2. FIRM NAME: PHONE NO: ___________________ 3. ADDRESS OF OFFICE WHERE WORK WILL BE PERFORMED:_____________________________________________ ZIP : ___________ INDICATE SERVICE(S) TO BE PROVIDED ON THE PROJECT IN THE BASIC SERVICES LISTED BELOW: APPLICANT PROPOSED OUTSIDE CONSULTANTS SERVICE(S) BOARD REG. NO. & SERVICE(S) FL BOARD REG. NO. & OFFERED CHARTER NO. NAME, ADDRESS, PHONE OFFERED CHARTER NO. NAME, ADDRESS, PHONE (X) (X) Architectural REG # Architectural REG # CH # CH # REG # REG # Civil Engineering Civil Engineering CH # CH # REG # REG # Electrical Electrical Engineering Engineering CH # CH # Mechanical REG # Mechanical REG # Engineering Engineering CH # CH # Structural REG # Structural REG # Engineering Engineering CH # CH # REG # REG # FIRE PROTECTION FIRE PROTECTION ENGINEERING ENGINEERING (Optional) CH # CH #
2. FIRM NAME: PHONE NO: ___________________ 3. ADDRESS OF OFFICE WHERE WORK WILL BE PERFORMED:_____________________________________________ ZIP : ___________ INDICATE SERVICE(S) TO BE PROVIDED ON THE PROJECT IN THE BASIC SERVICES LISTED BELOW: APPLICANT PROPOSED OUTSIDE CONSULTANTS SERVICE(S) OFFERED (X) BOARD REG. NO. & CHARTER NO. NAME, ADDRESS, PHONE SERVICE(S) OFFERED (X) FL BOARD REG. NO. & CHARTER NO. NAME, ADDRESS, PHONE Architectural REG # Architectural REG # CH # CH # Civil Engineering REG # Civil Engineering REG # CH # CH # Electrical Engineering REG # Electrical Engineering REG # CH # CH # Mechanical Engineering REG # Mechanical Engineering REG # CH # CH # Structural Engineering REG # Structural Engineering REG # CH # CH # FIRE PROTECTION ENGINEERING (Optional) REG # FIRE PROTECTION ENGINEERING REG # CH # CH #
RFQ-002-17%20SelectionofArchitectEngineer%20Continuing%20Services-March%202017.docx