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									             INVITATION
      FOR CONSULTANT SERVICES

MEMORIAL STUDENT CENTER RENOVATION
          Project Number 09 D 3 L

                On behalf of
The University of Wisconsin / Stout Campus

            STOUT, WISCONSIN
                  08.25.09




                     1
                                             TABLE OF CONTENTS


Invitation for Consultant Services ..........................................................................3

Qualification Requirements ...................................................................................4

Submittal Requirements ........................................................................................6

Other Requirements ..............................................................................................7

Shortlisting Information..........................................................................................8

Site Visit Information .............................................................................................9

Interview Information .............................................................................................9

Members of the Selection Committee ...................................................................9

Responsibility of the A/E .....................................................................................10

Consultant Qualification Questionnaire Instructions ............................................11

Consultant Qualification Questionnaire ...............................................................16

Project Description ................................................... DSF Website (Support File 1)

Sample AE Contract ................................................. DSF Website (Support File 2)

Sample Screening Form........................................... DSF Website (Support File 3)

Standard Interview Questions .................................. DSF Website (Support File 4)

Fee Rate Sheet ........................................................ DSF Website (Support File 5)

09-11 Capital Budget Request ................................. DSF Website (Support File 6)

A/E Qualification Upload Instructions ....................... DSF Website (Support File 7)




                                                              2
                           INVITATION FOR CONSULTANT SERVICES

                                 Project Number 09 D 3 L
                          MEMORIAL STUDENT CENTER RENOVATION

                                           On behalf of
                           The University of Wisconsin / Stout Campus
                                      STOUT, WISCONSIN

                                                     08.25.09
The State of Wisconsin, Department of Administration, Division of State Facilities is inviting applications from firms
who are interested and qualified in providing Consultant / Architect / Engineer Services for the project referenced
above.


SCOPE OF WORK:
Project will renovate the dining, recreational, student organization, student government,
conference/meeting, and bookstore spaces at the Memorial Student Center (MSC). The existing bowling
area will be removed to provide additional program space. In addition, a three-story atrium with a
communicating stair between the first and second floors will be created in the center of the MSC to
provide natural light and welcoming environment.

As part of the project, the three existing food service venues will be combined into two. The entrance in
the northwest corner of the facility will be reconfigured and an automatic sprinkler system will be installed
for the entire facility. Stairwell and entry vestibules will be upgraded with the administration office area
receiving minor remodeling to include new ceiling light fixtures, ceiling systems, fire alarm system and
public address system.

All exterior windows and sealants will be replaced.

The project is enumerated in the 2009-11 Capital Budget.

This project has been approved through DESIGN ONLY.




                                                          3
                               QUALIFICATION REQUIREMENTS

Interested candidates must meet the following Wisconsin Administrative Code 20.02(6) (a)-(d)
requirements:
A. Have more than one A/E as a responsible member of the firm.
B. Have been in business at least three years.
C. Have a permanent office within Wisconsin where responsible direction of all services will be based.
Have acted as the responsible, Prime A/E from design through substantial completion of a UNIVERSITY
STUDENT UNION PROJECT of at least $6.916 million in construction value or 50,370 square feet.

Well-qualified teams will have either the prime consultant or subconsultant with specific design
experience in
    State-of-the-art audio-visual technology
    State-of-the-art information technology infrastructure
    Interior design

CLARIFICATIONS:
To claim credit for Qualification for C above:
    1. At a minimum, a principal or project architect/manager or project engineer/manager of a firm or
    association shall be permanently located at the Wisconsin office for the entire project, programming
    and/or design through completion of construction of the project.

To claim credit for Qualification D above,
    1. Administrative Code 20.02 (6) (d) requires the A/E firm to have experience of “A” project of ½ the
    size or construction cost of the project under consideration. There are no provisions in the code that
    indicate more than “A” project may be considered. Therefore, the language “single building or portion
    of a building” has been included for the definition of “Project” of this code requirement in the
    Qualification D above. See “Definitions” below.
    Only one project is required to meet this qualification.

    2. Submitting A/E firms, A/E firms in association (as defined in #4 below, “Definitions”) and
    individuals formerly with other A/E firms could conceivably claim experience credit for the same
    Substantially Completed project, however, the individual formerly with another A/E firm claiming credit
    must clearly indicate that the responsibility/experience was while employed with the other firm and:
            a. the firm(s) must have acted as a Prime,
            b. the firm‟s or individual‟s relationship is clearly defined and maintained through the life of
                 the project
            c. the individual must also clearly define their responsibility as either project
                 architect/manager, project engineer/manager and/or principal from programming and/or
                 design through Substantial Completion of construction of the project.

    3. Credit for Substantially Completed projects fulfilling this mandatory requirement will be accepted
    only for projects where the submitting A/E or the A/E firms in association provided professional
    services encompassing the design, construction documents, and construction administration.

    4. The submitting A/E firm or A/E firms in association may take credit for work performed by offices
    other than the office(s) stated in Sections 1 or 2 of this qualification, provided the assigned key
    persons anticipated for this project were associated with the project for which credit is being taken
    and the assigned key person is identified in Sections 2, 3 and 4 of this qualification. See Consultant
    Qualification Questionnaire Instructions for more details.


DEFINITIONS:
    1.  "SUBSTANTIAL COMPLETION" means the stage in the progress of the Work when the Work or
    designated portion thereof is sufficiently complete in accordance with the Contract Documents so the
    Project, or designated portion thereof, can be occupied and used for its intended purpose.

    2.   “PROJECT” means new construction, addition(s), remodeling or any combination thereof of a
    single building or portion of a single building.

