Airport Master Plan Memphis International Airport · Memphis International Airport to reflect industry changes, update forecast and growth projections and ... prepare an implementation

August 15, 2016 MSCAA No. 16-1403-00

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INFORMATION PACKAGE

for responding to the

Request for Statements of Qualifications to provide

Airport Planning Services

Airport Master Plan Memphis International Airport

MSCAA PROJECT No. 16-1403-00

Responses due 2:00 PM local time on Thursday, September 15, 2016

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INSTRUCTIONS FOR SUBMITTALS

to provide airport planning services Airport Master Plan

MSCAA PROJECT No. 16-1403-00

WHEN: Statements must be received by 2:00 PM local time, Thursday, September 15, 2016

WHERE: VIA U.S. MAIL, HAND DELIVERY or VIA OVERNIGHT COURIER

MEMPHIS-SHELBY COUNTY AIRPORT AUTHORITY Staff Services Division 3505 Tchulahoma Road Memphis, TN 38118 ATTN: MSCAA Project No. 16-1403-00

HOW: Response must be sealed, delivered via U.S. mail, in person, or overnight carrier and

marked on the outside of the envelope, as follows:

STATEMENT OF QUALIFICATIONS for: Airport Master Plan Project No. 16-1403-00

FORM: Original and eight (8) copies, using the enclosed forms or electronic equivalent, only.

Response must be complete and include the information requested in these

instructions. No facsimile transmissions of responses will be accepted.

UPDATES: Respondents are hereby notified that all updates, addenda and additional

information, if any, shall be posted to the MSCAA website and Respondents are

responsible for checking the MSCAA website up to the deadline for submission of

this RFQ.

SUPPLEMENTAL The Authority reserves the right to request any supplementary information it deems

INFORMATION: necessary to evaluate the Respondent’s experience, qualifications, clarify or

substantiate any information contained in the Respondent’s submittal.

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LEGAL NOTICE Request for Statement of Qualifications

MSCAA Project Number 16-1403-00 Airport Master Plan

Statements of Qualifications for the Airport Master Plan will be received by the Memphis-Shelby County Airport Authority (Authority), Staff Services Division, 3505 Tchulahoma Road, Memphis, TN 38118, until 2:00 PM local time on September 15, 2016. The Information Package, including a description of the scope of services, the selection criteria, the required response format, and additional instructions may be obtained on the Authority’s website at www.flymemphis.com on or after Monday, August 15, 2016. All Respondents are responsible for checking the Authority’s website up to the submission deadline for any updates, addenda or additional information. The successful Respondent must meet the DBE participation goal for this project, which is 27%, and sign a contract with the Authority that includes Federal Aviation Administration provisions, if applicable, regarding Buy American Preference, Foreign Trade Restriction, Davis-Bacon, Affirmative Action, Debarment and Suspension, and Drug-Free Workplace, all of which are incorporated herein by reference. The Authority reserves the right to reject any or all responses to this request in whole or in part; to waive any informalities, technicalities, or omissions related to this request; and to reject responses on any other basis authorized by the Authority’s purchasing policies. The Authority is an equal opportunity employer and prohibits discrimination based on the grounds of age, race, sex, color, national origin, disability, marital status, military service, or sexual orientation in its hiring and employment practices and in the admission to, access to, or operation of its programs, services, and activities. By order of: Scott A. Brockman, A.A.E. President and CEO Memphis-Shelby County Airport Authority

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GENERAL INFORMATION MSCAA intends to select one qualified consultant, or proposed team of consultants, to provide the services described herein. The descriptions given are intended to convey an overall scope of services so that each respondent might address its experiences and present its expertise in dealing with the items mentioned. Responding firms should pay close attention to the “Submittal Requirements”, and any other information that has been provided. The responding firm’s ability to follow these instructions and to present its SOQ in a clear and concise manner will be considered during the initial screening and evaluation. The original and eight (8) photocopies of the completed, signed Statement of Qualifications should be submitted by 2:00 PM local time on Thursday, September 15, 2016.

SCOPE OF SERVICES

The Project will consist of, but not limited to, preparation of a new Sustainable Master Plan (MP) for Memphis International Airport to reflect industry changes, update forecast and growth projections and establish airport priorities in consideration of recent and pending improvements to airport facilities and infrastructure. The new MP will be prepared in accordance with FAA AC No. 150/5070-6B and will define the future cargo and passenger aviation needs at MEM and the best alternatives for implementation. The project will be a two-part, phased contract that will first define the goals and objectives of the MP, gather data, engage stakeholders, and prepare forecasts necessary to define facility requirements for the study period. The second phase will develop and evaluate all the alternatives to meet the projected requirements, prepare an implementation plan and a financial feasibility analysis. The project will update an eALP currently being developed with the MP findings/recommendations. The MP will also include tasks for a Public Involvement Program; coordination with other teams preparing designs and assessments of airport facilities; Terminal MP; Airside MP; benefit cost analysis; Stormwater Management MP; Master Plan Report and Airport Layout Plans. MP services for General Dewitt Spain Airport in Memphis, TN, and for Charles W. Baker Airport in Millington, TN, as a system plan are also included in the scope of work. Other professional aviation and related planning services may be included in the contract under separate task orders.

