ࡱ>  Hbjbj  p"gp"gs7 HH4h|D $2^W4WWW]KfjT$r]|]rrHHWW}rHlWWr,$W &lDs!l\0\a&%a$"aFTCmnopCmCmCm%CmCmCmrrrraCmCmCmCmCmCmCmCmCm X : STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY  PROFESSIONAL SERVICES PREQUALIFICATION APPLICATION FORM 48A (8/20) DO NOT DOUBLE SIDE THE PAGES OF THIS APPLICATION. ALL INFORMATION SUBMITTED IS SUBJECT TO VERIFICATION AND ANY FALSEHOODS WILL EXPOSE A FIRM TO POSSIBLE CIVIL AND CRIMINAL PROCEEDINGS AND DISBARMENT FROM FUTURE WORK. If you have any questions about the process, contact the Consultant Prequalification Unit at 609-777-4561. State of New Jersey Department of the Treasury Division of Property Management and ConstructionPROFESSIONAL SERVICES PREQUALIFICATION APPLICATIONFORM 48A 8/20FIRM NAME/BUSINESS ADDRESS:  FORMTEXT       County: FORMTEXT       Principal Contact:  FORMTEXT       Phone: ( FORMTEXT      )  FORMTEXT       Year Firm Established:  FORMTEXT       Staff Size:  FORMTEXT       Fax: ( FORMTEXT      )  FORMTEXT       (Staff size should include full-time licensed & technical staff in this office only.) E-Mail Address:  FORMTEXT      2. FEDERAL TAX ID NUMBER:  FORMTEXT      3. DATE PREPARED:  FORMTEXT      TYPE OF OWNERSHIP: (See Instructions for Form 48A, Page 3  Box 4)  FORMCHECKBOX  Individual  FORMCHECKBOX  Partnership  FORMCHECKBOX  Professional Corporation  FORMCHECKBOX  Corporation (list State)  FORMTEXT        FORMCHECKBOX  Professional Association  FORMCHECKBOX  L.L Corporation  FORMCHECKBOX  L.L Company  FORMCHECKBOX  Other (Specify)  FORMTEXT       Out of state firms must provide a copy of Certificate of Authority. Application available at  HYPERLINK "http://www.nj.gov/treasury/revenue/pdforms/pubrec.pdf" http://www.nj.gov/treasury/revenue/pdforms/pubrec.pdf 5a. FILING STATUS:  FORMCHECKBOX  MBE CERTIFIED (Attach Copy)  FORMCHECKBOX  WBE CERTIFIED (Attach Copy)  FORMCHECKBOX  SBE CERTIFIED (Attach Copy)  FORMCHECKBOX  VOB CERTIFIED (Attach Copy) 5b. DIV. OF REVENUE FILING (Mandatory)  FORMCHECKBOX  BUSINESS REGISTRATION CERTIFICATE (Attach Copy) 5c. FEE - $100.00 (Non-refundable)  FORMCHECKBOX  Check enclosed payable to Treasurer State of NJ 6a. CADD CAPABILITY  FORMCHECKBOX  YES  FORMCHECKBOX  NO6b. INTERESTED IN WORK UNDER OPERATION FAST START?  FORMCHECKBOX  YES  FORMCHECKBOX  NO7. NAME/ADDRESS OF PARENT FIRM (if any): IF NONE, CHECK HERE ( FORMCHECKBOX   FORMTEXT        FORMTEXT        FORMTEXT       Principal Contact:  FORMTEXT       Phone: ( FORMTEXT      )  FORMTEXT       E-Mail Address:  FORMTEXT      8. FORMER FIRM NAME(S) AND YEAR(S) ESTABLISHED: (attach additional sheets as needed) IF NONE, CHECK HERE ( FORMCHECKBOX   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       LIST SINGLE SATELLITE OFFICE TO BE CONSIDERED IN PRE- QUALIFICATION RATING: List other satellite offices, located within 100 miles of the office listed in #1 above on additional sheet): IF NONE, CHECK HERE ( FORMCHECKBOX  FORMCHECKBOX  Address:  FORMTEXT        FORMTEXT       Principal Contact:  FORMTEXT       Phone: ( FORMTEXT      )  FORMTEXT       Year Satellite Office Established:  FORMTEXT       Staff Size:  FORMTEXT       (Staff size should include full-time licensed & technical staff in this office only.) E-Mail Address:  FORMTEXT       ADDITIONAL PRE-QUALIFICATION: List any other public agencies, department, authorities, etc. by which the firm listed in Box 1 is presently prequalified. IF NONE, CHECK HERE ( FORMCHECKBOX  AGENCY  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT      CONTACT PERSON  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT      PHONE NUMBER  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT      11.  