                                                     4
NEW:   3. "UNIVERISTY STUDENT UNION" means a mixed-use facility or student union for a 4-year
       university or college that includes a variety of retail food service, large event space, bookstore and
       retail space, student organization space and meeting room space. Facilities for K-12 or 2-year
       colleges or technical schools, athletic recreational facilities or a single purpose facilities such as
       institutional food service commons or student services facilities do not meet this requirement.

       4. “ASSOCIATION” means 2 or more architect/engineer firms organized for the purposes of
       furnishing professional services as a single entity, providing the assignment of and provisions for
       continuity of the various responsibilities within the association and that the combination of the
       qualifications of the individual firms constituting the association makes the team eligible for selection
       (ADM 20.07 (4). A Prime/Subconsultant arrangement DOES NOT meet this definition.

       5. “PRIME”: The submitting A/E firm or the submitting A/E firm in association with one or more A/E
       firms must have performed as the Prime responsible A/E for that Substantially Completed, and similar
       project for which they are claiming experience. As an example: To claim experience to qualify for a
       State project which is primarily architectural, an A/E firm or association A/E firm(s) must have
       experience as an architectural prime on a Substantially Completed, architectural project of the type
       and either square footage/size or dollar value indicated.




                                                         5
                                      SUBMITTAL REQUIREMENTS

     The following documents are attached and are to be correctly completed and received by the time and
     date indicated:

NEW: 1.     CONSULTANT QUALIFICATION QUESTIONNAIRE. If your firm meets the eligibility
            requirements above,

           a)       Prepare and upload your electronic qualification submittal to this project number on
           the Department of Administration, Division of State Facilities Architect/Engineer Invitations for
           Service site: http://www.doa.state.wi.us/dsf/dfd_aeinvites_display.asp in Adobe (.pdf) format and

           b)      Submit two (2) copies and one (1) CD/DVD of the A/E Qualification Questionnaire, below,
           completed in Adobe (.pdf) written format according to the instructions.

           Applications should be mailed to:
                    Department of Administration/Division of State Facilities
                    Attention: Sharon Blattner Held
                    PO Box 7866, Madison, WI 53707-7866
                    or dropped off at 101 East Wilson Street, 7th Floor

            Submittals MUST be uploaded to WisBuild and received by this office no later than 2:30 PM,
            Tuesday, September 22, 2009, prevailing central standard or daylight saving time in force at
            Madison, Wisconsin, on this date


     2.     AE DATA RECORD: ALL submitting firms, associate firms and ALL subconsultants and team
            members MUST have electronically registered with a completed DSF„s A/E Data Record located
            on DSF‟s WisBuild Web Site on or before the due date above. Firms with multiple offices must
            have an established A/E Data Record from the office that is listed in Sections 1 and/or 2.

            To establish an A/E Data Record or ask questions pertaining to your WisBuild log in and
            password, please e-mail your company name and address to the following email address:
            wisbuild@doa.state.wi.us 3 working days prior to the qualification submittal deadline.

            For other questions pertaining to your A/E Data Record, please also contact
            wisbuild@doa.state.wi.us.




                                                         6
                                             OTHER REQUIREMENTS
       A/E firms desiring to do business with the State of Wisconsin are required to comply with the laws,
       policies and requirements governing A/E practices for State of Wisconsin design and construction
       projects as indicated below. The A/E is strongly encouraged to become familiar with these documents
       PRIOR to determining the feasibility of submitting their qualifications. The A/E will be expected to follow
       these requirements without exception, should be the A/E be selected for a project.

       1.      WISCONSIN ADMINISTRATIVE CODE 20: For more information on the Wisconsin laws
               pertaining to A/E eligibility requirements, solicitation, selection, contracting and performance
               evaluation requirements, please refer to Wisconsin Administrative Code Chapter 20.

       2.      POLICIES AND PROCEDURES MANUAL: For more information pertaining to the A/E‟s
               responsibilities on a project from selection through construction completion, please refer to the
               Policy and Procedure Manual for Architects/Engineers.

NEW:   3.      DSF Building Information Modeling (BIM) Guidelines and Standards are now applicable to
               projects greater than $2.5 million. Please refer to the following link for additional information:
               http://www.doa.state.wi.us/dsf/masterspec_view_new.asp?catid=61&locid=4

       4.      STATE OF WISCONSIN A/E CONTRACTS: If selected, and pending A/E fee negotiations, the
               State of Wisconsin will issue a contract to the A/E. Refer to the sample contract for the Terms
               and Conditions for A/E Contracts: A/E Contract (DOA-4519P) (See Support File 2). The State
               will not accept modifications, changes or deleted language from the State contract. The A/E is
               once again strongly encouraged to review the contract prior to submitting their qualifications for a
               project.

       5.      MINORITY BUSINESS INVOLVEMENT: Wisconsin legislation includes a goal for minority
               involvement in both the design and construction of state projects. In response to that legislation,
               the Division of State Facilities requests all firms responding to this invitation to include minority
               involvement as part of the design team through the use of certified minority-consulting firms. This
               involvement goal is at least 5% of the contracted A/E fee. The link to the certified minority
               business is provided: http://www.doa.state.wi.us/category.asp?linkcatid=645&linkid=60&locid=4

       6.      ASSOCIATION: means 2 or more architect/engineer firms organized for the purposes of
               furnishing professional services as a single entity, providing the assignment of and provisions for
               continuity of the various responsibilities within the association and that the combination of the
               qualifications of the individual firms constituting the association makes the team eligible for
               selection (ADM 20.07 (4). A Prime/Subconsultant arrangement DOES NOT meet this definition.

