University of California, Davis Consultant Experience Form Project: Veterinary Medical Center - Multiple Projects Specialty (include information for all No) No) or or specialties and consultants on Active UC Projects All UC Projects within Last 5 All Other Projects with Any Claims* or or proposed design team) Campus/Project Years Campus/Project Active and Past 5 Claims* Claims* Note which is Prime Consultant Consultant/Firm Name (list all for each firm) (list all for each firm) (list all for each firm) Litigation? Litigation? (Yes** (Yes** Architecture (Prime) Structural Engineering Mechanical Engineering Plumbing Engineering Electrical Engineering Fire Protection Engineering Telecommunication Engineering Veterinary Facility Design Code Consultant LEED Consultant Cost Estimating Other Consultants (list all) The information provided on this experience form was prepared by my office of the consultant listed above, who verifies under penalty of perjury that all information set forth on this form, to the best of my knowledge, is complete and accurate as of the date of submission of the Statement of Qualifications. (Signature) (Name) (Title) (Date) Attach additional pages if necessary for any category *Claims shall include all claims including all pending, unresolved claims of professional negligence or breach of contract for professional services against your firm or any owner or principal of your firm. **If yes, explain:
University of California, Davis Consultant Experience Form Project: Veterinary Medical Center - Multiple Projects Specialty (include information for all specialties and consultants on proposed design team) Note which is Prime Consultant Consultant/Firm Name Active UC Projects Campus/Project (list all for each firm) Claims* or Litigation? (Yes** or No) All UC Projects within Last 5 Years Campus/Project (list all for each firm) Claims* or Litigation? (Yes** or No) All Other Projects with Any Claims* Active and Past 5 (list all for each firm) Architecture (Prime) Structural Engineering Mechanical Engineering Plumbing Engineering Electrical Engineering Fire Protection Engineering Telecommunication Engineering Veterinary Facility Design Code Consultant LEED Consultant Cost Estimating Other Consultants (list all) The information provided on this experience form was prepared by my office of the consultant listed above, who verifies under penalty of perjury that all information set forth on this form, to the best of my knowledge, is complete and accurate as of the date of submission of the Statement of Qualifications. (Signature) (Name) (Title) (Date) Attach additional pages if necessary for any category *Claims shall include all claims including all pending, unresolved claims of professional negligence or breach of contract for professional services against your firm or any owner or principal of your firm. **If yes, explain:
rfq_vmc_dp.docx