INSTRUCTIONS FORM Complete this form electronically. Do not complete this form by hand. A COPY OF THE COMPLETED AND ATTACHMENTS TO: FORWARD AN ADDITIONAL UNIVERSITY CHICAGO MEDICAL CENTER Facilities Planning, Design, & Construction Construction Compliance 850 E. 58th St Chicago, Illinois 60637 ATTN: Joan Archie, Executive Director, Construction Compliance CAPABILITY SERVICES – 1. PRIMARY SERVICE CATEGORY Please select only one (1) primary service category below that will apply to your pre-qualification application. Architect Engineer Consultant 2. SECONDARY SERVICE CATEGORIES Please select the service(s) provided by your company below. Accessibility Furniture Adaptive Reuse Graphics & Branding Asbestos Abatement Historic Preservation Audio Visual HVAC Building Envelope Interior Design Civil Engineering Interior Renovation Code Analysis Lab Design and Planning Code Estimating Master Planning Commissioning Operational Analysis Decorating Pharmacy Design and Planning Design Architect Project Management Engineering Mechanical Programming – Engineering Electrical Program Management – Engineering Plumbing Roofing/Waterproofing – Engineering Fire Protection Scope Assessment – Equipment Planning Site Planning Façade Forensics Surveying Facility Assessments Sustainable Design Feasibility Studies Transition Planning Food Service Design & Planning Vertical Transportation Fire Protection Wind Studies
INSTRUCTIONS Complete this form electronically. Do not complete this form by hand. COMPLETED AND ATTACHMENTS FORWARD AN ADDITIONAL COPY TO: UNIVERSITY OF CHICAGO MEDICAL CENTER Facilities Planning, Design, & Construction Construction Compliance 850 E. 58th St Chicago, Illinois 60637 ATTN: Joan Archie, Executive Director, Construction Compliance CAPABILITY – SERVICES 1. PRIMARY SERVICE CATEGORY Please select only one (1) primary service category below that will apply to your pre-qualification application. Architect Engineer Consultant 2. SECONDARY SERVICE CATEGORIES Please select the service(s) provided by your company below. Accessibility Adaptive Reuse Asbestos Abatement Audio Visual Building Envelope Civil Engineering Code Analysis Code Estimating Commissioning Decorating Design Architect Engineering – Mechanical Engineering – Electrical Engineering – Plumbing Engineering – Fire Protection Equipment Planning Façade Forensics Facility Assessments Feasibility Studies Food Service Design & Planning Fire Protection Furniture Graphics & Branding Historic Preservation HVAC Interior Design Interior Renovation Lab Design and Planning Master Planning Operational Analysis Pharmacy Design and Planning Project Management Programming Program Management Roofing/Waterproofing Scope Assessment Site Planning Surveying Sustainable Design Transition Planning Vertical Transportation Wind Studies THE A FORM