               Those firms that are party to an association that are invited to interview shall submit at the
               interview an executed draft Association Agreement-In-Principal between the parties. Selected
               firms that are party to an association shall submit a final executed Association Agreement
               between the parties prior to execution of a contract. The association agreement shall indicate
               how responsibilities will be shared, how tasks will be divided and the firms or individuals that will
               be assigned the responsibilities and tasks.

               Language in the Association Agreement shall indicate that DSF‟s A/E contract language
               overrides any conditions of the Association Agreement and that all parties to the Association are
               jointly and severally liable in the event of default by any of the parties. All parties of the
               Association must sign the A/E Contract with DSF unless the Association Agreement expressly
               stipulates one firm or individual with the authority to bind all parties of the Association Agreement
               to the terms and conditions of the A/E Contract with DSF.




                                                             7
                                   SHORTLISTING INFORMATION
The screening and shortlisting process is generally defined in the Wisconsin Administrative Code Chapter
20, ADM 20.04, 20.06 - 20.07 and the Policy and Procedure Manual for Architects/Engineers.
Qualification submittals will be evaluated based on the following criteria, also identified on the A/E
Screening Form (See Support File 3):

           Submitting A/E firms or submitting A/E firms in association with other firms meet the
            mandatory qualifications of the project as defined in ADM 20.02(6)

           Performance evaluation scores of the submitting A/E firms or submitting A/E firms in
            association with other firms. Past performance evaluation (a percentage) is equated to a
            score ranging from 0 to 4, multiplied by the weight. If a firm has no pre-established rating, the
            firm will be assigned a “1.5 NR (no rating)”, based on 50% (or one-half the maximum value of
            100%). Performance evaluation scores of A/E firms in association with other A/E firms are
            averaged. If an A/E has a performance score, their score (only) can be viewed through the
            A/E‟s WisBuild login.

           Experience: The overall experience of all the team members, number of similar projects and
            key persons to work on the project are evaluated based on what is contained in the
            qualification submittal.

           Geographic proximity: If two or more Wisconsin firms are in association, the points are
            averaged. If two or more firms are in association and only one is a Wisconsin firm, the
            Wisconsin points will be used.

           Design and Production Capabilities: The engineering and architectural abilities of the team
            are evaluated, based on what is contained in the qualification submittal and review of the
            performance evaluation scores of the subconsultants. Number of staff assigned to the
            project is also considered.

           Submitting A/E firms which currently have projects with the DSF will be deducted points
            based on the total dollar value of fees, including change orders, divided by 100,000.
            However, if the status of the project is in construction or beyond, the value of the points will
            be discounted by 80%. The intent of this section is to provide a greater opportunity for firms
            with fewer projects to undertake new projects. If two or more Wisconsin firms are in
            association, THE FIRM WITH THE HIGHEST POINTS IS USED. If an A/E has any current
            projects with DSF, their points (only) can be viewed by the A/E through the A/E‟s WisBuild
            login.

           NOTE: Performance scores of proposed subconsultants, by discipline, are also considered as
            subjective. As the performance scores of a firm are not provided to other firms, ask your proposed
            subconsultant to provide their DSF performance evaluation scores.

        All firms and team members are responsible for reviewing their firm’s performance evaluation
        scores and status points, including project status. Questions pertaining to these data points should
        be immediately referred to the appropriate assigned DSF project manager. Performance evaluation,
        status points and project status used will be those in effect at the date of prescreening.

        It is intended that four firms will be shortlisted.




                                                         8
                                             SITE VISIT INFORMATION

NEW:       TENTATIVE DATE FOR SITE VISIT: Tuesday, October 13, 2009. Details regarding the site visit
           will be provided to the shortlisted firms with the shortlist notification.


                                            INTERVIEW INFORMATION
       1. The interview process is generally defined in the Wisconsin Administrative Code Chapter 20, ADM
          20.04, 20.08 and the Policy and Procedure Manual for Architects/Engineers. Firms shortlisted in the
          shortlisting process will be invited to participate in an interview. The interview will consist of a forty-
          five (45) minute presentation with a ten (10) minute question and answer session by the selection
          committee. The format for the interviews will generally follow the format described in the Interview
          Questionnaire (See Support File 4) for the project and will require the A/E team to address project
          specific questions including the approach to the project, the program, budget, schedule, construction
          administration, project closeout, examples of similar projects. The media used to make the
          presentation is entirely at the discretion of the A/E team. In addition, the A/E firm will be required to
          complete and submit a Fee Rate Sheet (See Support file 5) indicating a detailed breakdown of the
          A/E‟s anticipated fees. The Fee Rate Sheet submittal shall be completed and submitted in a sealed
          envelope at the interview. When an A/E firm has been selected, the Fee Rate Sheet envelope shall
          be opened and used as a basis for fee negotiation.

       2. In the event the ranking of firms ends in a tie for either first or second place, the tie breaker method
          will be as follows:
               a.       The firm with the most #1 rankings will be the higher ranked
               b.       In the event a tie remains despite the number of #1 rankings, higher performance ratings
                        with the State at the time of the tie breaker for the Wisconsin firm(s) will be the second tie
                        breaker.

       3. TENTATIVE DATE FOR INTERVIEWS: Monday, November 02, 2009, between 8:00 AM to 4:00 PM
          prevailing central standard or daylight saving time in force at Madison, Wisconsin, on this date. The
          time and date will be confirmed via separate E-mail to the shortlisted firms.


