EDGE Participation / Intent to Perform
A/E Agreement (CMR Project)
Suite 101 Harbourt Hall • 615 Loop Road • PO Box 5190 • Kent, Ohio 44242-0001
v: 330-672-3880 • f: 330-672-2648 • web site: www.kent.edu/universityarchitect
OFFICE OF THE
UNIVERSITY ARCHITECT
Architect/Engineer (A/E) Information
A/E
KSU Project No.
Project Name
Date
, 20
Certified EDGE Business Enterprise (EBE) (for project agreement at ANY tier)
EDGE-certified business
Phone
Address
Fax
City, State, Zip
Federal Tax I.D.
Contact Person
e-Mail Address
Briefly describe services, work or supplies to be provided by the certified EBE (may use industry codes)
Identify the Stage(s) of Design in which this EDGE Business Enterprise will be involved:
Project Stage:
Organizational Meeting
Program Verification
Schematic Design
Design Development
GMP Proposal and Amendment
Construction Documents
Construction Stage
Closeout Deliverables
Additional Services:
% of EDGE Fee Comments
Breakdown of EBE Fee:
%
%
%
%
%
%
%
%
$
$
$
$
$
$
$
$
%
%
$
$
%
%
$
$
Reimbursable Expenses:
Percentage of proposed EBE participation:*
Anticipated total fee payable to EBE firm: $
*If indicating less than 5 percent EDGE participation, the Associate must provide a “Demonstration of Good Faith Effort” (form
attached) that the A/E attempted to meet the 5 percent participation goal established for this project by the Director of Kent
State University Office of the University Architect pursuant to Section 123.152 of the Ohio Revised Code.
Certified by EDGE Business Enterprise and by the A/E
The named A/E certifies that it intends to contract with the EDGE-certified business for the portion of the agreement described
above related to this project. The named EDGE-certified business certifies that it intends to contract with the named A/E and
intends to provide the portion of the A/E’s scope of services as described above and for the anticipated cost or fee as indicated
above.
If the named A/E is not selected to provide professional design services for this Project, this Statement of Intent shall be null
and void.
Submitted as a part of the:
Technical Proposal
EDGE-certified Business
Architect/Engineer
Name
Signature
KSU-OUA 09/2012
Fee Proposal
Name
Date
Signature
Date
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