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11. ANNUAL AVERAGE PROFESSIONAL <br />SERVICES REVENUES OF FIRM <br />FOR LAST 3 YEARS <br />(Insert revenue index number shown at right) <br />PROFESSIONAL SERVICES REVENUE INDEX NUMBER <br />1. Less than $100,000 6.$2 million to less than $5 million <br />2. $100,000 to less than $250,000 7. $5 million to less than $10 million <br />3. $250,000 to less than $500,000 8. $10 million to less than $25 million <br />4. $500,000 to less than $1 million 9. $25 million to less than $50 million <br />5. $1 million to less than $2 million 10. $50 million or greater <br />a. Federal Work 2 <br />b. Non-Federal Work 9 <br />c.Total Work 9 <br />12. AUTHORIZED REPRESENTATIVE <br />The foregoing is a statement of facts. <br />a.SIGNATURE b. DATE <br />May 3, 2016 <br />c.NAME AND TITLE <br />David Wantman, PE / President <br />AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FROM 330 <br />PAGE 56