Team Member Team Member Information Projects Additional Team Experience and Member Projects Role Firm Information Year Year Year Project Years Year Year Year Year Year Year Discipline with Size, Size, Size, Size, Staff Name and / Role Current Size, Size, Size, Size Size, Registration For This Firm / Cost, Cost, Cost, Cost, Cost, Cost, Cost, Cost, Cost, , /Credential Project Years Title, Title, (see keys, with Title Title, Title, Title, Title, Title, Title 4 5 5 5 5 Other for Firms Project Project Project Project Filing) Section Section Section Section Section Add’l Add’l Add’l Add’l 1. 2. 3. 4. 5. Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB See page 14 of this document for Project Disciplines and Roles. 4. Qualifying Project Secure Juvenile Treatment Facility of $19.6 Million 37,900 GSF or To fulfill the requirements of WIS ADM Code 20.02 (6) (d), your firm must be able to claim Prime Responsibility for a Qualifying Project as described in “Qualification Requirements” on page 4. Project Title, City, State: 1. Square footage of the qualifying at substantial completion: 2. Unescalated construction cost of the qualifying “Secure Juvenile Treatment Facility” at substantial completion:
Firm Information Team Member Information Team Member Projects Experience and Role Additional Team Member Projects Staff Name and Registration /Credential Project Discipline / Role For This Project (see keys, for Filing) Years with Current Firm / Years with Other Firms 1. Section 4 Title, Cost, Size, Year 2. Section 5 Title, Cost, Size, Year 3. Section 5 Title, Cost, Size, Year 4. Section 5 Title, Cost, Size Year 5. Section 5 Title Cost, Size, Year Add’l Project Title, Cost, Size, Year Add’l Project Title , Cost, Size, Year Add’l Project Title, Cost, Size, Year Add’l Project Title, Cost, Size, Year Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB Firm Name City, State MBE/DVB See page 14 of this document for Project Disciplines and Roles. 4. Qualifying Project Secure Juvenile Treatment Facility of $19.6 Million or 37,900 GSF To fulfill the requirements of WIS ADM Code 20.02 (6) (d), your firm must be able to claim Prime Responsibility for a Qualifying Project as described in “Qualification Requirements” on page 4. Project Title, City, State: 1. Square footage of the qualifying at substantial completion: 2. Unescalated construction cost of the qualifying “Secure Juvenile Treatment Facility” at substantial completion:
18F1Y_Qualification_Solicitation.docx