                                MEMBERS OF THE SELECTION COMMITTEE

       The following members, or substitutes, comprise the Selection Committee:
       DSF Director of Bureau of Architecture and Engineering, State Chief Engineer
       DSF State Architect
       DSF Chief of Project Management or Project Delivery
       DSF Project Manager
       DOA State Minority Business Enterprise Coordinator
       Two Agency Representatives from the University of Wisconsin System

       The list of these members is tentative and subject to change, based on member‟s availability.




                                                              9
                                    RESPONSIBILITY OF THE A/E
It is the sole responsibility of the submitting A/E firm(s), including A/E firms in association, to validate the
completeness and accuracy of the information provided on their qualification and the timeliness of the
submittal. In fairness to all submitting firms, DSF will review the submittal at its face value and presume
that quality checks for errors and omissions were provided by the A/E prior to submission. Those
submittals not meeting the qualification requirements will disqualify the A/E firm(s) and the submittal will
not be considered for further review. Likewise, opportunities for qualification resubmittal and revision will
not be allowed.

It is also the sole responsibility of the submitting A/E firm to ask for clarification of meaning or intent of any
of the documents or requirements up to a period of 5 business days prior to the submittal deadline, to
allow for a reasonable time to research a response, if necessary, and respond to the A/E firm prior to the
submittal deadline.

Please direct your questions via e-mail to SHARON BLATTNER HELD, A/E Contract Officer,
sharon.blattnerheld@wisconsin.gov or via fax at 608.267.2710 by 2:30 p.m. Tuesday, September 15,
2009, prevailing central standard or daylight saving time in force at Madison, Wisconsin, on this date.




                                                       10
                                          STATE OF WISCONSIN
                                     DIVISION OF STATE FACILITIES

               CONSULTANT QUALIFICATION QUESTIONNAIRE INSTRUCTIONS

                                                      ELIGIBILITY
        Before proceeding with the application process make certain that your firm meets the eligibility criteria as
        outlined in the State of Wisconsin, Department of Administration, Administrative Code Chapter 20.02 (6) (a)
        – (d).
                                                       PURPOSE
        The purpose of this form is to provide information regarding the qualifications of interested firms to
        undertake a specific state building project. Responses should be as complete, clear and accurate as
        possible, contain data specific and relevant to the specified project for which you wish to be considered, and
        should be mailed and provided by the due date and time, to the Department of Administration, Division of
                                               th
        State Facilities, 101 East Wilson St. 7 Floor, P.O. Box 7866, Madison, Wisconsin 53707-7866.

        DEFINITIONS:

        “PRINCIPALS” are those individuals in a firm who possess legal responsibility for its
        management. They may be owners, partners, corporate officers, associates, administrators, etc.

        “DISCIPLINE”, as used in this questionnaire, refers to the primary technological capability of
        individuals in the responding firm. Possession of an academic degree, professional registration,
        certification, or extensive experience in particular field of practice normally reflects an individual‟s
        primary technical discipline.

        “KEY PERSONS, SPECIALISTS, AND INDIVIDUAL CONSULTANTS”, as used in this
        questionnaire, refer to individuals who will have MAJOR project responsibility or will provide
        UNUSUAL OR UNIQUE capabilities for the project under construction.

        “SUBSTANTIAL COMPLETION”, means the stage in the progress of the Work when the Work or
        designated portion thereof is sufficiently complete in accordance with the Contract Documents so
        the Project, or designated portion thereof, can be occupied and used for its intended purpose.

         “ASSOCIATION” means 2 or more architect/engineer firms organized for the purposes of
        furnishing professional services as a single entity, providing the assignment of and provisions for
        continuity of the various responsibilities within the association and that the combination of the
        qualifications of the individual firms constituting the association makes the team eligible for
        selection (ADM 20.07 (4). A Prime/Subconsultant arrangement DOES NOT meet this definition.

        “PRIME”: The submitting A/E firm or the submitting A/E firm in association with one or more A/E
        firms must have performed as the Prime responsible A/E for that Substantially Completed, and
        similar project for which they are claiming experience. As an example: To claim experience to
        qualify for a State project which is primarily architectural, an A/E firm or the association A/E
        firm(s) must have experience as an architectural prime on a Substantially Completed,
        architectural project of the type and either square footage/size or dollar value indicated.

        “PROJECT” means new construction, addition(s), remodeling or any combination thereof of a
        single building or portion of a single building.

NEW: "UNIVERISTY STUDENT UNION" means a mixed-use facility or student union for a 4-year
     university or college that includes a variety of retail food service, large event space, bookstore
     and retail space, student organization space and meeting room space. Facilities for K-12 or 2-
     year colleges or technical schools, athletic recreational facilities or a single purpose facilities such
     as institutional food service commons or student services facilities do not meet this requirement.

        “NON MANDATORY” projects, as referenced in Section 5 of this qualification, means that
        projects that are listed in this Section are not required to meet the mandatory requirements set for
                                                         11
the project and listed in Section 4 of this qualification. Section 5 is required to be completed for
the qualification, however.

                                 INSTRUCTIONS FOR FILING

Do not use forms other than those provided herein. The forms provided indicate
what information is desired and the format in which it is to be presented. Numbered paragraphs
below correspond to numbers contained in form.

1.       FIRM(S )SUBMITTING AS „PRIME(S)‟:
    Indicate name and address of the Prime firm(s) which is (are) submitting this form for the
     project as well as the firm‟s Principal contact name, title, e-mail and telephone.

    If the Prime firm(s) has(have) more than one office, indicate all offices involved as well as the
     main office from which project direction will be provided.

    Firms in association must also fill out this section.
     ALERT: Verify all Association firms are also listed in Section 2 of this qualification.

