Standard Form (SF) 330

Standard Form (SF) 330 Standard Form (SF) 330

25. Firms from Section C Involved with This Project.Indicate which firms (or branch offices, if appropriate) on theproject team were involved in the example project, and theirroles. List in the same order as Section C.Section G. Key Personnel Participation in ExampleProjects.This matrix is intended to graphically depict which keypersonnel identified in Section E worked on the exampleprojects listed in Section F. Complete the following blocks(see example below).26. and 27. Names of Key Personnel and Role in ThisContract. List the names of the key personnel and theirproposed roles in this contract in the same order as theyappear in Section E.28. Example Projects Listed in Section F. In the columnunder each project key number (see block 29) and for eachkey person, place an "X" under the project key number forparticipation in the same or similar role.29. Example Projects Key. List the key numbers andtitles of the example projects in the same order as theyappear in Section F.Section H.Additional Information.30. Use this section to provide additional informationspecifically requested by the agency or to address selectioncriteria that are not covered by the information provided inSections A-G.Section I.Authorized Representative.31. and 32. Signature of Authorized Representative andDate. An authorized representative of a joint venture or theprime contractor must sign and date the completed form.Signing attests that the information provided is current andfactual, and that all firms on the proposed team agree towork on the project. Joint ventures selected fornegotiations must make available a statement ofparticipation by a principal of each member of the jointventure.33. Name and Title. Self-explanatory.SAMPLE ENTRIES FOR SECTION G (MATRIX)26. NAMES OF KEYPERSONNEL(From Section E,Block 12)Jane A. SmithJoseph B. WilliamsTara C. Donovan27. ROLE IN THISCONTRACT(From Section E,Block 13)Chief ArchitectChief Mech. EngineerChief Elec. Engineer28. EXAMPLE PROJECTS LISTED IN SECTION F(Fill in "Example Projects Key" section below first, beforecompleting table. Place "X" under project key number forparticipation in same or similar role.)1 2 3 4 5 6 7 8 9 10XXXXXXXXX29. EXAMPLE PROJECTS KEYNO. TITLE OF EXAMPLE PROJECT (FROM SECTION F) NO. TITLE OF EXAMPLE PROJECT (FROM SECTION F)16 XYZ Corporation Headquarters,Federal Courthouse, Denver, COBoston, MA2 Justin J. Wilson Federal Building, 7Baton Rouge, LAFounder's Museum, Newport RISTANDARD FORM <strong>330</strong> (6/2004) PAGE 3 OF INSTRUCTIONS