FORMCHECKBOX  Employee Information Report Certificate (yellow certificate) Employee Information Report Form @  HYPERLINK "http://www.state.nj.us/treasury/contract_compliance" www.state.nj.us/treasury/contract_compliance  12. ORGANIZATION CHART (Include offices in boxes 1 & 9 as well as the parent firm, if applicable) 13. FIRMS FULL TIME NEW JERSEY LICENSED STAFF LOCATED IN THE OFFICES LISTED IN BOXES 1 & 9NAMEDISCIPLINENJ LICENSE NUMBERORIGINAL SIGNATURE FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       If you are including licensees from two offices, please indicate those in the office in box #1 & those in the office in box #9. 14. BRIEF RESUME OF ALL PRINCIPALS AND KEY PERSONNEL (RESUMES MUST BE ON THIS FORM)NAME AND TITLE  FORMTEXT        FORMTEXT       A. NAME AND TITLE  FORMTEXT        FORMTEXT        B. YEARS EXPERIENCE: THIS FIRM:  FORMTEXT       OTHER FIRMS:  FORMTEXT        B. YEARS EXPERIENCE: THIS FIRM:  FORMTEXT       OTHER FIRMS:  FORMTEXT      C. ACTIVE REGISTRATION:  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.C. ACTIVE REGISTRATION:  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.  FORMTEXT        FORMTEXT       DISCIPLINE N.J. LICENSE NO.D. BRIEF RESUME:  FORMTEXT      BRIEF RESUME:  FORMTEXT      ATTACH AS MANY OF THESE PAGES OF RESUMES AS NECESSARY 15. STOCKHOLDER/COMMON DISCLOSURE List below the names, home addresses, offices held and ownership interest of all individuals, partnerships, corporations or any other owner with 5% or more interest in the firm named in Box 1 of this Form 48A. If additional space is necessary, list on an attached sheet. NAME HOME ADDRESS OFFICE HELDSHARES OWNED OR % PARTNERSHIP ORIGINAL SIGNATURE FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      GROSS FEES FROM CONTRACTS ENTERED INTO IN THE PAST 5 YEARS: From All Entities (Including Private Sector)From State Government EntitiesFrom Local Government EntitiesFrom Federal Government. EntitiesComments or additional informationYear  FORMTEXT       Most recent yr.$ FORMTEXT      $ FORMTEXT      $ FORMTEXT      $ FORMTEXT       FORMTEXT      Year  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Year  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Year  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Year  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       15. STOCKHOLDER/COMMON DISCLOSURE continued& Is the applicant firm identified in Box 1 of this application owned by any other company and/or corporation? (If yes, please complete a separate disclosure form, both pages, for the parent company.) Within the past 5 years, has the applicant firm been owned by another company or firm? (If yes, please complete a separate disclosure form for the parent company.) Have any principals listed in this application ever been arrested, charged, indicted or convicted of a crime? (If yes, attach an explanation for each instance.) Has any person or entity listed in this application ever been suspended, debarred or otherwise declared ineligible, by any agency of government, from contracting to provide services, labor, material or supplies? (If yes, attach an explanation for each instance.) Has any federal, state or local government license, permit or other similar authorization necessary to perform the work applied for herein, and held or applied for by any person or entity listed in this form been suspended or revoked, or is the