SELECTION PROCEDURES Statements of Qualifications will be solicited from all firms or proposed teams that wish to be considered for the services outlined in this Scope of Services. One consultant or team will be selected by MSCAA based on a review of submitted statements. Statements submitted by the deadline established in these instructions will be reviewed and evaluated by MSCAA in accordance with the listed criteria. MSCAA will make the selections based on material submitted and optional telephone and/or in-person interviews. When citing recent project experience, respondents must provide current names and telephone numbers of knowledgeable project-owner representatives as references. Following the evaluation of submittals by the selection committee, the firms will be ranked for the project. Upon approval, the staff will attempt to negotiate a fee and scope for the required services with the top ranked firm. If a mutually satisfactory fee is negotiated, it will be submitted to MSCAA’s Board of Commissioners for approval. If these efforts are unsuccessful with the initial firm, negotiations shall cease with that firm and begin with the next ranked firm, and so on, until a satisfactory agreement has been reached and approved.

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SUBMITTAL REQUIREMENTS To expedite the evaluation of Submittals, each Submitting Firm must organize its Submittal into the following sections. Submittals which do not follow the specified format as outlined in the evaluation criteria section may be deemed unresponsive and disqualified from the process. In addition, failure on the part of a Submitting Firm to provide the required documentation may be cause for rejection of the Submittal. In the event of any conflict between any of the Submittal documents, resolution thereof shall be at MSCAA’s sole discretion. A. General Submittal Instructions

1. Submit the original and eight (8) copies of the Submittal and the required attachments in 8-1/2 x 11 inch 3-ring binders with all pages numbered sequentially.

2. The submittal and attachments cannot exceed thirty (30) single-spaced pages, and must be typewritten.

3. Use at least a 10-point font and 1/2 inch margins on all Submittal documents. B. Required Submittal Components

1. Cover Letter (maximum 2 pages), to provide an introductory statement and summary of the Submittal. It must include contact information for any questions regarding the Submittal. The Cover Letter will not count toward the page limit.

2. Complete the Standard Form 330, “Architect-Engineer Qualifications” with Attachments E and F (original and 6 copies) in the specified format and include the following information. The thirty (30) page limit applies to the entire Form 330, including Sections E and F for the prime consultant. Resumes and Example Projects (Sections E and F) for sub-consultants may be included, at the option of the prime consultant, if space permits.

a) Submitting Firms must be able to show at least five (5) years of verifiable and continuous airport master planning experience. Specify the types of services provided by the Submitting Firm for each project and for personnel assigned to it.

b) Provide a detailed review of other services completed by the Submitting Firm, including experience on Airport Improvement Projects funded with aviation-related grants, including size, scope, date completed and results.

c) Provide a summary of the Submitting Firm’s knowledge and experience with FAA and airport-specific planning, standards policies, rules and regulations.

d) Summarize the Submitting Firms’ experience working in partnership and/or subcontracting with DBE’s and related entities. Include information regarding DBE responsibilities on projects, internships or other activities which promote the development of DBE partnerships.

e) Identify the Submitting Firm’s projects currently in progress and explain how the Submitting Firm and program team plan to overcome any schedule conflicts that may inhibit the team’s ability to perform the services desired.

f) Summarize the qualifications and experience of the key staff that will be assigned to the project team and their role. Identify who will make up the full time, management and support staff.

g) Provide a proposed organization chart that lists key staff plus any sub-consultant staff, lines of supervision and communication and the role of each proposed sub-consultant in the program. Clearly indicate any firms which are UCA certified DBE’s.

h) Provide a brief summary of the proposed sub-consultants including staff names, expertise, experience, roles, and estimated percentage of time to be dedicated to the program.

3. The attached forms in the Disadvantaged Business Enterprise (DBE) Requirements section

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(DBE Assurance Statement/Letter of Intent; Respondent DBE Goals Accomplishment Statement; Title VI Civil Rights Act of 1964 Compliance; and Information on All Firms Considered for Professional Services) must be completed by all Respondents. Note: The Respondent may not be able to fill in the dollar amount and percentage for the anticipated work to be performed by each DBE firm. Notwithstanding, the DBE signature as well as the signature of the Respondent is required at time of Submittal. In addition, the Respondent should list information for every firm that may be considered for Respondent’s team on this project, even if Respondent ultimately decides not to include the firm as part of Respondent’s final program team on the form entitled “Information on All Firms Considered for Professional Services”. The forms found in the DBE Requirements section are not considered part of the 30 page submittal limits. See the Disadvantaged Business Enterprise (DBE) Requirements section for detailed information on the submission of these forms.

EVALUATION CRITERIA FOR CONSULTANT SELECTION

MSCAA will review all Submittals for completeness and adherence to the requirements of this SOQ. Submittals that do not follow the specified format may be deemed unresponsive and disqualified from the process. MSCAA has established the following specific criteria to evaluate Submittals. The evaluation factors are listed in order of importance. Each criteria category will be given a score based on a compilation of the factors, but the factors are not individually weighted.

1. EXPERIENCE AND QUALIFICATIONS OF KEY STAFF/EMPLOYEES (0-20 points) a. The specific, recent experience of the project director, the project manager, and other key

team personnel for the particular project. Be specific about prior airport master plan experience as well as responsibilities assumed by each of the team personnel.

b. Recognition of key personnel of successful completion of major project design and coordination, and confidence in duplicating the success.

c. Listing of successful projects of similar size and scope.

2. EXPERIENCE AND QUALIFICATIONS OF SUBMITTING FIRM (0-30 points) a. Respondent team’s specialized experience and technical competence in airport master plans,

and meeting project schedules. b. Respondent staffing levels and respective firm size as relevant to primary designer’s tasks /

lead responsibilities for the overall program. c. Clarity of the organizational chart and assignment of responsibilities.