Part II - General QualificationsSee the "General Instructions" on page 1 for firms withbranch offices. Prepare Part II for the specific branch officeseeking work if the firm has branch offices.1. Solicitation Number. If Part II is submitted for aspecific contract, insert the agency's solicitation numberand/or project number, if applicable, exactly as shown in thepublic announcement or agency request.2a-2e. Firm (or Branch Office) Name and Address.Self-explanatory.3. Year Established. Enter the year the firm (or branchoffice, if appropriate) was established under the currentname.4. DUNS Number. Insert the Data Universal NumberingSystem number issued by Dun and Bradstreet InformationServices. Firms must have a DUNS number. See FAR Part4.6.5. Ownership.a. Type. Enter the type of ownership or legal structureof the firm (sole proprietor, partnership, corporation, jointventure, etc.).b. Small Business Status. Refer to the North AmericanIndustry Classification System (NAICS) code in the publicannouncement, and indicate if the firm is a small businessaccording to the current size standard for that NAICS code(for example, Engineering Services (part of NAICS 541<strong>330</strong>),Architectural Services (NAICS 541310), Surveying andMapping Services (NAICS 541370)). The small businesscategories and the internet website for the NAICS codesappear in FAR Part 19. Contact the requesting agency forany questions. Contact your local U.S. Small BusinessAdministration office for any questions regarding BusinessStatus.6a-6c. Point of Contact. Provide this information for arepresentative of the firm that the agency can contactfor additional information. The representative must beempowered to speak on contractual and policy matters.7. Name of Firm. Enter the name of the firm if Part II isprepared for a branch office.8a-8c. <strong>Form</strong>er Firm Names. Indicate any other previousnames for the firm (or branch office) during the last sixyears. Insert the year that this corporate name change waseffective and the associated DUNS Number. Thisinformation is used to review past performance on Federalcontracts.9. Employees by Discipline. Use the relevant disciplinesand associated function codes shown at the end of theseinstructions and list in the same numerical order. After thelisted disciplines, write in any additional disciplines and leavethe function code blank. List no more than 20 disciplines.Group remaining employees under "Other Employees" incolumn b. Each person can be counted only once accordingto his/her primary function. If Part II is prepared for a firm(including all branch offices), enter the number of employeesby disciplines in column c(1). If Part II is prepared for abranch office, enter the number of employees by discipline incolumn c(2) and for the firm in column c(1).10. Profile of Firm's Experience and Annual AverageRevenue for Last 5 Years. Complete this block for the firmor branch office for which this Part II is prepared. Enter theexperience categories which most accurately reflect thefirm's technical capabilities and project experience. Use therelevant experience categories and associated profile codesshown at the end of these instructions, and list in the samenumerical order. After the listed experience categories,write in any unlisted relevant project experience categoriesand leave the profile codes blank. For each type ofexperience, enter the appropriate revenue index number toreflect the professional services revenues received annually(averaged over the last 5 years) by the firm or branch officefor performing that type of work. A particular project maybe identified with one experience category or it may bebroken into components, as best reflects the capabilities andtypes of work performed by the firm. However, do notdouble count the revenues received on a particular project.11. Annual Average Professional Services Revenues ofFirm for Last 3 Years. Complete this block for the firm orbranch office for which this Part II is prepared. Enter theappropriate revenue index numbers to reflect theprofessional services revenues received annually (averagedover the last 3 years) by the firm or branch office. IndicateFederal work (performed directly for the FederalGovernment, either as the prime contractor orsubcontractor), non-Federal work (all other domestic andforeign work, including Federally-assisted projects), and thetotal. If the firm has been in existence for less than 3 years,see the definition for "Annual Receipts" under FAR 19.101.12. Authorized Representative. An authorized representativeof the firm or branch office must sign and date thecompleted form. Signing attests that the informationprovided is current and factual. Provide the name and titleof the authorized representative who signed the form.STANDARD FORM <strong>330</strong> (6/2004) PAGE 4 OF INSTRUCTIONS


List of Disciplines (Function Codes)Code01020304050607080910111213141516171819202122232425262728293031DescriptionAcoustical EngineerAdministrativeAerial PhotographerAeronautical EngineerArcheologistArchitectBiologistCADD TechnicianCartographerChemical EngineerChemistCivil EngineerCommunications EngineerComputer ProgrammerConstruction InspectorConstruction ManagerCorrosion EngineerCost Engineer/EstimatorEcologistEconomistElectrical EngineerElectronics EngineerEnvironmental EngineerEnvironmental ScientistFire Protection EngineerForensic EngineerFoundation/Geotechnical EngineerGeodetic SurveyorGeographic Information System SpecialistGeologistHealth Facility PlannerCode32333435363738394041424344454647484950515253545556575859606162DescriptionHydraulic EngineerHydrographic SurveyorHydrologistIndustrial EngineerIndustrial HygienistInterior DesignerLand SurveyorLandscape ArchitectMaterials EngineerMaterials Handling EngineerMechanical EngineerMining EngineerOceanographerPhoto InterpreterPhotogrammetristPlanner: Urban/RegionalProject ManagerRemote Sensing SpecialistRisk AssessorSafety/Occupational Health EngineerSanitary EngineerSchedulerSecurity SpecialistSoils EngineerSpecifications WriterStructural EngineerTechnician/AnalystToxicologistTransportation EngineerValue EngineerWater Resources EngineerSTANDARD FORM <strong>330</strong> (6/2004) PAGE 5 OF INSTRUCTIONS