subject of any ending proceedings specifically seeking or litigating the issue of suspension or revocation? (If yes, attach an explanation for each instance.) Are there currently any administrative, civil or criminal matters pending in any federal, state or local government jurisdiction in which the firm or its principals or key personnel are involved? (If yes, attach an explanation for each instance.) Has the applicant firm been denied pre-qualification in the past five years under this name or another? (If yes, attach an explanation for each instance.) At present or during the past 5 years, have any of the principals or key personnel of the applicant firm served as a principal or key personnel or owned 5% or more of any other firm (including firms that are inactive or have been dissolved)? (If yes, give name, name of firm, position held, % owned, remainder owned by, and dates owned.) Has the applicant firm, its affiliate or any of its principals or key personnel been a party to a bankruptcy or re-organization proceeding? (If yes, provide caption, date, docket number, court and county.) In the past 5 years has the applicant firm or any of its affiliate firms: (a) Had a contract terminated? (b) Been given a final unsatisfactory performance rating on a specific project? (c) Had liquidated damages assessed against it in connection with a contract? (d) Engaged in any litigation with regard to any contract? (If yes to any of the above, explain.) k) Do any of the principals of the applicant firm have an ownership interest in any other entity, which is in the same line or business for which the firm is now seeking pre-qualification? (If yes, identify the name, address and federal tax ID number for such entity and the nature of the ownership interest.) Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No  16. Financial Statement Information  the applicant firm must submit one of the following: REQUIRED INFORMATION (See  Instructions for Form 48A Page 5, Box  16) FINANCIAL STATEMENTS FOR THE MOST RECENT TWO YEARS. MAY BE PRESENTED IN TWO STATEMENTS OR AS SINGLE STATEMENT COVERING THE MOST CURRENT TWO YEARS. STATEMENT(S) MUST BE COMPLETED BY AN ACCOUNTANT OR CERTIFIED PUBLIC ACCOUNTANT AND MUST BE ACCOMPANIED BY A COPY OF THE ACCOUNTANTS SIGNED COVER LETTER/REPORT. NOTE STATEMENTS ARE SUBJECT TO VERIFICATION. FALSE INFORMATION MAY RESULT IN CIVIL/CRIMINAL PENALTIES AND/OR DEBARMENT. Preferred Audited Financial Statements for last two years including: Auditors reports Balance Sheets Statements of Income & Retained Earnings All footnotes to these statements ( Corporate Annual Report (if applicable) If not available, then Reviewed Financial Statements for last two years including: Balance Sheets Statements of Income and retained earnings All footnotes to these statements If not available, then Compilations for last two years including: Balance Sheets Statements of income and retained earnings All footnotes to these compilations  17. PROFESSIONAL TECHNICAL DATAINSTRUCTIONS: 1. Place an X in Column A for those specialties/disciplines for which the firm is seeking prequalification. Indicate the number of staff members in the appropriate boxes in columns E&F working full time in each specialty/discipline. Indicate the total Professional/Technical Staff for each Specialty/Discipline in Column G For discipline 29, Construction Management, see definition bottom of page 9.ABCD E OFFICE TO BE PREQUALIFIED (LISTED IN BOX 1, PAGE 1)F SATELLITE OFFICE (LISTED IN BOX 9, PAGE 1)G REQSTD x CODE