EDGE Participation / Intent to Perform Suite 101 Harbourt Hall • P. O. Box 5190 • Kent, Ohio 44242-0001 v: 330-672-3880 • f: 330-672-2648 • www.kent.edu/universityarchitect OFFICE OF THE UNIVERSITY ARCHITECT Construction Manager (CM) Information CM KSU Project No. Project Name Date KSU, 20 Certified EDGE Business Enterprise (EBE) (for project agreement at ANY tier) EDGE-certified business eMail Address Contact Person Phone Address Fax City, State, Zip Federal Tax I.D. Briefly describe services, work or supplies to be provided by the certified EBE (may use industry codes) Identify the Stage(s) of Design or Construction in which this EDGE Business Enterprise will be involved: Stage: % of EDGE Fee Comments Breakdown of EBE Fee: Organizational Meeting Program Verification Schematic Design Design Development GMP Proposal and Amendment Construction Documents % % % % % % $ $ $ $ $ $ Preconstruction Stage Costs: Personnel Costs % $ % % $ $ Reimbursable Expenses: Percentage of proposed EBE participation:* Anticipated total fee payable to EBE firm: $ *If indicating less than 5 percent EDGE participation, the Construction Manager must provide a “Demonstration of Good Faith Effort” (form attached) that the CM 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 CM The named Construction Manager 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 CM and intends to provide the portion of the CM’s scope of services as described above and for the anticipated cost or fee as indicated above. If the named CM 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 Construction Manager Name Signature KSU-OUA 09/2012 Fee Proposal Name Date Signature Date Page 1 of 1