2.       ALL FIRMS AND ASSIGNED STAFF ANTICIPATED FOR THIS PROJECT:
    Provide names and addresses of ALL firms, Minority Business Enterprise (MBE) firm
     designation if applicable, relationship to the Prime(s) on this project, whether the Prime has
     worked with the firms listed, key staff persons assigned to this project including their title and
     discipline.

    Firms in association please fill in Prime AND association.
     ALERT: Verify all Association firms are also listed in Section 1 of this qualification.

    Be sure staff listed in this Section is all staff listed in Section 3 of this qualification. Be
     sure all staff listed in Section 3 of this qualification is also listed in this Section.

    Use additional pages as required.

3.       BRIEF RESUME OF KEY PERSONS, SPECIALISTS, AND INDIVIDUAL
         CONSULTANTS ANTICIPATED FOR THIS PROJECT:
    Provide brief resumes of ALL key personnel expected to participate on this project for each
     team, including those personnel involved with construction administration. Care should be
     taken to limit resumes to only those personnel and specialists who will have major project
     responsibilities.

    For Section 3.g., indicate the individual‟s role and responsibility for the project from beginning
     to Substantial Completion of construction of the project experience referenced. If the
     experience was gained while the individual was with another firm, please also indicate the
     name of the firm.

    Be sure staff listed in this Section is all staff listed in Section 2 of this qualification. Be
     sure all staff listed in Section 2 of this qualification is also listed in this Section.

    Use additional pages as required.

4.     MANDATORY PROJECT WHICH MEETS THE REQUIRMENT OF A SIMILAR
       PROJECT OF ½ THE SIZE OR CONSTRUCTOIN COST (20.02 (6) (d))

    Administrative Code 20.02 (6) (d) requires the A/E firm to have experience of “A” project of ½
     the size or construction cost of the project under consideration. There are no provisions in
     the code that indicate more than “A” project may be considered. Therefore, the language
     “single building or portion of a single building” has been included for clarification of “project” of
     this code requirement in the Qualification D and “Definitions” above.


                                               12
    PLEASE COMPLETE ONLY ONE PROJECT, (ONE SECTION 4), TO INDICATE
     COMPLIANCE WITH THIS SECTION. This may be completed by any of the firm(s)
     listed in Section 1 of this qualification or an individual currently employed by any of
     the firm(s) in Section 1 of this qualification while with another firm and assigned to this
     project.

    NO INFORMATION PROVIDED IN THIS SECTION MAY INDICATE “CONFIDENTIAL”

    a.   FIRM NAME AND LOCATION: Indicate the name of A/E firm and the office responsible
         for the project. If 4.a. is completed, 4.b. should remain blank.
          ALERT: This firm must also be listed in Sections 1 and 2 of this qualification.

    b.   NAME OF INDIVIDUAL, FIRM AFFILIATION AND LOCATION: If an individual currently
         employed by a firm in Section 1 of this qualification is claiming experience while
         employed with another A/E firm, the individual‟s name, the former employing firm of the
         individual and location of the former firm must be listed. If 4.b. is completed, 4.a. should
         remain blank.
          ALERT: This individual must also be listed in Sections 2 and 3 of this qualification.

    c.   CLIENT NAME AND LOCATION: Indicate name of the client and location of the project.
         Title of project may also be indicated.

    d.   REQUIREMENT STATEMENT: This section pertains to evaluation of the Prime A/E‟s
         mandatory project on whether it fulfills the requirements of Wis. Adm Code 20.02 (6) (d):
          “Have acted as the responsible, Prime A/E from design through substantial
            completion of a UNIVERSITY STUDENT UNION PROJECT of at least $6.916 million
            in construction value or 50,370 square feet.”

     TO FULFILL THE REQUIREMENTS OF WIS. ADM CODE 20.02 (6) (d), THE
     PROJECT YOU ARE DESCRIBING MUST BE AT LEAST 50,370 SQUARE FEET
     OR THE CURRENT CONSTRUCTION COST VALUE MUST BE AT LEAST $6.916
     MILLION AND BOXES 1, 3 AND 4 MUST BE CHECKED “YES”. IF AN
     INDIVIDUAL IS INDICATED IN 4.b., THEN BOX 2 MUST ALSO BE CHECKED
     “YES.” IF THE SQUARE FOOTAGE OR THE CURRENT CONSTRUCTION COST
     IS NOT MET AND THESE REQUIRED BOXES ARE NOT CHECKED „YES”, YOUR
     FIRM WILL BE DISQUALIFIED.

            ALERT: The submitting A/E firm or A/E firms in association, may take credit for
             work performed by offices other than the office(s) stated in this Section 1 or Section 2
             of this qualification, provided the assigned key persons anticipated for this project
             were associated with the project for which credit is being taken and the assigned key
             person is identified in Sections 2, 3 and 4 of this qualification.

            ALERT: All project costs shall be actual costs in US dollars at completion of
             construction. DSF will apply the ENR Building Cost Index rates to the non-
             escalated cost of the projects indicated by the A/E. ENR Building Costs Index rates
             will be those effective at the time of prescreening.

    e.   WELL-QUALIFIED, DESIRABLE PROJECT EXPERIENCE:
            These checkboxes are provided to indicate the A/E‟s additional project
               experience which is desirable but not mandatory. This information helps provide
               understanding of the A/E‟s breadth of project experience as it relates to similar
               components of this project.

                 If the A/E‟s project contains any of these components, please complete the
                 checkboxes as applicable.

    f.   ADDITIONAL INFORMATION:


                                              13
                  The A/E may provide whatever supplemental information they wish to elaborate
                   on regarding the project, the A/E‟s involvement, the project complexity or any
                   other specifics the A/E wishes to address.