SPECIALTY/DISCIPLINE TITLES OF PROFESSIONAL/TECHNICAL STAFF # OF STAFF WITH A NJ LICENSE # OF ADDITIONAL TECHNICAL STAFF  # OF STAFF WITH A NJ LICENSE# OF ADDITIONAL TECHNICAL STAFF (E+F) TOTAL STAFF FORMCHECKBOX 01ARCHITECTUREARCHITECTS FORMTEXT           FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 02ELECTRICAL ENGINEERINGELECTRICAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT           FORMTEXT       FORMTEXT       FORMCHECKBOX 03HVAC ENGINEERINGHVAC/MECHANICAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 04PLUMBING ENGINEERINGPLUMBING ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 05CIVIL ENGINEERINGCIVIL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 06SANITARY ENGINEERINGSANITARY ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 07STRUCTURAL ENGINEERINGSTRUCTURAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  08ELEVATOR/CONVEYOR SYSTEMS ENGINEERINGMECHANICAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 09SOILS ENGINEERINGSOILS ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 10FIRE PROTECTION ENGINEERINGFIRE PROTECTION ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 11ENVIRONMENTAL ENGINEERINGENVIRONMENTAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 12MARINE ENGINEERINGCIVIL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 13LANDSCAPE DESIGNLANDSCAPE ARCHITECTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 14PLANNINGPLANNERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 15LAND SURVEYINGSURVEYORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 16AERIAL SURVEYINGSURVEYORS/CERTIFIED PHOTOGRAMMETRISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 17HYDROGRAPHIC SURVEYINGENGINEERS/SURVEYORS/ HYDROGRAPHIC SURVEYORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 18FIRE & LIFE SAFETY RENOVATIONSARCHITECTS/ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 19BUILDING COMMISSIONINGENGINEERS/TECHNICIANS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 20BOILER/STEAM LINES/HIGH PRESSURE SYSTEMSENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 21DAM/LEVEE DESIGNCIVIL ENGINEERS FORMCHECKBOX 24BARRIER FREE/ADA DESIGNARCHITECTS/ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 25ESTIMATING/COST ANALYSISESTIMATORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 27INTERIOR DESIGN SPACE PLANNINGINTERIOR DESIGNERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 28ROOFING INSPECTIONROOFING INSPECTORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       17. PROFESSIONAL TECHNICAL DATA, continued& ABCD E OFFICE TO BE PREQUALIFIED (BOX 1, PAGE 1)F SATELLITE OFFICE (BOX 9, PAGE 1)G REQSTD x CODE SPECIALTY/DISCIPLINE TITLES OF PROFESSIONAL/TECHNICAL STAFF # OF STAFF WITH A NJ LICENSE # OF ADDITIONAL TECHNICAL STAFF  # OF STAFF WITH A NJ LICENSE# OF ADDITIONAL TECHNICAL STAFF (E+F) TOTAL STAFF FORMCHECKBOX 29CONSTRUCTION MANAGEMENT CONSTRUCTION MANAGERS *** FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 30CPM SCHEDULINGSCHEDULERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 31ARCHAEOLOGYARCHAEOLOGISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 32GEOLOGYGEOLOGISTS FORMTEXT       FORMTEXT                 FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 33VALUE ENGINEERINGARCHITECTS/ENGINEERS/ESTIMATORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 34HISTORICAL PRESERVATION/ RESTORATIONARCHITECTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECK/0123456Lhiqst°t_J8"h|~5B* CJ,OJQJaJ,ph(hx"PhT@5B* CJ,OJQJaJ,ph(hx"PhU45B* CJ,OJQJaJ,ph(hx"Phj5B* CJ,OJQJaJ,ph(hx"Pho5B* CJ,OJQJaJ,ph"hh5B* CJ,OJQJaJ,ph"h"x5B* CJ,OJQJaJ,phho5>*CJjhZW6UmHnHuheho:CJheho:CJ$aJ$jho6UmHnHu023456LyzU