Acoustics, Noise AbatementAerial Photography; Airborne Data and ImageryCollection and AnalysisAgricultural Development; Grain Storage;Farm MechanizationAir Pollution ControlAirports; Navaids; Airport Lighting;Aircraft FuelingAirports; Terminals and Hangars; FreightHandlingArctic FacilitiesAnimal FacilitiesAnti-Terrorism/Force ProtectionAsbestos AbatementAuditoriums & TheatersAutomation; Controls; InstrumentationBarracks; DormitoriesBridgesCartographyCemeteries (Planning & Relocation)Charting: Nautical and AeronauticalChemical Processing & StorageChild Care/Development FacilitiesChurches; ChapelsCoastal EngineeringCodes; <strong>Standard</strong>s; OrdinancesCold Storage; Refrigeration andFast FreezeCommercial Building (low rise);Shopping CentersCommunity FacilitiesCommunications Systems; TV; MicrowaveComputer Facilities; Computer ServiceConservation and ResourceManagementConstruction ManagementConstruction SurveyingCorrosion Control; Cathodic Protection;ElectrolysisCost Estimating; Cost Engineering andAnalysis; Parametric Costing;ForecastingCryogenic FacilitiesDams (Concrete; Arch)Dams (Earth; Rock); Dikes; LeveesDesalinization (Process & Facilities)Design-Build - Preparation of Requests forProposalsDigital Elevation and Terrain Model DevelopmentDigital OrthophotographyDining Halls; Clubs; RestaurantsDredging Studies and DesignList of Experience Categories (Profile Codes)Code Description Code DescriptionA01E01A02A03A04A05A06A07A08A09A10A11A12B01B02C01C02C03C04C05C06C07C08C09C10C11C12C13C14C15C16C17C18C19D01D02D03D04D05D06D07D08E02E03E04E05E06E07E08E09E10E11E12E13F01F02F03F04F05F06G01G02G03G04G05G06H01H02H03H04H05H06H07H08H09H10H11H12H13Ecological & ArcheologicalInvestigationsEducational Facilities; ClassroomsElectrical Studies and DesignElectronicsElevators; Escalators; People-MoversEmbassies and ChanceriesEnergy Conservation; New EnergySourcesEngineering EconomicsEnvironmental Impact Studies,Assessments or StatementsEnvironmental and Natural ResourceMappingEnvironmental PlanningEnvironmental RemediationEnvironmental Testing and AnalysisFallout Shelters; Blast-Resistant DesignField Houses; Gyms; StadiumsFire ProtectionFisheries; Fish laddersForensic EngineeringForestry & Forest productsGarages; Vehicle Maintenance Facilities;Parking DecksGas Systems (Propane; Natural, Etc.)Geodetic Surveying: Ground and AirborneGeographic Information SystemServices: Development,Analysis, and Data CollectionGeospatial Data Conversion: Scanning,Digitizing, Compilation,Attributing, Scribing, DraftingGraphic DesignHarbors; Jetties; Piers, ShipTerminal FacilitiesHazardous Materials Handling andStorageHazardous, Toxic, RadioactiveWaste RemediationHeating; Ventilating; AirConditioningHealth Systems PlanningHighrise; Air-Rights-Type BuildingsHighways; Streets; Airfield Paving;Parking LotsHistorical PreservationHospital & Medical FacilitiesHotels; MotelsHousing (Residential, Multi-Family;Apartments; Condominiums)Hydraulics & PneumaticsHydrographic SurveyingSTANDARD FORM <strong>330</strong> (6/2004) PAGE 6 OF INSTRUCTIONS


