(b) Page 2 of Standard Form 254. STANDARD FORM (SF) Architect-Engineer and Related Services 254 Questionnaire Standard Form 254 General Services Administration, Fed. Proc. Reg. (41 CFR) 1-16.803 2 Write in any additional disciplines-sociologists, biologists, etc - and number of people in each, in blank spaces 9. Using chart (below) insert appropriate index number to indicate range of professional services lees received by submitting firm each calendar year for last five years, most recent year first Fee summaries should be broken down to reflect the fees received each year for (a) work performed directly for the Federal Goverment (not including grant and loan projects) or as a sub to other profes sionals performing work directly for the Federal Government. (b) all other domestic work. U S. and possessions, including Federally-assisted projects. and (c) all other foreign work Ranges of Professional Services Fees 10 Select and enter, in numerical sequence, not more than thirty (30) "Experience Profile Code" numbers from the listing (next page) which most accurately reflect submitting firm's demonstrated technical capabilities and project experience Carefully review flat. (It is recognized some profie codes may be part of other services or projects contained on list, firms are encouraged to select profile codes which best indicate type and scope of services provided on past projects) For each code number, show total number of projects and gross fees (in thousands) received for profile projects performed by firm during past five years If firm has one or more capabilities not included on list, insert same in blank spaces at end of list and show numbers in question 10 on the form. In such cases, the filled in listing must accompany the complete SF 254 when submitted to the Federal agencies. 11. Using the "Experience Profile Code" numbers in the same sequence as entered in item 10. give details of at least one recent (within last five years) representative project for each code number, up to a maximum of thirty (30) separate projects, or portions of projects, for which firm was responsible (Project examples may be used more than once to illustrate different services rendered on the same job. Example a dining hall may be part of an auditorium or educational facility) Firms which select less than thirty profile codes" may list two or more project examples (to illustrate specialization) for each code number so long as total of all project examples does not exceed thirty (30) After each code number in question 11, show (a) whether firm was "P," the prime professional, or "C a consultant, or "JV" part of a joint venture on that particular project (New firms, in existence less than five (5) years may use the symbol IE to indicate "Individual Experience" as opposed to firm expen ence); (b) provide name and location of the specific project which typifies firm's (or individual's) performance under that code category. (c) give name and address of the owner of that project (if government agency indicate responsible office); (d) show the estimated construction cost (or other applicable cost) for that portion of the project for which the firm was primarily responsible (Where no construction was involved, show approximate cost of firm's work). and (e) state year work on that particular project was, or will be, completed 12. The completed SF 254 should be signed by a principal of the firm, preferably the chief executive officer 13. Additional data, brochures, photos, etc. should not accompany this form unless specifically requested. NEW FIRMS (not reorganized or recently-amalgamated firms) are eligible and encouraged to seek work from the Federal Government in connection with performance of projects for which they are qualified. Such firms are encouraged to complete and submit Standard Form 254 to appropriate agencies. Questions on the form dealing with personnel or experience may be answered by citing experience and capabilities of individuals in the firm, based on performance and responsibility while in the employ of others. In so doing, notation of this fact should be made on the form. In question 9, write in "N/A" to indicate "not applicable" for those years prior to firm's organization. (c) Page 3 of Standard Form 254. 041 Graphic Design 042 Harbors, Jetties; Piers; Ship Terminal Facilities 043 Heating, Ventilating; Air Conditioning 044 Health Systems Planning 045 Highrise, Air-Rights-Type Buildings 046 Highways; Streets; Airfield Paving: Parking Lots 047 Historical Preservation 048 Hospitals & Medical Facilities 049 Hotels, Motels 050 Housing (Residential, Multi-Family; Apartments, Condominiums) 051 Hydraulics & Pneumatics 052 Industrial Buildings: Manufacturing Plants 053 Industrial Processes, Quality Control 064 Industrial Waste Treatment 055 Interior Design, Space Planning 056 Irrigation, Drainage 057 Judicial and Courtroom Facilities 058 Laboratories; Medical Research |