3. PROPOSED SUB-CONSULTANT QUALIFICATIONS AND STAFF (0-25 points)

a. Experience and qualifications of proposed sub-consultants in their respective areas of expertise and relative value added to design team.

b. Prior years and type of project experience with the Respondent and other sub-consulting firms.

c. Clarity and quality of the sub-consultant organizational chart and responsibilities. d. Staffing level and firm size as relevant to the assigned responsibilities

4. BUSINESS AND FINANCIAL REFERENCES (0-15 points) a. Type and level of references provided by Respondent. b. Quality of feedback from references for Respondent on experience and performance.

5. DBE PARTICIPATION (0-10 points)

a. Disadvantaged Business Enterprise’ participation in similar, previous projects, and the commitment to do the same at Memphis.

b. Respondent’s track record of meeting DBE goals on prior projects.

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APPROXIMATED PROJECT SCHEDULE Receive Statements: ............................................ 2:00 PM local time on Thursday, September 15, 2016 Selection Interviews (if required) ........................................................................................ October 2016 Final Selection: ................................................................................................. Friday, November 4, 2016 Award of Contract: .................................................................................... Thursday, December 15, 2016 Notice to Proceed (NTP) ................................................................................... Monday, January 2, 2016

SUBMITALS REQUIRED DURING INTERVIEW

A copy of Respondent’s Financial Statements for the most recent three (3) years will be required during the interview process. The Authority prefers Audited Financial Statements, but will accept Reviewed Financial Statements performed by an independent Certified Public Accountant. However, if neither of these is currently available, please submit the Respondent’s Federal Tax Returns, and all supporting schedules, for the most recent three (3) years.

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM

The MSCAA hereby notifies that it will review and award bids in accordance with Title VI of the Civil Rights Act of 1964, 42 U.S.C. 2000d to 2000d-4a and Title 49, Part 26, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation issued pursuant to such Act. The MSCAA further notifies all Respondent’s that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, Disadvantaged Business Enterprises (DBEs) will be afforded full opportunity to submit material in response to this invitation and will not be discriminated against on the grounds of age, race, sex, color, national origin or disability in its hiring and employment practices, or in admission to, access to, or operation of its programs, services and activities. The DBE participation goal for this contract is 27% in accordance with the requirements of the contract. It is the policy of MSCAA that small business concerns owned and controlled by socially and economically Disadvantaged Business Enterprises (DBE's), have the maximum opportunity to participate in the performance of contracts with MSCAA. Accordingly, a percentage requirement for DBE participation on this project has been established at 27%. Respondents must indicate that they plan to meet these requirements by including information on the DBE firms to be employed in the project. It is not mandatory that all specifics of DBE participation be provided with the RFQ; a statement as to the general means, location, and amount of DBE participation offered will suffice for initial considerations. If selected, the respondent MUST provide required documentation with specific details for matching or exceeding the DBE goals prior to signing the contract.

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INFORMATION ON ALL FIRMS CONSIDERED FOR PROFESSIONAL SERVICES In order to expand the Authority’s database of firms providing professional services, the Respondent must submit a completed form, “Information on All Firms Considered for Professional Services” found in the attached Disadvantaged Business Enterprise (DBE) Requirements section. Respondent should list information for every firm that may be considered for Respondent’s team on this project, even if Respondent ultimately decides not to include the firm as part of Respondent’s final program team.

CONTACT OF AIRPORT STAFF AND BOARD OF COMMISSIONERS All firms are hereby placed on notice that neither the MSCAA Board of Commissioners, nor its employees or agents shall be lobbied either individually or collectively regarding this RFQ. Respondents, consultants and their agents are hereby advised that they are not to contact members of the MSCAA Board of Commissioners or staff members for such purposes as holding meetings of introduction, dinners, submission of information that is not part of the RFQ response, etc. if they intend to submit, or have made a submittal for consideration. Employees, agents and representatives from firms submitting qualifications for this project shall not undertake any activities or actions to promote or advertise their submittal to the Board of Commissioners or airport staff members. ANY FIRM CONTACTING INDIVIDUALS MENTIONED HEREIN SHALL BE IN VIOLATION OF THIS WARNING AND MAY BE DISQUALIFIED FROM FURTHER CONSIDERATION.

PROJECT DESCRIPTION

Airport Master Plan Memphis International Airport MSCAA Project No. 16-1403-00

Memphis International Airport, “America’s Aerotropolis”, is a powerful driver of economic activity in the Memphis region. The Airport is operated by the Memphis-Shelby County Airport Authority and is the headquarters for the FedEx air cargo operation; an important destination for multiple airlines; and home of a state-of-the art Air National Guard facility. The Airport also houses numerous ancillary support facilities; two fixed base operations adjacent to the Airport; and two general aviation facilities at off-site locations.

The primary objectives of the Airport Master Plan is to prepare a Sustainable Master Plan (MP) for Memphis International Airport to reflect industry changes, update forecast and growth projections and establish airport priorities in consideration of recent and pending improvements to airport facilities and infrastructure.