List of Experience Categories (Profile Codes)Code Description Code DescriptionI01P09P10I02I03I04I05I06J01L01L02L03L04L05L06M01M02M03M04M05M06M07M08N01N02N03O01O02O03P01P02P03P04P05P06P07P08Industrial Buildings; ManufacturingPlantsIndustrial Processes; QualityControlIndustrial Waste TreatmentIntelligent Transportation SystemsInterior Design; Space PlanningIrrigation; DrainageJudicial and Courtroom FacilitiesLaboratories; Medical ResearchFacilitiesLand SurveyingLandscape ArchitectureLibraries; Museums; GalleriesLighting (Interior; Display; Theater,Etc.)Lighting (Exteriors; Streets;Memorials; Athletic Fields, Etc.)Mapping Location/Addressing SystemsMaterials Handling Systems;Conveyors; SortersMetallurgyMicroclimatology; TropicalEngineeringMilitary Design <strong>Standard</strong>sMining & MineralogyMissile Facilities (Silos; Fuels;Transport)Modular Systems Design;Pre-Fabricated Structures orComponentsNaval Architecture; Off-ShorePlatformsNavigation Structures; LocksNuclear Facilities; Nuclear ShieldingOffice Buildings; Industrial ParksOceanographic EngineeringOrdnance; Munitions; SpecialWeaponsPetroleum Exploration; RefiningPetroleum and Fuel (Storage andDistribution)PhotogrammetryPipelines (Cross-Country - Liquid &Gas)Planning (Community, Regional,Areawide and State)Planning (Site, Installation, and Project)Plumbing & Piping DesignPrisons & Correctional FacilitiesP11P12P13R01R02R03R04R05R06R07R08R09R10R11R12S01S02S03S04S05S06S07S08S09S10S11S12S13T01T02T03T04T05T06Product, Machine Equipment DesignPneumatic Structures, Air-SupportBuildingsPostal FacilitiesPower Generation, Transmission,DistributionPublic Safety FacilitiesRadar; Sonar; Radio & RadarTelescopesRadio Frequency Systems &ShieldingsRailroad; Rapid TransitRecreation Facilities (Parks,Marinas, Etc.)Refrigeration Plants/SystemsRehabilitation (Buildings; Structures;Facilities)Remote SensingResearch FacilitiesResources Recovery; RecyclingRisk AnalysisRivers; Canals; Waterways; FloodControlRoofingSafety Engineering; AccidentStudies; OSHA StudiesSecurity Systems; Intruder & SmokeDetectionSeismic Designs & StudiesSewage Collection, Treatment andDisposalSoils & Geologic Studies;FoundationsSolar Energy UtilizationSolid Wastes; Incineration; LandfillSpecial Environments; Clean Rooms,Etc.Structural Design; SpecialStructuresSurveying; Platting; Mapping; FloodPlain StudiesSustainable DesignSwimming PoolsStorm Water Handling & FacilitiesTelephone Systems (Rural; Mobile;Intercom, Etc.)Testing & Inspection ServicesTraffic & Transportation EngineeringTopographic Surveying and MappingTowers (Self-Supporting & GuyedSystems)Tunnels & SubwaysSTANDARD FORM <strong>330</strong> (6/2004) PAGE 7 OF INSTRUCTIONS


List of Experience Categories (Profile Codes)CodeU01U02U03V01W01W02W03W04Z01DescriptionUnexploded Ordnance RemediationUrban Renewals; CommunityDevelopmentUtilities (Gas and Steam)Value Analysis; Life-Cycle CostingWarehouses & DepotsWater Resources; Hydrology;Ground WaterWater Supply; Treatment andDistributionWind Tunnels; Research/TestingFacilities DesignZoning; Land Use StudiesSTANDARD FORM <strong>330</strong> (6/2004) PAGE 8 OF INSTRUCTIONS


ARCHITECT - ENGINEER QUALIFICATIONS1. TITLE AND LOCATION (City and State)PART I - CONTRACT-SPECIFIC QUALIFICATIONSA. CONTRACT INFORMATION2. PUBLIC NOTICE DATE 3. SOLICITATION OR PROJECT NUMBER4. NAME AND TITLEB. ARCHITECT-ENGINEER POINT OF CONTACT5. NAME OF FIRM6. TELEPHONE NUMBER7. FAX NUMBER8. E-MAIL ADDRESS(Check)C. PROPOSED TEAM(Complete this section for the prime contractor and all key subcontractors.)PRIMEJ-VPARTNERSUBCON-TRACTOR9. FIRM NAME 10. ADDRESS 11. ROLE IN THIS CONTRACTa.CHECK IF BRANCH OFFICEb.CHECK IF BRANCH OFFICEc.CHECK IF BRANCH OFFICEd.CHECK IF BRANCH OFFICEe.CHECK IF BRANCH OFFICEf.CHECK IF BRANCH OFFICED. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached)AUTHORIZED FOR LOCAL REPRODUCTIONSTANDARD FORM <strong>330</strong> (6/2004) PAGE 1


E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT(Complete one Section E for each key person.)12. NAME 13. ROLE IN THIS CONTRACTa. TOTAL14. YEARS EXPERIENCEb. WITH CURRENT FIRM15. FIRM NAME AND LOCATION (City and State)16. EDUCATION (DEGREE AND SPECIALIZATION)17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.)19. RELEVANT PROJECTS(1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETEDPROFESSIONAL SERVICESCONSTRUCTION (If applicable)(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firma.(1) TITLE AND LOCATION (City and State)PROFESSIONAL SERVICES(2) YEAR COMPLETEDCONSTRUCTION (If applicable)(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLEb.Check if project performed with current firm(1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETEDPROFESSIONAL SERVICESCONSTRUCTION (If applicable)(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLEc.Check if project performed with current firm(1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETEDPROFESSIONAL SERVICESCONSTRUCTION (If applicable)(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLEd.Check if project performed with current firm(1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETEDPROFESSIONAL SERVICESCONSTRUCTION (If applicable)e.(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLECheck if project performed with current firmSTANDARD FORM <strong>330</strong> (6/2004) PAGE 2


