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<br />1. SOLICITATION NUMBER (ff8ny) <br />ARCHITECT - ENGINEER QUALIFICATIONS 20070416-7-CM-01 <br /> <br />PART 11- GENERAL QUALIFICATIONS <br />(If a firm has branch offices, complete for each specific branch office seeking work.) <br />2a, FIRM (OR BRANCH OFFICE) NAME 3. YEAR ESTABLISHED 4. DUNS NUMBER <br />Cousins Surveyors & Associates, Inc. 1993 <br /> <br />-"2'"b."STR E ET <br />3921 SW 471t1 Avenue, Suite 1011 <br /> <br />5. OWNERSHIP <br /> <br />2c, CITY <br />Davie <br /> <br />2d. STATE <br />FL <br /> <br />2e. ZIP CODE <br />33314 <br /> <br />a, TYPE <br />Corporation <br /> <br />b. SMALL BUSINESS STATUS <br />No <br /> <br />6a. POINT OF CONTACT NAME AND TITLE <br />Richard E. Cousins, Owner/Principal <br /> <br />7. NAME OF FIRM (If block 28 is a branch offlce) <br /> <br />6b. TELEPHONE NUMBER <br />954.680-9885 <br /> <br /> <br />Bb. YR. ESTABLISHED <br /> <br />Be. DUNS NUMBER <br /> <br /> 9. EMPLOYEES BY DISCIPLINE 10. PROFILE OF FIRM'S EXPERIENCE AND <br /> - ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS <br />a. Function c. No. of Employees a. Profile C. Revenue <br />Code b. Discipline (1) FIRM (2) BRANCH Code b. Experience Index Number <br /> (see below) <br /> Surveyor & Mapper 1 1 A08 Animal Facilities 1 <br /> - <br /> Field Personal 10 10 A11 Auditoriums & Theatres 1 <br />02 Administrative 1 1 C05 Child Care/Development Facilities 1 <br />- <br /> Other Office 1 1 COO Churches; Chapels 1 <br /> C10 Commercial Building; (low rise); Shopping 2 <br /> C11 Community Facilities 1 <br /> 007 Dining Halls; Clubs; Restaurants 1 <br /> E02 Educational Facilities; Classrooms 1 <br /> -- <br /> F03 Fire Protection 0 <br /> G01 Garages; Vehicle Maintenance Facilities; 1 <br /> - <br /> - H10 Hotels; Motels 1 <br /> - <br /> H11 Housing (Residential, Multifamily. 1 <br /> 105 Interior Design; Space Planning D <br /> JD1 Judicial and Courtroom Facilities 0 <br /> L04 Libraries; Museums; Galleries 1 <br /> .._- <br /> R04 Recreational Facilities (Parks; Marinas; ect.) 1 <br />-- S12 Swimming Pools 0 <br /> '-- - <br /> 0 0 <br /> Total - <br /> 13 13 <br /> <br />11. ANNUAL AVERAGE PROFESSIONAL SERVICES <br />REVENUES OF FIRM <br />FOR LAST 3 YEARS <br />(Insert revenue Index number shown at right) <br /> <br />PROFESSIONAL SERVICES REVENUE INDEX NUMBER <br /> <br />a. Federal Work 0 <br />b. Non-Federal Work 0 <br />c. Tollll Wor1< 0 <br /> <br />1. Less than $100.000 <br />2. $100,00010 less than $250,000 <br />3. $250,000 to less than $500,000 <br />4. $500,000 to less than $1 million <br />5. $1 million to less than $2 million <br /> <br />6. $2 million to less Ihan $5 million <br />7. $5 million 10 less than $10 million <br />6, $10 million 10 less than $25 million <br />9. $25 million to less Ihan $50 million <br />10. $50 million or greater <br /> <br />12. AUTHORIZED REPRESENT A raVE <br />The foregoing is a statement of facts, <br /> <br />. SIGNATURE to. /? /1 <br />"\0:-J-~ ~.lA ~ <br />c. NAME AND TITLE <br /> <br />"-" <br /> <br />L DATE <br />10-9-07 <br /> <br />Richard E Cousins, Principal <br />