ATTACHMENT 3.4.1(b)
LEAD DESIGNER - WORK HISTORY FORM
(LIMIT 1 PAGE PER PROJECT)
a. Project Name & Location
b. Name of the prime/ general
contractor responsible for overall
construction of the project.
c. Contact information of the Client and
their Project Manager who can verify
Firm’s responsibilities.
Name:
Name:
Name of Client.:
Phone:
Project Manager:
Phone:
Email:
Location:
d. Construction
Contract Start
Date
e. Construction
Contract
Completion
Date (Actual
or Estimated)
MM/YYYY
MM/YYYY
f. Contract Value (in thousands)
Construction
Construction
Contract Value
Contract Value
(Original)
(Actual or
Estimated)
g. Design Fee for the Work
Performed by the Firm identified
as the Lead Designer for this
procurement.(in thousands)
h. Narrative describing the Work Performed by the Firm identified as the Lead Designer for this procurement. Include the office location(s) where the design work was performed and whether the firm was the prime designer or a
subconsultant. The Work History Form shall include only one singular project. Projects with multiple phases, segments, elements, and/or contracts shall not be considered a single project. If a project listed includes multiple phases,
segments, elements, and/or contracts, the SOQ may be rendered non-responsive. In any case, only the first phase, segment, element, and/or contract listed will be evaluated.