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ARCHITECT - ENGINEER QUALIFICATIONS <br />PART I - CONTRACT -SPECIFIC QUALIFICATIONS <br />A. CONTRACT INFORMATION <br />1. TITLEAND LOCATION (Cityand State) <br />2. PUBLIC NOTICE DATE 3. SOLICITATION OR PROJECT NUMBER <br />B. ARCHITECT -ENGINEER POINT OF CONTACT <br />4. NAMEANDTITLE <br />5. NAME OF FIRM <br />6. TELEPHONE NUMBER 7. FAX NUMBER 8.E-MAILADDRESS <br />C. PROPOSED TEAM <br />(Complete this section for the prime contractor and all key subcontractors.) <br />D. ORGANIZATIONAL CHART OF PROPOSED TEAM ❑ (Attached) <br />AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 330 (REV. 812016) <br />(Check) <br />woo <br />�Z'° <br />9. FIRM NAME <br />10. ADDRESS <br />11. ROLE IN THIS CONTRACT <br />a <br />'¢Dm <br />m <br />wo <br />a. <br />❑ CHECK IF BRANCH OFFICE <br />b. <br />❑ CHECK IF BRANCH OFFICE <br />C. <br />❑ CHECK IF BRANCH OFFICE <br />d. <br />❑ CHECK IF BRANCH OFFICE <br />e. <br />❑ CHECK IF BRANCH OFFICE <br />f. <br />❑ CHECK IF BRANCH OFFICE <br />D. ORGANIZATIONAL CHART OF PROPOSED TEAM ❑ (Attached) <br />AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 330 (REV. 812016) <br />