling & Facilities

Telephone Systems (Rural; Mobile; Intercom,

Etc.)

Testing & Inspection Services

Traffic & Transportation Engineering

Topographic Surveying and Mapping

Towers (Self-Supporting & Guyed Systems)

Tunnels & Subways

STANDARD FORM 330 (REV. 7/2021)

PAGE 7 OF INSTRUCTIONS

Code Description Code Description

I01

I02

I03

I04

I05

I06

J01

L01

L02

L03

L04

L05

L06

M01

M02

M03

M04

M05

M06

M07

M08

N01

N02

N03

O01

O02

O03

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P11

P12

P13

R01

R02

R03

R04

R05

R06

R07

R08

R09

R10

R11

R12

S01

S02

S03

S04

S05

S06

S07

S08

S09

S10

S11

S12

S13

T01

T02

T03

T04

T05

T06

Industrial Buildings; Manufacturing Plants

Industrial Processes; Quality Control

Industrial Waste Treatment

Intelligent Transportation Systems

Interior Design; Space Planning

Irrigation; Drainage

Judicial and Courtroom Facilities

Laboratories; Medical Research Facilities

Land Surveying

Landscape Architecture

Libraries; Museums; Galleries

Lighting (Interior; Display; Theater, Etc.)

Lighting (Exteriors; Streets; Memorials;

Athletic Fields, Etc.)

Mapping Location/Addressing Systems

Materials Handling Systems; Conveyors; Sorters

Metallurgy

Microclimatology; Tropical Engineering

Military Design Standards

Mining & Mineralogy

Missile Facilities (Silos; Fuels; Transport)

Modular Systems Design; Pre-Fabricated Structures or

Components

Naval Architecture; Off-Shore Platforms

Navigation Structures; Locks

Nuclear Facilities; Nuclear Shielding

Office Buildings; Industrial Parks

Oceanographic Engineering

Ordnance; Munitions; Special Weapons

Petroleum Exploration; Refining

Petroleum and Fuel (Storage and Distribution)

Photogrammetry

Pipelines (Cross-Country - Liquid & Gas)

Planning (Community, Regional, Areawide and State)

Planning (Site, Installation, and Project)

Plumbing & Piping Design

Prisons & Correctional Facilities

List of Experience Categories (Profile Codes continued)

STANDARD FORM 330 (REV. 7/2021)

PAGE 8 OF INSTRUCTIONS

Code Description

U01

U02

U03

V01

W01

W02

W03

W04

Z01

Unexploded Ordnance Remediation

Urban Renewals; Community Development

Utilities (Gas and Steam)

Value Analysis; Life-Cycle Costing

Warehouses & Depots

Water Resources; Hydrology; Ground Water

Water Supply; Treatment and Distribution

Wind Tunnels; Research/Testing Facilities Design

Zoning; Land Use Studies

5. NAME OF FIRM

PART I - CONTRACT-SPECIFIC QUALIFICATIONS

ARCHITECT-ENGINEER 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

C. PROPOSED TEAM

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

4. NAME AND TITLE

8. E-MAIL ADDRESS7. FAX NUMBER6. TELEPHONE NUMBER

(Check)

PRIME

J-V

PARTNER

SUBCON-

TRACTOR

9. FIRM NAME 10. ADDRESS 11. ROLE IN THIS CONTRACT

STANDARD FORM 330 (REV. 7/2021)

D. ORGANIZATIONAL CHART OF PROPOSED TEAM

(Attached)

CHECK IF BRANCH OFFICE

AUTHORIZED FOR LOCAL REPRODUCTION

12. NAME 13. ROLE IN THIS CONTRACT

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

E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT

(Complete one Section E for each key person.)