F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'SQUALIFICATIONS FOR THIS CONTRACT(Present as many projects as requested by the agency, or 10 projects, if not specified.Complete one Section F for each project.)21. TITLE AND LOCATION (City and State)PROFESSIONAL SERVICES20. EXAMPLE PROJECT KEYNUMBER22. YEAR COMPLETEDCONSTRUCTION (If applicable)23. PROJECT OWNER'S INFORMATIONa. PROJECT OWNERb. POINT OF CONTACT NAMEc. POINT OF CONTACT TELEPHONE NUMBER24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost)a.25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT(1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE(1) FIRM NAME (2) FIRM LOCATION (City and State)b.(1) FIRM NAME (2) FIRM LOCATION (City and State)c.(1) FIRM NAME (2) FIRM LOCATION (City and State)d.(1) FIRM NAME (2) FIRM LOCATION (City and State)e.(1) FIRM NAME (2) FIRM LOCATION (City and State)f.(3) ROLE(3) ROLE(3) ROLE(3) ROLE(3) ROLESTANDARD FORM <strong>330</strong> (6/2004) PAGE 3


26. NAMES OF KEYPERSONNEL(From Section E,Block 12)G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS28. EXAMPLE PROJECTS LISTED IN SECTION F27. ROLE IN THIS(Fill in "Example Projects Key" section below before completingCONTRACTtable. Place "X" under project key number for(From Section E,participation in same or similar role.)Block 13) 1 2 3 4 5 6 7 8 9 1029. EXAMPLE PROJECTS KEYNO. TITLE OF EXAMPLE PROJECT (FROM SECTION F) NO. TITLE OF EXAMPLE PROJECT (FROM SECTION F)12345678910STANDARD FORM <strong>330</strong> (6/2004) PAGE 4


H. ADDITIONAL INFORMATION30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED.I. AUTHORIZED REPRESENTATIVEThe foregoing is a statement of facts.31. SIGNATURE 32. DATE33. NAME AND TITLESTANDARD FORM <strong>330</strong> (6/2004) PAGE 5


ARCHITECT-ENGINEER QUALIFICATIONS1. SOLICITATION NUMBER (If any)PART II - GENERAL QUALIFICATIONS(If a firm has branch offices, complete for each specific branch office seeking work.)2a. FIRM (OR BRANCH OFFICE) NAME3. YEAR ESTABLISHED 4. DUNS NUMBER2b. STREET2c. CITY 2d. STATE 2e. ZIP CODE6a. POINT OF CONTACT NAME AND TITLE5. OWNERSHIPa. TYPEb. SMALL BUSINESS STATUS7. NAME OF FIRM (If block 2a is a branch office)6b. TELEPHONE NUMBER6c. E-MAIL ADDRESS8a. FORMER FIRM NAME(S) (If any) 8b. YR. ESTABLISHED8c. DUNS NUMBERa. FunctionCode9. EMPLOYEES BY DISCIPLINEc. No. of Employeesb. Discipline(1) FIRM (2) BRANCHa. ProfileCode10. PROFILE OF FIRM'S EXPERIENCE ANDANNUAL AVERAGE REVENUE FOR LAST 5 YEARSb. Experiencec. Revenue IndexNumber(see below)Other EmployeesTotal11. ANNUAL AVERAGE PROFESSIONALSERVICES REVENUES OF FIRMFOR LAST 3 YEARS(Insert revenue index number shown at right)a. Federal Workb. Non-Federal Workc. Total Worka. SIGNATUREPROFESSIONAL SERVICES REVENUE INDEX NUMBER1. Less than $100,0002. $100,00 to less than $250,0003. $250,000 to less than $500,0004. $500,000 to less than $1 million5. $1 million to less than $2 million12. AUTHORIZED REPRESENTATIVEThe foregoing is a statement of facts.6. $2 million to less than $5 million7. $5 million to less than $10 million8. $10 million to less than $25 million9. $25 million to less than $50 million10. $50 million or greaterb. DATEc. NAME AND TITLEAUTHORIZED FOR LOCAL REPRODUCTIONSTANDARD FORM <strong>330</strong> (6/2004) PAGE 6

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