V W X & H $$Ifa$$If$a$gd"x$a$gdT@gdo$a$gdogdotuwyz{ U V Ǹ|pdXCC4hh:CJ$OJQJaJ$(h'h'5B*CJ$OJQJaJ$phh' CJ$OJQJaJ$h'CJ$OJQJaJ$h (CJ$OJQJaJ$hh (CJ$OJQJaJ$hh*,CJ$OJQJaJ$hh=CJ$OJQJaJ$hhx"PCJ$OJQJaJ$h"xh=CJOJQJaJ(hx"PhT@5B* CJ,OJQJaJ,ph"h 5B* CJ,OJQJaJ,ph"hDx5B* CJ,OJQJaJ,phV W X x { & F H t z 񻯣{tmff__{ZUZUO hQCJ h715 h|~5 hQ5CJ, hQ5CJ hQ5CJ$ ha)E5CJ$hQ hQ5CJ hQ5CJhQ5>*CJh71h71CJOJQJhoCJ$OJQJaJ$h=CJ$OJQJaJ$h{K#CJ$OJQJaJ$h"xhCJ$OJQJaJ$h"xhU4CJ$OJQJaJ$hU4CJ(OJQJaJ(h"xhoCJ$OJQJaJ$H t  6 ND>$If & F$Ifkd$$Ifl4F+5L t0    4 laf4  $If^ gd|~  $If^  $$Ifa$$If   $ & ( * , . 0 2 4 6 8 : < J L ` b d f h j l n p t v       " jvhQCJUjhQCJUjhQCJUjhQCJUjhQCJUmHnHujhQCJUjhQCJU hQCJhQ=6 8 : < t v & ( * $ (^ dh$If $If  d$If$If" $ & ( * X Z n p r t v x z | ~        " $ 4 v 樂h;j6CJaJhNmC6CJaJ hNmCCJjHhQCJUjhQCJUj^hQCJUjhQCJUmHnHujhQCJU hQCJjhQCJU5  "$&(^`tvxz|~^`|~j;hQCJUjhQCJUjhQCJUj0hQCJUjhQCJUmHnHujhQCJUjhQCJU hQCJhNmChQ6CJaJ5^<foeYSSSSSS$If & Fx$If & F$Ifkd$$Ifl4F4R&5`x t0    4 laf4ytx <>Z\^:<>fh  踸w踸j hQCJUji hQCJUj hQCJUj hQCJUj hQCJUjhQCJUmHnHujhQCJUj#hQCJU hQCJjhQCJUjhQCJU.f.`'=>b $Ifgdx$IfZ^`  ./=>?`aopqĻʰ|scj hxhxCJUhxhxCJjhxhxCJUj= hQCJUj hQCJUjS hQCJUhh-D0JCJh-Dh-DCJ h-DCJjh-DCJU h zCJ hhCJ hQCJjhQCJUjhQCJUmHnHu&'=>bcqrs0246<ݼݜ}ݎlݎ!j;hQCJOJQJU!jhQCJOJQJUjhQCJOJQJUhQCJOJQJj h&hbCJU h&CJjh&CJUj) hQCJUjhQCJU hQCJ hxCJhxhxCJjhxhxCJU*<oe[UUUUU$If & F$If & F$Ifkd$$Ifl4 F4R&5 `x t0    4 laf4ytxBRV~ֿибraaaaa!jhQ5CJUmHnHujhQ5CJUhQ5CJOJQJjihQ5CJUjhQ5CJU jhQ5CJ hQ5CJ hQ6CJ!j'hQCJOJQJU hQCJhQCJOJQJjhQCJOJQJU!jhQCJOJQJU" \VVVVLLL $If$Ifkd$$Ifl43\4R&-5   t04 laf4ytx   FH\^`bdfhjl~;͸~jhQCJUjhQCJUmHnHuj5hQCJUjhQCJU hQCJ hACXCJjhQ5CJU hQ5CJ!jhQ5CJUmHnHujhQ5CJUjUhQ5CJU0  ,TVXtvxz|~ҾҷzjhQCJUhQ5CJOJQJj hQ5CJUjhQ5CJU jhQ5CJ hQ5CJ hQ6CJjhQCJU hQCJjhQCJUmHnHujhQCJUj!hQCJU.z|DFHi|kd$$Ifl4045 t04 laf4yt-D h$If^h$If dh$If   2468:<>@BDFHR^Ҹҫҥ hACX5CJ hACX6CJhACX6CJ]hNmChACX5>*CJ hACXCJj7hQCJUjhQCJUjchQCJU hQCJjhQCJUmHnHujhQCJUjhQCJU3 (*,@BVXZ\^`bdfhj~ƼƯƼƒƌƼƼjhACXCJU hR CJj%hACXCJUjhACXCJUmHnHujhACXCJUjhACXCJU hACXCJ hACX6CJj9hACX5CJU hACX5CJjhACX5CJU jhACX5CJ1H,hDF  " h$If^hgdACX $Ifgd?9$If $IfgdNmC $If$If & F$If  2468:<>@BDFҸҫҥhNmChNmC6CJaJh;j6CJaJhNmC6CJaJ hNmCCJjshACXCJUjhACXCJUjhACXCJU hACXCJjhACXCJUmHnHujhACXCJUjhACXCJU5  !!!!!"""""" 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*,.02468:<>@\^`bh̗Η jPhQCJUjiPhQCJUjOhQCJUjLhQCJUj6LhQCJUjhQCJUmHnHujKhQCJU hQCJjhQCJU9 2468:<>@BDFZ\^`bdfhjln "68:<>@BDFHJ߸߫ߞjUhQCJUj~UhQCJUj+RhQCJUjQhQCJUj=QhQCJU hQCJjhQCJUmHnHujhQCJU> HpNN:NdNNNNO,O.OROXOlOOOOOFf^ $ !$Ifa$FfY  !$IfJ^`bdfhjlnpr™ؙ֙ڙܙޙNN N NNN:NdNfNzNj [hQCJUUjWhQCJUj>WhQCJUjVhQCJUjhQCJUmHnHujhQCJUj^VhQCJU hQCJ8BOX 35ROOFING CONSULTANTARCHITECTS/ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 36ACOUSTICSACOUSTICIANS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 37ASBESTOS MANAGEMENT & DESIGNAHERA ACCREDITED MANAGEMENT PLANNER FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 38ASBESTOS SAFETY CONTROL MONITORINGASBESTOS SAFETY TECHNICIANS (FIRM & AST MUST BE CERTIFIED BY DCA) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 39CLAIMS ANALYSISCLAIMS ANALYSTS/ESTIMATORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 40TELECOMMUNICATIONSTELECOMMUNICATION SPECIALISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 42FEASIBILITY/MASTER PLANNINGPLANNERS/ARCHITECTS/ ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 43FIRE DETECTION SYSTEMSFIRE DETECTION SPECIALISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 44FIRE PROTECTION SYSTEMSFIRE PROTECTION SPECIALISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 45FOOD SERVICEFOOD SERVICE CONSULTANTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 46HYDRAULICS/PNEUMATICSHYDRAULIC ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 47HYDROLOGYHYDROGEOLOGISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 48SECURITY SYSTEMSSECURITY SYSTEM CONSULTANTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 49SITE PLANNINGPLANNERS/ARCHITECTS/ ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 50HISTORIC PRESERVATION CONSULTANTARCHITECTURAL HISTORIANS/ RESEARCHERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      *** A Construction Manager provides professional services and overall management of the construction-related elements of a project including advice and recommendations to the OWNER during pre-design, design and construction. The CM does not self-perform any of the work. 17. PROFESSIONAL TECHNICAL DATA, continued& ABCD E OFFICE TO BE PREQUALIFIED (LISTED IN BOX 1, PAGE 1)F SATELLITE OFFICE (LISTED IN BOX 9, PAGE 1)G REQSTD x CODE DISCIPLINE/SPECIALTY TITLES OF PROFESSIONAL/TECHNICAL STAFF # OF STAFF WITH A NJ LICENSE # OF ADDITIONAL TECHNICAL STAFF  # OF STAFF WITH A NJ LICENSE# OF ADDITIONAL TECHNICAL STAFF (E+F) TOTAL STAFF FORMCHECKBOX 51ENERGY AUDITINGENGINEERS OR CERTIFIED ENERGY CONSULTANTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 52TRAFFICTRAFFIC ANALYSTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT           FORMCHECKBOX 53TRANSPORTATIONCIVIL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 54WASTE/WATER TREATMENTCIVIL/SANITARY ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 55ENERGY MANAGEMENT CONTROL SYSTEMSHVAC/ELECTRICAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 56RENEWABLE ENERGY DESIGN CONSULTANTENGINEERS OR RENEWABLE ENERGY DESIGNERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 57CONSTRUCTION FIELD INSPECTIONFIELD INSPECTORS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 58PROJECT MANAGEMENTPROJECT MANAGERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 59ENVIRONMENTAL CONSULTANTENVIRONMENTAL SPECIALISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 60UNDERGROUND STORAGE TANK REMOVALDEP CERTIFIED SPECIALISTS (SSE) AND DEP CERTIFIED FIRM FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 61UNDERGROUND STORAGE TANK INSTALLATIONENGINEER (DEP FIRM CERTIFIED) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 62PERIMETER SECURITY FENCINGSECURITY SYSTEM SPECIALISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 63INDOOR AIR QUALITYINDUSTRIAL HYGIENISTS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 64LANDFILL CLOSUREENVIRONMENTAL ENGINEERS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX 65LEAD PAINT EVALUATION/ INSPECTIONDOH CERTIFIED TECH (DCA FIRM CERTIFIED) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Note: In order to receive a prequalification rating for a specific discipline/specialty, qualified staff must be listed in column  E . Additional credit will be given for any other staff listed in column  F . 