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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 330 (1/2004) PAGE 6 <br />MANDATORY USE DATE OF FORM 6/2004 <br /> <br />F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S <br />QUALIFICATIONS FOR THIS CONTRACT <br />(Present as many projects as requested by the agency, or 10 projects, if not specified. <br />Complete one Section F for each project.) <br />20. EXAMPLE PROJECT KEY <br />NUMBER <br />4 <br />21. TITLE AND LOCATION (City and State) <br />FDOT SR-206 / Crescent Beach Bridge Cathodic Protection <br />Crescent Beach, Florida <br />22. YEAR COMPLETED <br />PROFESSIONAL SERVICES <br />2020 <br />CONSTRUCTION (If applicable) <br />NA <br />23. PROJECT OWNER'S INFORMATION <br />a. PROJECT OWNER <br />Florida Department of Transportation <br />b. POINT OF CONTACT NAME <br />Don Buwalda <br />c. POINT OF CONTACT TELEPHONE NUMBER <br />386.623.5186 <br />24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) <br />Underwater Engineering Services, Inc. (UESI), UESI performed as a subconsultant to Greenman-Pedersen, Inc. and provided <br />construction engineering inspection services for piles on the SR-206 Bridge over the Matanzas River, Crescent Beach, FL. UESI provided <br />a three-person dive team utilizing surface-supplied air on a work vessel for all of the work. Thirty-six piles required cathodic protection <br />jackets. UESI inspected each pile at least twice. Prior to the work, UESI inspected each pile to verify the damage as listed in the repair <br />plans. The first inspection on a pile was performed after the pile had been cleaned, the new rebar cage was installed and before the jacket <br />was installed. UESI checked for removal of all marine growth, rebar cage installation per plans, and anode connections per plans. A final <br />inspection was performed on the completed pile jackets. UESI inspected for formwork or bottom blowout of grout and mounting and <br />connections of the anodes. Additional inspections were done as necessary to verify corrections of defective work. The contract amount <br />was $39K <br />This project had underwater construction inspection of bridge piles as the Owner’s representative. <br />Team experience: <br />Mr. O’Connor was the Project Manager and led approximately 50% of the inspections. Mr. Faulk was dive supervisor for approximately <br />40% of the inspections. <br /> <br />25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT <br />a. <br />(1) FIRM NAME <br />UESI, Inc. <br />(2) FIRM LOCATION (City and State) <br />Fort Pierce, FL <br />(3) ROLE <br />Subconsultant <br />b. Greenman-Pedersen, Inc. Jacksonville, FL Prime <br />c. <br /> <br />Section E - Page | 87