2. FIRM NAME: PHONE NO: ___________________ 3. ADDRESS OF OFFICE WHERE WORK WILL BE PERFORMED:_____________________________________________ ZIP : ___________ INDICATE SERVICE(S) TO BE PROVIDED ON THE PROJECT IN THE BASIC SERVICES LISTED BELOW: APPLICANT PROPOSED OUTSIDE CONSULTANTS SERVICE(S) OFFERED (X) BOARD REG. NO. & CHARTER NO. NAME, ADDRESS, PHONE SERVICE(S) OFFERED (X) FL BOARD REG. NO. & CHARTER NO. NAME, ADDRESS, PHONE PE/PG ( ) REG # PE/PG ( ) REG # CH # CH # PE/PG ( ) REG # PE/PG ( ) REG # CH # CH # RA ( ) REG # RA ( ) REG # CH # CH # LAC ( ) REG # LAC ( ) REG # CH # CH # LAC ( ) REG # LAC ( ) REG # CH # CH # CIH ( ) REG # CIH ( ) REG # CH # CH # 4. WORKLOAD FOR APPLICANT FIRM ONLY: (Do not include PROPOSED OUTSIDE CONSULTANTS.) Indicate each project the APPLICANT will be handling as of the DEADLINE DATE for the submittal on THIS PROJECT and the professional fees under contract for APPLICANT firm only. EXCLUDE WORKLOAD SUBCONTRACTED TO PROPOSED OUTSIDE CONSULTANTS. Specify number of all principals and technical staff that will be assigned to or available for this project WITHIN THE APPLICANT FIRM ONLY, EXCLUDING PROPOSED OUTSIDE CONSULTANTS.
APPENDIX C DISTANCE FROM 1701 Prudential Drive A Location of Corporate Headquarters From DCPS (3 pts Max) B Location where majority of work to be performed (7 pts Max) C Distance Mitigation Plan (Depending on Effectiveness of Plan 0-2 pts) DUVAL COUNTY 3 7 SURROUNDING COUNTY 2 5 ELSEWHERE IN 1 1 OUTSIDE 0 0 APPENDIX D WORKLOAD RATING TABLE RATING CURRENT WORKLOAD/PROFESSIONAL- TECHNICAL EMPLOYEES (Based on Professional Services Fees)
APPENDIX F OFFICE OF ECONOMIC OPPORTUNITY PROPOSED SCHEDULE OF PARTICIPATION Name of Contractor/Consultant: Project Title: Project No.: Date: Base Bid Amount: Code (See below) Firm Name Phone # Scope of Work to be Subcontracted (indicate if the Contract will include Labor & Material) Dollar Value Total Dollar Value (s) Percentage of Base Bid (%) OEO FORM 1 Page 1 of 2 SMALL, MICRO, M/WBE CODE: SBE Small Business Enterprise
The Asbestos Consultant shall, throughout the term of the contract, maintain a Florida Asbestos Consultant’s License as required pursuant to Chapter 455, Florida Statutes. The Asbestos Consultant and/or employees representing the Asbestos Consultant, performing AHERA Inspections/Re-inspections and Management Planning, shall maintain required certifications in compliance with all applicable Federal and State regulations. Any laboratory used by the Asbestos Consultant shall maintain proper NVLAP and other accreditation as required to comply with all applicable Federal and State regulations. The Asbestos Consultant shall provide documentation of all licensure and/or accreditation as part of any and all reports produced under this contract. The Asbestos Consultant shall be willing to provide appropriate emergency response as required by the owner within 4 hours after notification. The presence of the Asbestos Consultant’s field personnel, either full-time or shall be for the purpose of observation of field testing of specific aspects of each project as authorized by the owner. Should a contractor, not retained by the Asbestos Consultant, be involved in the project, it is agreed that the Asbestos Consultant’s services do not include supervision or direction of the contractor and/or his employees. Additionally, the Asbestos Consultant may be requested to perform other various general consulting services (where appropriately certified and/or licensed) based on negotiated hourly rates and written authorization by the owner. END OF SECTION