18. IN ORDER TO ACHIEVE A PREQUALIFICATION RATING IN A SPECIFIC SPECIALTY/DISCIPLINE, A MINIMUM OF THREE (3) PROJECTS MUST BE LISTED; TWO (2) OF WHICH HAVE BEEN COMPLETED AND OCCUPIED. IT IS ADVISABLE TO LIST LARGE PROJECTS TO JUSTIFY A HIGHER PRE-QUALIFICATION RATING. IN THE CASE OF STUDIES OR MASTER PLANS, LIST A MINIMUM OF THREE (3) PROJECTS WITH THE CONSTRUCTION COST ESTIMATE OR THE FEE YOUR FIRM RECEIVED FOR THIS SERVICE. ALL PROJECTS MUST HAVE BEEN COMPLETED WITHIN THE PAST TEN (10) YEARS. PRINCIPALS OR PARTNERS IN THE APPLICANT FIRM MAY ONLY INCLUDE EXPERIENCE GAINED IN A PREVIOUS FIRM IF THEY WERE A PRINCIPAL IN THAT FIRM. LIST ONLY INDIVIDUAL PROJECTS (District wide, various locations, indefinite or term contracts will not be considered.). A/E Indicates services performed as the Architect or Engineer of record S/C Indicates services performed as a Sub-Consultant to an A/E of record JV Indicates services as part of a Joint Venture CM Indicates services performed as the owner s representative managing & monitoring project design & constructionDISCIPLINE/ SPECIALTY TYPE (use codes from box 17, column B) A/E, S/C JV, CM PROJECT NAME LOCATION & BRIEF DESCRIPTION PROJECT OWNER, CONTACT PERSON & PHONE NUMBERESTIMATED COST MONTH & YEAR WORK COMPLETED ENTIRE PROJECTWORK FOR WHICH FIRM RESPONSIBLE   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT         FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       RANK ORDER OF YOUR FIRM S EXPERTISE FOR VARIOUS BUILDING TYPES FROM 1 TO 10 (1= HIGHEST). DO NOT USE ANY NUMBER MORE THAN ONCE. INCLUDE THE APPROXIMATE NUMBER OF PROJECTS YOU HAVE BEEN INVOLVED IN OVER THE PAST 10 YEARS FOR EACH BUILDING TYPE SELECTED. RANK ORDERNO. OF PROJECTS CODE BUILDING TYPERANK ORDERNO. OF PROJECTS CODE BUILDING TYPE FORMTEXT       FORMTEXT       FORMTEXT 75CHILD CARE FACILITIES FORMTEXT       FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT       FORMTEXT 85MEDICAL/HEALTHCARE FACILITIES FORMTEXT       FORMTEXT      76RADIO/TV FACILITIES FORMTEXT       FORMTEXT      86OFFICE FACILITIES FORMTEXT       FORMTEXT      77COMPUTER FACILITIES FORMTEXT       FORMTEXT      87PARKS FORMTEXT       FORMTEXT      78CORRECTIONAL FACILITIES FORMTEXT       FORMTEXT      88RECREATIONAL FACILITIES FORMTEXT       FORMTEXT      79DAMS, DIKES, LEVEES FORMTEXT       FORMTEXT      89RESIDENTIAL FACILITIES FORMTEXT       FORMTEXT      80SCHOOL FACILITIES FORMTEXT       FORMTEXT      90SITE ENGINEERING/ROADWAY/PAVING FORMTEXT       FORMTEXT      81LABORATORIES/RESEARCH FACILITIES FORMTEXT       FORMTEXT      91THEATERS FORMTEXT       FORMTEXT      82LIBRARIES/MUSEUMS FORMTEXT       FORMTEXT      92WAREHOUSE/INDUSTRIALS FACILITIES FORMTEXT       FORMTEXT      83MAINTENANCE FACILITIES FORMTEXT       FORMTEXT      93WASTEWATER TREATMENT FACILITIES FORMTEXT       FORMTEXT      84MARINAS/BULKHEADS FORMTEXT       FORMTEXT      94HISTORICAL PRESERVATION/ RESTORATIONINCLUDE INFORMATION OR DESCRIPTIONS OF ACHIEVEMENTS AND AWARDS RECEIVED (Attach a separate sheet if necessary)  FORMTEXT       21. IDENTIFY INSURANCES CURRENTLY HELD BY YOUR FIRM:TYPECARRIER, AGENT ADDRESS, NAME AND PHONE NUMBERPOLICY LIMITSWorkers Compensation  FORMTEXT       FORMTEXT       FORMTEXT      Multiple Peril  FORMTEXT       FORMTEXT       FORMTEXT      Vehicle  FORMTEXT       FORMTEXT       FORMTEXT      General Liability  FORMTEXT       FORMTEXT       FORMTEXT      Medical  FORMTEXT       FORMTEXT       FORMTEXT      Professional Liability  FORMTEXT       FORMTEXT       FORMTEXT       Other:  FORMTEXT        FORMTEXT        FORMTEXT       22. CERTIFICATION OF PRINCIPALS: CERTIFICATION Each Principal identified in Box 14 must complete this certification. Certifications must be notarized when signed. A MATERIAL FALSE STATEMENT OR OMISSION MADE IN CONNECTION WITH THIS APPLICATION WILL SUBJECT THE APPLICANT FIRM TO CIVIL AND CRIMINAL PENALTIES