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1 QUALIFICATION INFORMATION + ASSIGNED PERSONNEL I FORM SF 330 D <br /> Professional Architecture Services for Government Center Lobby+Gateway Park <br /> 1:SOLICITATION NUMBER(II <br /> ARCHITECT-ENGINEER QUALIFICATIONS RFQ No. 17-12-01 OA <br /> I PARTlI -GENERAL QUALIFICATIONS <br /> ffices, complete for each specific branch office seeking work.) _ <br /> 2a. FIRM(or Branch Office)NAME 3. YEAR ESTABLISHED 4. UNIQUE ENTITY IDENTIFIER <br /> Jezerinac Group, PLLC 2014 07-938-1564 <br /> 1 2b. STREET 5: OWNERSHIP <br /> 4400 PGA Blvd.,Suite 306 a.TYPE <br /> 2c. CITY 2d. STATE 2e. ZIP CODE PLLC <br /> 1 Palm Beach.Gardens FL 33410 b.SMALLBUSINESSSTATUS <br /> 6a..POINT OF CONTACT NAME AND TITLE 541330 <br /> Ronald Jezerinac, President 7. NAME OF FIRM(Ir Block 2e is a Branch Office) <br /> 1 6b.•TELEPHONE NUMBER 6c. E-MAIL ADDRESS <br /> 561=622-8585 rjezeriiac@jezerinacgroup:com <br /> 8a. FORMER FIRM NAME(S)(If ally) 8b. YEAR ESTABLISHED 8c. UNIQUE ENTITY-IDENTIFIER <br /> •I <br /> 9. EMPLOYEES BY DISCIPLINE '10. PROFILE OF FIRM'S EXPERIENCE <br /> 1 . ANDle ANNUAL AVERAGE REVENUE-FOR LAST 5 YEARS <br /> a.Function c.Number of Ernployeesa.Profic.Revenue Index <br /> Number <br /> Code b.Disciplineb.Experience <br /> (1)FIRM ' (2)BRANCH Cod <br /> e (see below) <br /> .57 Structural Engineering 7 A11 Auditoriums&Theaters 1 <br /> 1 C06 Churches; Chapels - 1 <br /> C10 Commercial.Bldg(low rise)Retail 2 <br /> C11 Community Facilities 1 <br /> D07 Hospitality:Clubs&Restaurants 1 <br /> E02. Educational Facilities 1 <br /> F02 Stadiums 1 <br /> GO1 Garages _ . 1 <br /> I H09 Medical Facilities <br /> H10 Hotels 1 <br /> H11 Residential 11 <br /> 101 Industrial 2 <br /> I L04 Cultural: Museums 1 <br /> 001 Office Bldgs, Industrial Parks 2 <br /> T02 Inspection Services 1 <br /> W01 Warehouses&Depots 1 <br /> 1 <br /> I Other Employees <br /> _ Total <br /> 11. ANNUAL AVERAGE PROFESSIONAL PROFESSIONAL SERVICES REVENUE INDEX NUMBER <br /> 1SERV_ICES REVENUES OF FIRM <br /> 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) 2. $100,000 to less than$250,000 7. $5 million to less than$10 million <br /> a.Federal Work 3. $250,000 to less than$500,000 8. $10 million to less than$25 million <br /> II b.Non Federal Work 4 4• $500,000 to less than$1 million 9: $25 million to less than$50 million <br /> c.Total Work 4 5. $1 million to less than.$2 million 10. $50 million or greater <br /> 12. AUTHORIZED REPRESENTATIVE <br /> The foregoing is a statement of facts. <br /> lT.-51GNA RE b.DATE <br /> 01/05/2017 <br /> c. • TITLE <br /> I Ronald Jezerin; :.sident <br /> STANDARD FORM 330(REV.8/2016)PAGE 6 <br /> SONG +ASSOCIATES 41 <br /> I <br />