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DISADVANTAGED BUSINESS ENTERPRISE (DBE) REQUIREMENTS

MSCAA operates a federal Disadvantaged Business Enterprise (DBE) Program and a non-federal Business Diversity Development Program (BDDP) to ensure full and fair opportunities in MSCAA contracting for businesses owned by socially and economically disadvantaged individuals. Memphis-Shelby County Airport Authority (MSCAA) administers both programs according to the regulations that apply to the federal program, primarily 49 CFR Part 26. Because the BDDP program applies to contracts involving non-federal funds, not every aspect of 49 CFR Part 26 is relevant to the BDDP program. In most areas, 49 CFR Part 26 will guide our operation of the BDDP including, but not necessarily limited to, rules dealing with certification and counting participation. Only firms that are certified consistent with 49 CFR Part 26 and by the MSCAA or Tennessee Department of Transportation Unified Certification Program (TN UCP), as identified below, will be considered to be certified as a Disadvantaged Business Enterprise. This section, entitled “Disadvantaged Business Enterprise Requirements” is provided in an effort to assist Respondents. The information contained in this section is not intended to, nor does it, supplement or amend any federal regulation. All Respondents are responsible for compliance with all applicable federal and MSCAA rules and requirements. It is a requirement that all Respondents providing services for the MSCAA take all reasonable steps to ensure that DBE have a full and fair opportunity to compete for and perform contract work without discrimination on the basis of age, race, sex, color, national origin, creed, religion, sexual orientation or disability. In order to satisfy this requirement, Respondents will be expected to timely submit documentation as identified below and throughout the contract period if selected, and cooperate with MSCAA. Failure to timely submit requested documentation, cooperate with MSCAA or answer inquiries truthfully will be considered a material contract breach and may result in termination. The following documents must be submitted with your response to this solicitation:

DBE Assurance Statement/Letter of Intent. The Respondent must submit an Assurance Statement for each DBE whose participation the Respondent is counting toward the goal. This may include first, second, third and so on tier subcontractors and the Respondent and all subcontractors between the Respondent and the DBE should sign the Assurance Statement. The Respondent must submit this Assurance Statement on Company Letterhead. For each Assurance Statement, the Respondent must also provide the written quote or proposal from the DBE or other communication from the DBE upon which the scope of work and dollar value contained in your Assurance Statement is based (“quote/proposal”). For all RFQs using federal monies, the Assurance Statement(s) must still be submitted and list the DBE s to be used and their scope of work, but no dollar amount(s) is entered. Dollar amounts(s) will be submitted by the prevailing Respondent upon completion of the selection process. All portions of the Assurance Statement must be completed (including the description of work, the estimated contract amount, and the estimated dollar value of DBE participation

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for counting and goal purposes) before the Assurance Statement is signed by either the DBE or the Respondent. If the DBE’s, and if applicable the 2nd/3rd Tier Subcontractor’s, signature(s) can be obtained on the completed Assurance Statement before the bid submission deadline, the Respondent should submit the fully-completed and fully-signed Assurance Statement. If the Respondent submits an Assurance Statement that is completed except for the DBE’s, and if applicable, the 2nd/3rd Tier Subcontractor’s signature(s) and a quote/proposal from the DBE as described above, the Respondent will be given 24 hours from the bid submission deadline to submit the completed Assurance Statement signed by the DBE and if applicable the 2nd/3rd Tier Subcontractor. Each Assurance Statement submitted during this 24 hour window must conform to the previously submitted Assurance Statement except for DBE signature. These signed Assurance Statements must be submitted pursuant to the same location and time restrictions that applied to the solicitation response and late signed Assurance Statements will only be accepted for good cause as determined solely by MSCAA. MSCAA reserves the right to ask questions of the Respondent, investigate and require additional information as it determines necessary in its sole discretion to ensure that the regulations and MSCAA’s rules are followed as it relates to DBE participation. Respondent DBE Goals Accomplishment Statement Submit on Company Letterhead Information on All Firms that Provide Bids or Quotes

We ask, but do not require, that the Respondent submit the following information with the response to this solicitation:

Voluntary Disclosure of Respondent Data Definition of Socially and Economically Disadvantaged The rules that govern eligibility and certification of DBE are found generally at 49 CFR Part 26.5 and 26.61 through 26.73. These rules define a DBE as a for-profit, small business concern which is at least fifty-one percent (51%) owned and controlled by one or more socially and economically disadvantaged individuals. In the case of any publicly owned business, at least fifty-one percent (51%) of the stock must be owned by one or more socially and economically disadvantaged individuals. In addition, the personal net worth of the socially and economically disadvantaged owners of the small business concern must not exceed one million three hundred twenty thousand dollars ($1,320,000). As defined by 49 CFR, Part 26.5, a socially and economically disadvantaged individual is any individual who is a citizen (or lawfully admitted permanent resident) of the United States and who is –

(1) Any individual who a recipient finds to be a socially and economically disadvantaged individual on a case-by-case basis.

(2) Any individual in the following groups, members of which are rebuttably presumed to be socially and economically disadvantaged:

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(i) “Black Americans” which includes persons having origins in any of the Black racial groups of Africa;

(ii) “Hispanic Americans” which includes persons of Mexican, Puerto Rican, Cuban,

Dominican, Central or South American, or other Spanish or Portuguese culture or origin, regardless of race;

(iii) “Native Americans” which includes persons who are American Indians, Eskimos,

Aleuts, or Native Hawaiians;

(iv) “Asian-Pacific Americans” which includes persons whose origins are from Japan, China, Taiwan, Korea, Burma (Myanmar), Vietnam, Laos, Cambodia (Kampuchea), Thailand, Malaysia, Indonesia, the Philippines, Brunei, Samoa, Guam, the U. S. Trust Territories of the Pacific islands (Republic of Palau), the Commonwealth of the Northern Marianas Islands, Macao, Fiji, Tonga, Kiribati, Tuvalu, Nauru, Federated States of Micronesia, or Hong Kong;

(v) “Subcontinent Asian Americans” which includes persons whose origins are from

India, Pakistan, Bangladesh, Bhutan, the Maldives islands, Nepal or Sri Lanka;

(vi) Women;

(vii) Any additional groups whose members are designated as socially and economically disadvantaged by the SBA, at such time as the SBA designation becomes effective.