14. YEARS EXPERIENCE

b. WITH CURRENT FIRMa. TOTAL

17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)16. EDUCATION (Degree and Specialization)

15. FIRM NAME AND LOCATION (City and State)

STANDARD FORM 330 (REV. 7/2021) PAGE 2

(1) TITLE AND LOCATION (City and State)

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

(1) TITLE AND LOCATION (City and State)

(2) YEAR COMPLETED

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

(1) TITLE AND LOCATION (City and State)

(2) YEAR COMPLETED

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

(1) TITLE AND LOCATION (City and State)

(2) YEAR COMPLETED

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

Check if project performed with current firm

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

Check if project performed with current firm

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

19. RELEVANT PROJECTS

(1) TITLE AND LOCATION (City and State)

(2) YEAR COMPLETED

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

(2) YEAR COMPLETED

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

Check 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.)

a. PROJECT OWNER

21. TITLE AND LOCATION (City and State)

25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT

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

20. EXAMPLE PROJECT KEY

NUMBER

(1) FIRM NAME

(2) FIRM LOCATION (City and State)

(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)

(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)

(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)

STANDARD FORM 330 (REV. 7/2021) PAGE 3

(3) ROLE

(1) FIRM NAME

(2) FIRM LOCATION (City and State)

(3) ROLE

b. POINT OF CONTACT NAME

23. PROJECT OWNER'S INFORMATION

c. POINT OF CONTACT TELEPHONE NUMBER

(3) ROLE

(1) FIRM NAME

(2) FIRM LOCATION (City and State)

22. YEAR COMPLETED

PROFESSIONAL SERVICES

CONSTRUCTION (If applicable)

TITLE OF EXAMPLE PROJECT (From Section F)

G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS

STANDARD FORM 330 (REV. 7/2021) PAGE 4

26. NAMES OF KEY

PERSONNEL

(From Section E, Block 12)

27. ROLE IN THIS

CONTRACT

(From Section E, Block 13)

1 2 3 4 5 6 7 8 9 10

29. EXAMPLE PROJECTS KEY

NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

NUMBER

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.)

H. ADDITIONAL INFORMATION

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

I. AUTHORIZED REPRESENTATIVE

The foregoing is a statement of facts.

31. SIGNATURE 32. DATE

33. NAME AND TITLE

STANDARD FORM 330 (REV. 7/2021) PAGE 5

PART II - GENERAL QUALIFICATIONS

(If a firm has branch offices, complete for each specific branch office seeking work.)

a. SIGNATURE

ARCHITECT-ENGINEER QUALIFICATIONS

2a. FIRM (or Branch Office) NAME

2b. STREET

2c. CITY 2d. STATE 2e. ZIP CODE

3. YEAR ESTABLISHED

4. UNIQUE ENTITY IDENTIFIER

5. OWNERSHIP

b. Discipline

c. Number of Employees

10. PROFILE OF FIRM'S EXPERIENCE

AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS

b. Experience

c. Revenue Index

Number

(see below)

STANDARD FORM 330 (REV. 7/2021) PAGE 6

1. SOLICITATION NUMBER (If any)

8a. FORMER FIRM NAME(S) (If any)

8b. YEAR ESTABLISHED

9. EMPLOYEES BY DISCIPLINE

Total

(1) FIRM (2) BRANCH

1. Less than $100,000

2. $100,000 to less than $250,000

3. $250,000 to less than $500,000

4. $500,000 to less than $1 million

5. $1 million to less than $2 million

11. ANNUAL AVERAGE PROFESSIONAL

SERVICES REVENUES OF FIRM

FOR LAST 3 YEARS

(Insert revenue index number shown at right)

7. NAME OF FIRM (If Block 2a is a Branch Office)

6a. POINT OF CONTACT NAME AND TITLE

6c. EMAIL ADDRESS

8c. UNIQUE ENTITY IDENTIFIER

a. Federal Work

b. Non-Federal Work

c. Total Work

12. AUTHORIZED REPRESENTATIVE

The foregoing is a statement of facts.

b. DATE

c. NAME AND TITLE

a. Function

Code

a. Profile

Code

6b. TELEPHONE NUMBER

a. TYPE

b. SMALL BUSINESS STATUS

PROFESSIONAL SERVICES REVENUE INDEX NUMBER

6. $2 million to less than $5 million

7. $5 million to less than $10 million

8. $10 million to less than $25 million

9. $25 million to less than $50 million

10. $50 million or greater

Other Employees