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<br />. <br /> <br />. <br /> <br />. <br /> <br />ARCHITECT - ENGINEER QUALIFICATIONS <br /> <br />1. SOLICIT A nON NUMBER (if any) <br />Professional Engineering Services <br /> <br />PART 11- GENERAL QUALIFICATIONS <br />(If a firm has branch offices. complete for each specific branch office seeking work.) <br /> <br />2a. FIRM (OR BRANCH OFFICE) NAME 3. YEAR ESTABLISHED T 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 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 16C. E. MAIL ADDRESS 7. NAME OF FIRM (if block 2a is a branch office) <br />954.788-3400 d keith@keith-assoclates.com N/A <br />8a. FORMER FIRM NAME(S) (If any) 8b. YR. ESTABLISHED I 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) 8fancl1 Code Number <br /> (see below) <br />02 Administrative 8 C06 Churches; Chapels 2 <br />08 CADD Technician 6 C07 Coastal Engineering 2 <br />12 Civil Engineer 1 COB Codes; Standards; Ordinances 2 <br />15 Construction lnspector 3 C10 Commercial Building (Low Rise) 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 /> P05 Planning (Community, Regional.... 2 <br /> S04 Sewage Collection, Treatment & Disposal 1 <br /> S10 Surveying;Platting;Mapping;Frood 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 ress than $250,000 7. $5 million to less than $10 million <br />3. $250,000 to less than $500,000 8. $10 mill!on to less than $25 million <br />b. Non-Federel Work 3.5 Million 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 milllon to le's5 than $2 million 10. $50 m~f1on or greater <br /> <br />a. SIGNATURE <br /> <br />12. AUTHORIZED REPRESENTATIVE <br />The foregoing Is a statement of facts. <br /> <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 (6/2004) <br />