16.

ESTIMATED
CONSTRUCTION
COST

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

(e) Page 5 of Standard Form.

TOTAL ESTIMATED CONSTRUCTION COST:

(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.

18.

(g) Page 7 of Standard Form.

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