DBE Liaison Officer The DBE Liaison Officer is responsible for developing, implementing, and monitoring the DBE program on a day-to-day basis in coordination with other appropriate officials; carrying out technical assistance for a DBE ; and, disseminating information on available business opportunities so that a DBE is provided an equitable opportunity to bid on MSCAA contracts. The DBE Liaison Officer reports directly to the President of the MSCAA. For questions or information related to the DBE program, contact Joe Claiborne at (901) 922-2556. DBE Certification MSCAA certifies all of its DBEs through internal processes. The MSCAA compiles a directory of firms who have met the selection criteria for eligibility as a DBE, including 49 CFR Part 26. You can review the searchable directory of certified firms for MSCAA at our website (https://mscaa.mwdbe.com/). In the right hand column, you will find links to both the TN UCP Directory and the MSCAA DBE/ACDBE Directory. The TN UCP is a cooperative of entities which are recipients of federal funds that have developed a “one-stop shop” for certification throughout the State of Tennessee of which MSCAA is a certifying member. In order to be considered as meeting the DBE goal for a contract, each business wishing to participate as a DBE or a joint venture DBE, must either be:

(1) certified by the MSCAA or the TN UCP in accordance with 49 CFR Part 26, or;

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(2) receive affirmation from the MSCAA or the TN UCP that their certification from another entity is consistent with and acceptable to the MSCAA or the TN UCP.

Persons or entities who consider themselves a DBE but who are not certified by MSCAA, the TN UCP as a DBE, have not received affirmation from the MSCAA or the TN UCP that their certification from another entity is consistent with and acceptable to the MSCAA or the TN UCP will not be considered. Unless a firm meets the criteria above by the time the responses to this solicitation are due, its participation will not be considered as meeting the DBE goal in the solicitation. Each business wishing to participate as a DBE or a joint venture DBE must be certified at the time of bid opening and a current copy of the DBE’s certification must be attached to the Assurance Statement. Identification of Contract Goal and Requirements As an example: “For this contract, the DBE goal is established as 27%.” In order to be responsive, a Respondent must either meet the goal or make good faith efforts to do so. Good faith efforts are defined in Appendix A to 49 CFR Part 26 and discussed in the following section. If a Respondent’s DBE Assurance Statement proposes a DBE percentage less than the established goal, the Respondent must, at the time of making the response, submit appropriate documentation justifying its submitted DBE percentage. MSCAA reserves the right to request additional documentation or information from Respondent regarding its DBE Assurance Statement and, if applicable, any good faith efforts documentation. If MSCAA enters into a contract based on the Respondent’s DBE Goals Accomplishment Statement and documentation, the DBE percentage accepted by MSCAA will become a contractual requirement. If the Respondent’s DBE Assurance Statement proposes to attain a DBE percentage higher than the established goal, the established goal will remain the contractual requirement. Respondents shall not contract with, demand, require or coerce a DBE into any agreement or into the signing of any Assurance Statement or any other document which prohibits the DBE from providing subcontracting quotations or doing business with other Respondents. The DBE shall be free to provide their services to any number of Respondents. To ensure that all obligations under sub-contracts awarded to a DBE are met, the MSCAA will review the agreement between the Respondent and DBE, and Respondent’s DBE involvement efforts during the performance of the contract. The Respondent shall bring to the attention of the MSCAA any situation in which regularly scheduled progress payments are not made to a DBE. If, in the opinion of the MSCAA, the Respondent has made significant deviations from the DBE program commitments, it shall be considered a breach of contract. Good Faith Efforts Statement and Requirements In order to be responsive, Respondents must either meet the DBE goal or make good faith efforts to meet the goal. Respondents who do not meet the goal must establish adequate good faith efforts by submitting documentation along with the Respondent DBE Goals Accomplishment Statement. This statement should show that they took all necessary and reasonable steps to achieve the DBE goal, which could reasonably be expected to obtain sufficient DBE participation, even if they were not fully successful. The Respondent’s DBE Goals Accomplishment Statement and supporting

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documents should conform to the good faith requirements outlined in Appendix A of 49 CFR Part 26. The following is a list of types of actions that may be part of a Respondent’s efforts to obtain DBE participation and may be included in the Respondent DBE Goals Accomplishment Statement and documentation. This list is not intended to be a mandatory checklist, nor is it intended to be exclusive or exhaustive. Other factors or types of efforts may be relevant in appropriate cases:

A. Soliciting through all reasonable and available means (e.g. attendance at pre-bid meetings, advertising and/or written notices) the interest of all certified as a DBE who have the capability to perform the work of the contract. The Respondent must solicit this interest within sufficient time to allow the DBE to respond to the solicitation and take appropriate steps to follow-up initial solicitations to determine interest.

B. Selecting portions of the work to be performed by a DBE in order to increase the likelihood

that the goals of the will be achieved.

C. Providing any interested DBE with adequate information about the plans, specifications, and requirements of the contract in a timely manner to assist them in responding to a solicitation.

D. Negotiating in good faith with any interested DBE. It is the Respondent’s responsibility to

make a portion of the work available to DBE subcontractors and suppliers and to select those portions of the work or material needs consistent with the available DBE subcontractors and suppliers, so as to facilitate DBE participation.

E. Not rejecting any DBE as being unqualified without sound reasons based on a thorough

investigation of their capabilities.

F. Making efforts to assist any interested DBE in obtaining bonding, lines of credit, or insurance as required by the recipient or contractor.

G. Making efforts to assist any interested DBE in obtaining necessary equipment, supplies,

materials, or related assistance or services.