                  When appropriate, respondents may supplement this Section with graphic
                   material and photographs which best illustrate this project.

     g.   EXPLAIN RELEVANCE OF THIS PROJECT TO THE UW STOUT MEMORIAL
          STUDENT CENTER RENOVATION PROJECT: Briefly describe how your project has
          relevancy to the advertised project which may include similarities in scope, size,
          schedule, program requirements, etc.

     Use additional pages as required.

5.        NON-MANDATORY PROJECTS BY FIRM OR INDIVIDUAL WHICH BEST
          ILLUSTRATES QUALIFICATIONS RELEVANT TO THIS PROJECT

     Each firm and consultant on the A/E team shall complete a separate Section 5 for EACH
      relevant project they wish to describe. Individuals in a firm, which have experience while
      employed with another firm, may also include projects.

     THE PROJECTS DESCRIBED IN THIS SECTION DO NOT NEED TO MEET THE
      MANDATORY REQUIREMENTS DESCRIBED IN SECTION 4 BY THE SUBMITTING
      PRIME(S) AND ARE INTENDED TO ALLOW THE A/E TEAM TO FURTHER ELABORATE
      ON THEIR DEPTH OF EXPERIENCE RELATIVE TO THE PROJECT ADVERTISED. A
      MINIMUM OF ONE RELEVANT PROJECT SHOULD BE INCLUDED FOR EACH FIRM.

     a.   FIRM NAME AND LOCATION: Indicate the name of A/E firm and the office responsible
          for the project. If 5.a. is completed, 5.b. should remain blank.

     b.   NAME OF INDIVIDUAL, FIRM AFFILIATION AND LOCATION: If an individual currently
          employed by a Prime in Section 1 of this qualification is claiming experience while
          employed with another A/E firm, the individual‟s name, the former employing firm of the
          individual and location of the former firm must be listed. If 5.b. is completed, 5.a. should
          remain blank.
           ALERT: This individual must also be listed in Sections 2 and 3 of this qualification.

     c.   CLIENT NAME AND LOCATION: Indicate name of the project client and location of the
          project. Title of project may also be indicated.

     d.   PROJECT INFORMATION:
           These checkboxes are provided to help qualify and quantify the A/E‟s breadth of
             experience as it relates to similar components of the advertised project. It also
             facilitates understanding of the project scope, the A/E‟s role, the size and cost of the
             project, type of project, staff assigned to the project who were involved with the
             project and when the project was completed.

             If the A/E‟s project contains any of these components, please complete the
              checkboxes as applicable

     e.   ADDITIONAL INFORMATION:
                The A/E may provide whatever supplemental information they wish to elaborate
                 on regarding the project, the A/E‟s involvement, the project complexity or any
                 other specifics the A/E wishes to address

                  When appropriate, respondents may supplement this Section with graphic
                   material and photographs which best illustrate this project.




                                              14
   f.   EXPLAIN RELEVANCE OF THIS PROJECT TO THE UW STOUT MEMORIAL
        STUDENT CENTER RENOVATION PROJECT: Briefly describe how your project has
        relevancy to the advertised project which may include similarities in scope, size,
        schedule, program requirements, etc.

    Use additional pages as required.

   6.   Through narrative discussions, show reasons why your firm believes it is qualified to
        undertake the project. Information provided should include, but not be limited to, such
        data as: specialized equipment available for this work, any awards or recognition
        received by a firm or individuals for similar work, special approaches or concepts
        developed by the firm relevant to this project, projects where the team members have
        previously worked together. Respondents may say anything they wish in support of their
        qualifications. When appropriate, respondents may supplement this Section with graphic
        material and photographs which best demonstrate capabilities for this project.

   7.   If this qualification is submitted by an Association of firms (as defined in the “Definitions”
        above) please identify the firms involved and their relationship to each other. Provide
        very specific details regarding how the responsibilities are anticipated to be defined
        through each phase of the project through completion of construction and who will be the
        primary contact for the project. DO NOT ENTER SUBCONSULTANT INFORMATION IN
        THIS SPACE. If an Association does not apply to the firm submitting this form, enter the
        words: “Not Applicable” or “N/A”.

   8.   If the submitting A/E firm or one or more of the A/E firms in association (as defined in the
        “Definitions” above) with the submitting A/E firm has not worked on a project with the
        Division of State Facilities within the last 5 years, please submit two (2) letters of
        recommendation from any completed project the A/E has indicated in Sections 4 or 5 of
        this qualification. Please indicate “Not Applicable” or “N/A” if this does not apply to the
        submitting A/E firm and all of the A/E firms in association.

   9.   Please indicate in this space your plans for complying with our minority participation
        requirement. Evaluation of the A/E team members, including MBE participation, is an
        important part of the shortlisting process. Please be sure MBE participation is identified
        as part of this submittal.

   10. Include in this item the specific data requested, to confirm your firm‟s eligibility for this
       project.

   11. Completed forms should be signed by the architect/engineer principal responsible for the
       conduct of the work in the event it is awarded to the organization submitting this form.
       ALL INFORMATION CONTAINED IN THE FORM MUST BE CURRENT AND FACTUAL.

Do not use forms other than those provided herein. The forms provided indicate
what information is desired and the format in which it is to be presented.




