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<br />23. FIRM (OR BRANCH OFFICE) NAME 3. YEAR ESTABLISHED I 4. DUNS NUMBER <br />Keith & Associates, Inc. 1998 N/A <br />2b. STREET 5. OWNERSHIP <br />301 East Atlantic Boulevard a. TYPE <br />2c. CITY r 2d. STATE /2e. ZIP CODE Corporation <br />Pompano Beach Fl 33060 b. SMALL BUSINESS STATUS <br />6a: POINT OF CONTACT NAME AND TITLE NAICS 541330/NAICS 541370 <br />A. Dodie Keith-Lazowick, President <br />6b. TELEPHONE NUMBER lac. E. MAIL ADDRESS 7. NAME OF FIRM (if block 213 is a branch office) <br />954.788-3400 dkeith@keith-assoclates.com N/A <br />8a. FORMER FIRM NAME(S) (If any) 8b. YR. ESTABLISHED T 8c. DUNS NUMBER <br />N/A N/A T N/A <br /> 9. EMPLOYEES BY DISCIPLINE 10. PROFILE OF FIRM'S EXPERIENCE AND <br /> ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS <br /> c. No. of Employees c. Revenue <br />a.Function b. Discipline a. PrOfile b. Experience Index <br />Code (1) Firm (2) Branch Code Number <br /> (see below) <br />02 Administrative 8 C06 Churches; Chapels 2 <br />08 CAOD Technician 6 CO? Coastal Engineering 2 <br />12 Civil Engineer 1 COB Codes; Standards; Ordinances 2 <br />15 Construction Jnspector 3 C10 Commercial Building (Low Rrse) 2 <br />16 Construction Manager 1 C11 Community Facilities 3 <br />18 Cost Engineer/Estimator 1 C15 Construction Management 4 <br />38 Land Surveyor 2 C16 Construction Surveying 1 <br />47 Planner: Urban/Regional 2 E02 Educational Facilities 2 <br />48 Project Manager 3 H07 Highways; Streets; Airfield Paving; 3 <br /> Other Employees 6 106 Irrigation; Drainage 1 <br /> POS Planning (Community, RegionaL... 2 <br /> S04 Sewage Collection, Treatment & Disposal 1 <br /> S10 Surveying;Platting;Mapping;Flood Stud 3 <br /> S13 Stonn Water Handling & Facilities 2 <br /> T02 Testing & Inspection Services 1 <br /> T04 Topographic Surveying & Mapping 3 <br /> W03 Water Supply; Treatment & Distribution 1 <br /> Z01 Zoning; Land Use Studies 2 <br /> Total 33 <br /> 11. ANNUAL AVERAGE PROFESSIONAL PROFESSIONAL SERVICES REVENQE INDEX NUMBER <br />SERVICES REVENUES OF FIRM FOR LAST 3 YEARS 1. Less than $100,000 6. $2 million to less than $5 million <br /> (Insert revenue Index number shown at right} <br />a. Federal Work N/A 2. $100,000 to less than $250,000 7. $5 mlWon to less than $10 million <br /> 3. $250,000 to less than $500,000 8. $10 millIon to less than $25 million <br />b. Non-Federal Work 3.5 Miflion 4. $500,000 to Jess than $1 million 9. $25 million to less than $50 million <br />c. Total Work 3.5 Million 5. $1 million to le'ss than $2 million 10. $50 matlan or greater <br /> <br />PART" - GENERAL QUALIfICATIONS <br />(If a firm has branch offices, complete for each specific branch office seeking work.) <br /> <br />1. SOLICITATION NUMBER (if any) <br />Professional Engineering SeNices <br /> <br />ARCHITECT - ENGINEER QUALIFICATIONS <br /> <br />a. SIGNATURE <br /> <br /> <br />12. AUTHORIZED REPRESENTATIVE <br />The foregoing Is a statement of facts. <br /> <br />b. DATE <br />September 24, 2007 <br /> <br />c. NAME AND TITLE <br />A_ Dodie Keith-Lazowick, President <br /> <br />AUTHORIZED FOR LOCAL REPRODUCTION <br /> <br />A <br /> <br />STANDARD FORM 330 (612004) <br />