H. Effectively using the services of available minority/women community organizations; minority/women contractors’ groups; local, state, and Federal minority/women business assistance offices; and other organizations as allowed on a case-by-case basis to provide assistance in the recruitment and placement of any DBE.

I. Making efforts to identify and assist eligible firms, which are not yet certified by the MSCAA

or the TN UCP as a DBE, to obtain certification. These types of efforts will have special weight where it appears that the relevant firms will be certified in time for the execution of the contract.

If a Respondent has not met the DBE goal and submits Respondent DBE Goals Accomplishment Statement and documentation, the Respondent should summarize in detail all good faith efforts taken by the Respondent, including, but not limited to, the activities listed above in A through I, and supporting documentation. While the Respondent should submit documentation to support its good faith efforts at the time of bid submission, MSCAA may ask questions of Respondent or

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request additional documentation after review of Respondent’s DBE Goals Accomplishment Statement and any documentation. In submitting the information required under this section, Respondent understands and agrees that the determination of whether Respondent has met the DBE goal or established good faith efforts to meet the goal is a judgment call that MSCAA will make. COUNTING THE DBE PARTICIPATION DBE participation shall be counted toward meeting the DBE goal as outlined in 49 CFR Part 26, especially 26.55. When the Respondent completes an Assurance Statement, the Respondent must include not only the total value of the work to be performed and/or the materials to be supplied by the DBE but also the total amount of DBE participation that should be counted toward meeting the goal. For example, if a DBE is a regular dealer or supplier of pipe but does not install the pipe, then the Respondent can generally count the dollar value spent on the pipe at 60%. This would mean that if the DBE was supplying $100,000 of pipe then the contract amount would be $100,000 but the total amount of DBE participation would be $60,000 for counting and meeting the goal purposes. If you have any questions about counting, we strongly urge you to consult 49 CFR Part 26. The following may be helpful to you in counting DBE participation and in determining which sections of Part 26.55 you need to review in more detail:

(a) When a DBE participates in a contract or subcontract, the provider will count only the value of the work actually performed by the DBE toward the DBE goals. In a construction contract (and other similar contracts), this will include the work performed by the DBE ’s own forces and supplies purchased or equipment leased by the DBE as described below, especially (d) (but not supplies or equipment the DBE subcontractor purchases from the prime contractor or its affiliate.) The Respondent will count the entire amount of fees or commissions charged by a DBE for providing a bona fide service toward goals provided that we determine the fees to be reasonable and not excessive. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subcontractor is itself a DBE.

(b) When a DBE performs as a participant in a joint venture, the Respondent will count a portion

of the total dollar value of the contract equal to the distinct, clearly defined portion of the work of the contract that the DBE performs with its own forces toward DBE goals.

(c) The Respondent will count expenditures to a DBE contractor toward DBE goals only if the

DBE is performing a commercially useful function on that contract. A DBE performs a commercially useful function when it is responsible for execution of the work of the contract or subcontract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To determine whether a DBE is performing a commercially useful function, the Respondent will evaluate industry practices, the amount of work subcontracted, whether the amount the firm is to be paid under the contract is commensurate with work it is actually performing, and the DBE credit claimed for its performance of the work, and other relevant factors. The Respondent will determine questions of commercially useful function with regard to trucking companies under 49 CFR Part 26.55 (d).

(d) The Respondent will count expenditures with the DBE for materials or supplies toward DBE

goal in the manner described in 49 CFR Part 26.55 (e). Please review Part 26.55(e) carefully. It is important to note that the rule counts expenditures differently based upon whether the DBE

August 15, 2016 MSCAA No. 16-1403-00

15

is a manufacturer as defined by the rule (normally counted at 100% percent of the cost), a regular dealer as defined by the rule (normally counted at 60% of the cost) or neither of the two (normally counted at the entire amount of fees or commissions, or fees or transportation charges, provided they are reasonable). It is important to note that materials and supplies provided by a DBE that is not a regular dealer in those materials and supplies do not count toward meeting the goal. For example, if the DBE is a regular dealer of piping, the DBE cannot purchase office equipment and then supply that office equipment to the prime and count any portion of the cost of the office equipment toward meeting the goal. Such conduct for DBE counting purposes is prohibited by the rules and is considered to be an impermissible and illegal pass-through.

(e) If a firm is not currently certified as a DBE, in accordance with the standards of subpart D of

this part, at the time of the execution of the contract, the Respondent will not count the Firm’s participation toward any DBE goals, except as provided for in 49 CFR Part 26.87(i).

(f) The Respondent will not count the dollar value of work performed under a contract with a firm

after it has ceased to be certified toward any goals except as provided in 49 CFR Part 26.87(j).

(g) The Respondent will not count the participation of a DBE subcontractor toward a contractor’s final compliance with its DBE obligations on a contract until the amount being counted has actually been paid to the DBE.

SANCTIONS FOR NON-COMPLIANCE In case of the Respondent’s non-compliance with DBE and/or BDDP requirements as applicable, including, but not limited to, documentation, cooperation, and truthfulness, MSCAA shall impose such contract sanctions as it may determine to be appropriate. This may include but is not limited to:

a) Withholding of payments to the Respondent under the Contract until the Respondent complies; and/or

b) Cancellation, termination, or suspension of the Contract, in whole or in part; and/or

c) Payment by the Respondent to MSCAA of an amount equal to the difference in the DBE dollar

value contracted for and the dollar value achieved in documented DBE participation or any lesser amount or penalty as deemed appropriate by MSCAA, which dollar value shall be considered liquidated damages for failure to perform the requirements of this Contract and for which Respondent and all of its subcontractors agree to be bound.