                                             15
STATE OF WISCONSIN                                                                   UNIVERSITY OF WISCONSIN, STOUT CAMPUS, MEMORIAL STUDENT CENTER RENOVATION, MENOMONIE, WI
                                                                                                                                                             PROJECT NO. 09 D 3 L
DIVISION OF STATE FACILITIES                                                                                                                       A/E Qualifications Questionnaire

                                                                                      1.    FIRM(S )SUBMITTING AS „PRIME(S)‟
                                                                                                (including Association firms)
                FIRM NAME(S)                                                               FIRM ADDRESS(ES) WHERE PRIMARY                     PRINCIPAL(S) CONTACT(S):
                                                                                                SERVICES ARE PROVIDED:                NAME, TITLE, E-MAIL & TELEPHONE NUMBER:
a.

b.

c.


                                      2.            ALL FIRMS AND ASSIGNED STAFF ANTICIPATED FOR THIS PROJECT

 NAME & ADDRESS OF FIRM                                                              WORKED        ASSIGNED KEY STAFF              STAFF TITLE         STAFF DISCIPLINE
                                                                                       WITH       (Verify all staff in Section 3
                                                                    SUBCONSULTANT?
                                                                                      PRIME               are listed here)
                                                     ASSOCIATION?


                                                                                     BEFORE?
                                           PRIME?
                               MBE?




                                                                                     YES


                                                                                           NO

a.




b.




c.




                                                                                                              16
NAME & ADDRESS OF FIRM                                                   WORKED      ASSIGNED KEY STAFF              STAFF TITLE   STAFF DISCIPLINE
                                                                                    (Verify all staff in Section 3




                                                        SUBCONSULTANT?
                                                                           WITH
                                                                          PRIME            are listed here)




                                         ASSOCIATION?
                                                                         BEFORE?




                                PRIME?
                         MBE?




                                                                         YES


                                                                               NO
d.




e.




f.




g.




h.




i.




                                                                                                17
         3. BRIEF RESUME OF KEY PERSONS, SPECIALISTS, AND INDIVIDUAL CONSULTANTS ANTICIPATED FOR THIS PROJECT
                                                      (Verify all staff in Section 2 are listed here)
a.   NAME AND TITLE:                                                          a.   NAME AND TITLE:




b.   PROJECT ASSIGNMENT:                                                      b.   PROJECT ASSIGNMENT:




c.   NAME OF FIRM WITH WHICH ASSOCIATED:                                      c.   NAME OF FIRM WITH WHICH ASSOCIATED:




d.   YEARS EXPERIENCE:                                                        d.   YEARS EXPERIENCE:

     WITH THIS FIRM:                                                               WITH THIS FIRM:
     WITH OTHER FIRMS:                                                             WITH OTHER FIRMS:

e.   EDUCATION: DEGREE(S) / YEAR / SPECIFICATION                              e.   EDUCATION: DEGREE(S) / YEAR / SPECIFICATION




f.   ACTIVE REGISTRATION: YEAR FIRST REGISTERED / DISCIPLINE                  f.   ACTIVE REGISTRATION: YEAR FIRST REGISTERED / DISCIPLINE




g.   OTHER EXPERIENCE AND QUALIFICATIONS RELEVANT TO THE PROPOSED             g.   OTHER EXPERIENCE AND QUALIFICATIONS RELEVANT TO THE PROPOSED
     PROJECT. INDICATE ROLE AND SCOPE OF RESPONSIBILITY FOR EACH                   PROJECT. INDICATE ROLE AND SCOPE OF RESPONSIBILITY FOR EACH
     PROJECT LISTED.                                                               PROJECT LISTED.




                                                                              18
  4. MANDATORY PROJECT WHICH MEETS THE REQUIRMENT OF A SIMILAR PROJECT OF ½ THE SIZE OR CONSTRUCTION COST (20.02 (6) (d)
                                        NO INFORMATION PROVIDED IN THIS SECTION MAY INDICATE “CONFIDENTIAL”
 a. FIRM NAME AND LOCATION:
 b. OR NAME OF INDIVIDUAL, FIRM AFFILIATION AND LOCATION:                                                                                               _
 c. CLIENT NAME AND LOCATION:                                                                                                                           _
 d. REQUIREMENT STATEMENT:
 D. “Have acted as the responsible, Prime A/E from programming and design through substantial completion of a UNIVERSITY STUDENT UNION PROJECT of at least
    $6.916 million in construction value or 50,370 square feet.”
TO FULFILL THE REQUIREMENTS OF WIS ADM CODE 20.02 (6) (d), THE PROJECT YOU ARE DESCRIBING MUST BE AT LEAST 50,370 SQUARE FEET OR
THE CURRENT CONSTRUCTION COST VALUE MUST BE AT LEAST $6.916 MILLION AND BOXES 1, 3 AND 4 MUST BE CHECKED “YES”. IF AN
INDIVIDUAL IS INDICATED IN 4.b. ABOVE, THEN BOX 2 MUST ALSO BE CHECKED “YES.” IF THE SQUARE FOOTAGE OR THE CURRENT CONSTRUCTION
COST IS NOT MET AND THESE REQUIRED BOXES ARE NOT CHECKED “YES”, YOUR FIRM WILL BE DISQUALIFIED.
1. FOR THE PROJECT DESCRIBED IN THIS SECTION, DID EITHER THE FIRM NAMED IN 4.a. ABOVE OR INDIVIDUAL WITH ANOTHER FIRM NAMED IN 4.b. ABOVE ACT AS A
PRIME (AS DEFINED IN THE CONSULTANT QUALIFICATION QUESTIONNAIRE INSTRUCTIONS) ON THIS PROJECT FROM PROGRAMMING OR DESIGN THROUGH
SUBSTANTIAL COMPLETION OF CONSTRUCTION?
                                                                   Yes    No      N/A

