PRESENT ACTIVITIES ON WHICH YOUR FIRM IS DESIGNATED ARCHITECT OR ENGINEER OF RECORD

(e) Page 5 of Standard Form.

16.

NAME AND TYPE OF PROJECT

LOCATION

(f) Page 6 of Standard Form.

NAME OF PROJECT
AND
PHASE OF WORK

PRESENT ACTIVITIES ON WHICH YOUR FIRM IS ASSOCIATED WITH OTHERS (Indicate phase of work for which your firm is responsible)

17.

(g) Page 7 of Standard Form.

18.

COMPLETED WORK ON WHICH YOUR FIRM WAS DESIGNATED ARCHITECT OR ENGINEER OF RECORD
DURING THE LAST 10 YEARS

(h) Page 8 of Standard Form.

COMPLETED WORK ON WHICH YOUR FIRM WAS ASSOCIATED WITH OTHER FIRMS DURING THE LAST 10 YEARS (Indicate phase of work for which your firm was responsible)

19.