PROMPT PAYMENT/RETAINAGE The Respondent agrees to pay each subcontractor under this prime contract for invoices submitted or normal progress payments for work completed satisfactorily or supplies provided satisfactorily pursuant to its contract and no later than fifteen (15) days from the receipt of each payment it receives from the MSCAA. There is no retainage or other sums allowed to be withheld from progress payments or any other payments and any exceptions to this prompt pay/retainage provision must be requested in writing

August 15, 2016 MSCAA No. 16-1403-00

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by Respondent (Contractor) and approved in writing by an MSCAA Vice-President or higher prior to the delay or withholding of any payments under this provision. Respondent (Contractor) will include the following paragraphs in all contracts and/or agreements related to the work [under this Contract] with subcontractors or suppliers and will require all its subcontractors and suppliers to include this paragraph in any contracts and/or agreements related to the work [under this Contract] with any other third parties and any other lower tier subcontractors or suppliers:

“It is understood and agreed by all involved parties that payment for work completed satisfactorily or supplies provided satisfactorily will be made to the appropriate party no later than fifteen (15) days from receipt of payment for that work or those supplies.

There is no retainage or other sums allowed to be withheld from progress payments or any other payments and any exceptions to this prompt pay/retainage provision must be requested in writing to MSCAA and approved in writing by an MSCAA Vice-President or higher prior to the delay or withholding of any payments under this provision.”

49 CFR Part 26 The Respondent shall carry out the applicable requirements of 49 CFR Part 26 in the award and administration of MSCAA contracts. Respondent agrees to provide all its subcontractors and suppliers and to require all its subcontractors and suppliers on this project to provide a complete copy of the Disadvantaged Business Enterprise (DBE) Requirements of this contract to all those who provide supplies or work related to this contract and to require all those providing supplies or work to be bound by these requirements as it relates to their work related to this contract.

August 15, 2016 MSCAA No. 16-1403-00

17

Project No.

DBE ASSURANCE STATEMENT/LETTER OF INTENT

RESPONDENT:

Name of Firm: Address: City: State: Zip: Telephone: DBE: Name of Firm: Address: City: State: Zip: Description of work to be performed by DBE:

The Respondent is committed to utilizing the above-named DBE for the work described above. The

estimated dollar value of this work is $ , which is % the total

base bid proposal.

AFFIRMATION

The above-named DBE affirms that it will perform the portion of the contract for the estimated dollar value as stated above.

By: Signature of DBE and Title Date Name By: Signature of 2nd/3rd Tier Subcontractor Date Name

and Title If the Respondent does not receive award of the prime contract, any and all representations in this letter of Intent and Affirmation shall be null and void.

By:

Signature of Respondent and Title Date Name

(SUBMIT ON RESPONDENT’S LETTERHEAD FOR EACH DBE SUBCONTRACTOR.)

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Project No.

RESPONDENT DBE GOALS ACCOMPLISHMENT STATEMENT The undersigned Respondent has satisfied the requirements of the bid/proposal specification in the following manner (please complete the appropriate spaces): The Respondent is committed to a minimum of _____% DBE utilization on this contract. The Respondent is unable to meet the DBE goal of _____% but is committed to a minimum

of _____% DBE utilization on this contract and submits the attached narrative and documentation demonstrating good faith efforts consistent with Appendix A of 49 CFR 26. The Respondent should attach as many pages as necessary to provide a full and complete narrative and supporting documentation of good faith efforts made. This narrative must be written on company letterhead and signed.

Please provide an explanation for the percentage quoted above:

Provide an explanation of the dollar value of DBE’s participation and compensation and how this has been determined to meet the specific goal requirements of this solicitation in whole or part. If DBE and company will enter into a Joint Venture, please describe the terms of the relationship and attach a copy of the contract between the parties.

It is the present intent of the Respondent to utilize the specific DBE firms identified in this proposal in the execution of this contract. If for any reason, one or more of the DBE identified here are unable or unwilling to participate, the Respondent will make good faith efforts to replace the DBE with a similar DBE. The Authority DBE Good Faith Procedures are provided in this package and apply to this proposal. Respondent’s Name: State Registration No.: Federal Tax ID No.: By:

Signature and Title Date

(SUBMIT THIS PAGE ON RESPONDENT’S LETTERHEAD)

August 15, 2016 MSCAA No. 16-1403-00

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Project No.

VOLUNTARY DISCLOSURE OF RESPONDENT DATA For Title VI Compliance, we ask for voluntary disclosure of the following information: Gender: Male Female Race: Caucasian Black American Hispanic American Native American Subcont. Asian American Asian-Pacific American Other (please specify)

(DO NOT SUBMIT THIS PAGE ON LETTERHEAD)

August 15, 2016 MSCAA No. 16-1403-00

20

Information on All Firms that Provided Bids or Quotes to: This requirement applies to all firms, regardless of whether they are subs or primes, regardless of the gender or race of their owners, and regardless of whether they are ultimately chosen to participate in the contract. Please list below the name, address, phone number and contact person for every firm that provided you a bid or a quote on this project – even if you ultimately decided not to use the firm in preparing your final bid. The first line should be used for the prime contractor on this project. All sections must be completed to the best of your ability. MSCAA Proj./Bid No.:

Name of Firm Selected? Y/N

Full Address of Firm Point of Contact Phone No. DBE? Y/N

Firm Age

AGRR*

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

yrs

*Footnote: Please enter the letter for the category that best identifies your annual gross revenue. AGRR =Annual Gross Revenue Ranges: A = Less than $500,000 B = $500,000 - $1 Million C = $1 - $2 Million D = $2 - $5 Million E = Over $5 Million