AVAILABLE AT LAW. I , being duly sworn, state that I am of , and that I (full name) (title) (firm name) have read and understood the questions contained in the attached application and its appendices. I certify that to the best of my knowledge the information given in response to each question and the appendices is full, complete and truthful. I acknowledge that the New Jersey Department of the Treasury may, by means it deems appropriate, determine the accuracy and truth of the statements made in the application. I recognize that all the information submitted is for the express purpose of inducing the Department of the Treasury to pre-qualify the applicant, award a contract and/or allow the applicant to participate in professional consultant services contracts. I agree and warrant that truthfully answering the questions on this application is an event entirely within my control. I realize that false information may result in civil/criminal penalties and/or debarment. I understand and agree that the application and all supporting documentation filed with the Department of the Treasury shall become the property of the Department of the Treasury. I authorize the Department of the Treasury to contact any entity or person named in the application for purposes of verifying the information supplied by the applicant. Sworn to before __________________________________ / __________________________________ Name (print) Date This ____________________ day of ____________________ __________________________________ / __________________________________ Original Signature Title Original Signature _______________________________ NOTARY PUBLIC  23. CERTIFICATION BY PREPARER I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge that the New Jersey Department of the Treasury is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the Department of the Treasury to notify the Department of the Treasury in writing of any changes to the answers or information contained herein. A material false statement or omission made in connection with this application will subject the applicant firm and me to civil and criminal penalties available in law, as well as possible debarment. I authorize the Department of the Treasury to verify any answer(s) contained herein, to investigate my background and credit worthiness and of the firm stated herein and to enlist the aid of third parties in its investigative process. I, being duly authorized, certify that the information supplied above, including all attached pages, is complete and correct to the best of my knowledge. ATTESTED: Sworn and subscribed to before me on the ____________________ day of ____________________ Original Signature: __________________________________ Date: ___________________ PRINT OR TYPE Name: __________________________________ Original Signature: ________________________________ Title: __________________________________ NOTARY PUBLIC       PAGE  - PAGE 5- -PAGE 15- DIVISION OF PROPERTY MANAGEMENT AND CONSTRUCTION Overnight mail: U.S. Postal Service: 33 West State St, 9th Floor PO Box 034 Trenton, NJ 08608 Trenton, NJ 08625-0034 Affix Corporate Seal If applicable Send completed 48A to: DEPARTMENT OF THE TREASURY Division of Property Management & Construction Consultant Prequalification Overnight mail: U.S. Postal Service: 33 West State St, 9th Floor PO Box 034 Trenton, NJ 08608 Trenton, NJ 08625-0034 Please note: U.S. Postal service overnight mail is delivered to the Capitol Post office. 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