ARCHITECT-ENGINEER QUALIFICATIONS OMB No.: 9000-0157 Expires: 11/30/2017

STANDARD FORM 330 (REV. 3/2013) 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: Public reporting burden for this collection of information is estimated to average 29 hours (25 hours for part 1 and 4 hours for Part 2) per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden, to U.S. General Services Administration, Regulatory Secretariat (MVCB)/IC 9000-0157, Office of Governmentwide Acquisition Policy,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. 3/2013) PAGE 2 OF INSTRUCTIONS

Jane A. Smith

Joseph B. Williams

Tara C. Donovan

Chief Architect

Chief Mech. Engineer

Chief Elec. 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 F.

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.


SAMPLE ENTRIES FOR SECTION G (MATRIX)

26. NAMES OF KEY PERSONNEL

(From Section E, Block 12)

27. ROLE IN THIS CONTRACT


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

X X

X

X X

XX

NO. TITLE OF EXAMPLE PROJECT (FROM SECTION F) NO. 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

1

2

6

7

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. DUNS Number. Insert the Data Universal Numbering

System number issued by Dun and Bradstreet Information Services. Firms must have a DUNS number. 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 DUNS Number. 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. If the firm has been in existence for less than 3 years, see the definition for "Annual Receipts" under FAR 19.101.

12. Authorized Representative. An authorized represent-

ative 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.


List of Disciplines (Function Codes)


Code Description32333435363738394041424344454647484950515253545556575859606162

Hydraulic EngineerHydrographic SurveyorHydrologistIndustrial EngineerIndustrial HygienistInterior DesignerLand SurveyorLandscape ArchitectMaterials EngineerMaterials Handling EngineerMechanical EngineerMining EngineerOceanographerPhoto InterpreterPhotogrammetristPlanner: Urban/RegionalProject ManagerRemote Sensing SpecialistRisk AssessorSafety/Occupational Health EngineerSanitary EngineerSchedulerSecurity SpecialistSoils EngineerSpecifications WriterStructural EngineerTechnician/AnalystToxicologistTransportation EngineerValue EngineerWater Resources Engineer

Code DescriptionAcoustical EngineerAdministrativeAerial PhotographerAeronautical EngineerArcheologistArchitectBiologistCADD TechnicianCartographerChemical EngineerChemistCivil EngineerCommunications EngineerComputer ProgrammerConstruction InspectorConstruction ManagerCorrosion EngineerCost Engineer/EstimatorEcologistEconomistElectrical EngineerElectronics EngineerEnvironmental EngineerEnvironmental ScientistFire Protection EngineerForensic EngineerFoundation/Geotechnical EngineerGeodetic SurveyorGeographic Information System SpecialistGeologistHealth Facility Planner

01020304050607080910111213141516171819202122232425262728293031

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; DormitoriesBridges

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 DesignField Houses; Gyms; StadiumsFire ProtectionFisheries; Fish laddersForensic EngineeringForestry & 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


Code Description Code DescriptionA01

A02

A03

A04

A05

A06

A07

A08

A09

A10

A11

A12

B01B02

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

F01F02F03F04F05F06

G01

G02

G03

G04

G05

G06

H01

H02

H03

H04

H05

H06

H07

H08

H09

H10

H11

H12

H13


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


Code Description Code DescriptionI01

I02

I03

I04

I05

I06

J01

L01

L02

L03

L04

L05

L06

M01

M02

M03

M04

M05

M06

M07

M08

N01

N02

N03

O01O02O03

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 ParksOceanographic EngineeringOrdnance; 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



Code DescriptionU01

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)

PR

IME

J-V

P

AR

TN

ER

SU

BC

ON

- T

RA

CT

OR

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

a.

b.

c.

d.

e.

f.

STANDARD FORM 330 (REV. 3/2013) PAGE 1

D. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached)

CHECK IF BRANCH OFFICE







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)


a.

b.

c.

d.

(1) TITLE AND LOCATION (City and State)

PROFESSIONAL SERVICES CONSTRUCTION (If applicable)

(1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED






e.

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


(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

a.

b.

c.

d.

e.

f.

(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

b. POINT OF CONTACT NAME

23. PROJECT OWNER'S INFORMATION

c. POINT OF CONTACT TELEPHONE NUMBER


22. YEAR COMPLETED


TITLE OF EXAMPLE PROJECT (FROM SECTION F)

G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS

1

2

3

4

5

6

7

8

9

10


26. NAMES OF KEY PERSONNEL


27. ROLE IN THIS CONTRACT

(From Section E, Block 13)1 2 3 4 5 6 7 8 9 10

29. EXAMPLE PROJECTS KEY

NO. TITLE OF EXAMPLE PROJECT (FROM SECTION F) NO.

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


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. DUNS NUMBER

5. OWNERSHIP

b. Disciplinec. No. of Employees

10. PROFILE OF FIRM'S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS

b. Experiencec. Revenue Index

Number (see below)


1. SOLICITATION NUMBER (If any)

8a. FORMER FIRM NAME(S) (If any) 8b. YR. ESTABLISHED

9. EMPLOYEES BY DISCIPLINE

Total

(1) FIRM (2) BRANCH

1. Less than $100,000 2. $100,00 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. E-MAIL ADDRESS

8c. DUNS NUMBER

a. Federal Workb. Non-Federal Workc. 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 million10. $50 million or greater

Other Employees


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