2. IF AN INDIVIDUAL WITH ANOTHER FIRM IS INDICATED IN 4.b. ABOVE, FOR THE PROJECT DESCRIBED IN THIS SECTION, WAS THE INDIVIDUAL RESPONSIBLE FROM
PROGRAMMING OR DESIGN THROUGH SUBSTANTIAL COMPLETION OF CONSTRUCTION AS PROJECT ARCHITECT/MANAGER, PROJECT ENGINEER/MANAGER OR
PRINCIPAL?
                                                                     Yes     No    N/A

3. FOR THE PROJECT DESCRIBED IN THIS SECTION, IS THE PROJECT SUBSTANTIALLY COMPLETE (AS DEFINED IN THE CONSULTANT QUALIFICATION QUESTIONNAIRE
INSTRUCTIONS) AS OF AUGUST 25, 2009?
                                                                    Yes     No

4. DOES THE PROJECT DESCRIBED IN THIS SECTION COMPLY WITH THE DEFINITION OF “PROJECT” AS DEFINED IN THE CONSULTANT QUALIFICATION
QUESTIONNAIRE INSTRUCTIONS?
                                                                    Yes      No

5. SQUARE FOOTAGE OF A UNIVERSITY STUDENT UNION AT TIME OF SUBSTANTIAL COMPLETION (AS DEFINED IN THE CONSULTANT QUALIFICATION QUESTIONNAIRE
INSTRUCTIONS)
                                                                   _______________________________

6. UNESCALATED CONSTRUCTION COST OF A UNIVERSITY STUDENT UNION AT SUBSTANTIAL COMPLETION (AS DEFINED IN THE CONSULTANT QUALIFICATION
QUESTIONNAIRE INSTRUCTIONS)
          CONSTRUCTION COST: $_______________________________ MONTH/YEAR OF SUBSTANTIAL COMPLETION:

7. LIST STAFF FROM SECTIONS 2 AND 3 OF THIS QUALIFICATION WHO WERE ASSIGNED TO THIS PROJECT (INCLUDE LEED ACCREDITED STAFF):
______________________________________________________________________________________________________________________________________

 e. NON-MANDATORY, DESIRABLE PROJECT EXPERIENCE (CHECK ALL THAT APPLY):
    STATE-OF-THE-ART AUDIO-VISUAL TECHNOLOGY        STATE-OF-THE-ART INFORMATION TECHNOLOGY INFRASTRUCTURE               INTERIOR DESIGN
    OTHER:________________________________________________________________ ________



                                                                                 19
f. ADDITIONAL INFORMATION:




g. EXPLAIN RELEVANCE OF THIS PROJECT TO THE UW STOUT MEMORIAL STUDENT CENTER RENOVATION PROJECT.




                                                            20
5. NON-MANDATORY PROJECTS BY FIRM OR INDIVIDUAL WHICH BEST ILLUSTRATES QUALIFICATIONS RELEVANT TO THIS PROJECT
a. FIRM NAME AND LOCATION: _______    __                                         _________________________                    ___ ________________ _____
b. OR NAME OF INDIVIDUAL, FIRM AFFILIATION AND LOCATION: _       ________                            ____________________           ___________________
c CLIENT NAME AND LOCATION:                                                                                                        _____________________

d. PROJECT INFORMATION:
1. FOR THE PROJECT DESCRIBED IN THIS SECTION, INDICATE THE ROLE AND RESPONSIBILITY OF THE FIRM INDICATED IN 5.a. OR INDIVIDUAL WITH ANOTHER
FIRM IN 5.b. ABOVE (Check all that apply):

                                      Prime A/E       Association    Subconsultant    Other_____________________
        Master Planning/Study   Programming        Design      Bidding    Construction      Substantial Completion      Other_____________________


2. IF AN INDIVIDUAL WITH ANOTHER FIRM IS INDICATED IN 5.b. ABOVE, FOR THE PROJECT DESCRIBED IN THIS SECTION, INDICATE LEVEL OF RESPONSIBILITY
FOR THAT PROJECT. (Check all that apply):

                                    Project Architect    Project Engineer    Principal     Other_____________________

3. FOR THE PROJECT DESCRIBED IN THIS SECTION, IS THE PROJECT SUBSTANTIALLY COMPLETE (AS DEFINED IN THE CONSULTANT QUALIFICATION
QUESTIONNAIRE INSTRUCTIONS) AS OF AUGUST 25, 2009?
                                                                  Yes     No

4. SQUARE FOOTAGE OF PROJECT AT TIME OF SUBSTANTIAL COMPLETION (AS DEFINED IN THE CONSULTANT QUALIFICATION QUESTIONNAIRE INSTRUCTIONS)
                                                         _______________________________

5. UNESCALATED CONSTRUCTION COST OF PROJECT AT TIME OF SUBSTANTIAL COMPLETION (AS DEFINED IN THE CONSULTANT QUALIFICATION
QUESTIONNAIRE INSTRUCTIONS)
    CONSTRUCTION COST: $_______________________________ MONTH/YEAR OF SUBSTANTIAL COMPLETION: _______________________________

6. DOES THE PROJECT DESCRIBED IN THIS SECTION INCLUDE ANY OF THE FOLLOWING COMPONENTS (Check all that apply)?
   STATE-OF-THE-ART AUDIO-VISUAL TECHNOLOGY        STATE-OF-THE-ART INFORMATION TECHNOLOGY INFRASTRUCTURE                   INTERIOR DESIGN
   OTHER:________________________________________________________________ ____

7. LIST STAFF FROM SECTIONS 2 AND 3 IN THIS QUALIFICATION WHO WERE ASSIGNED TO THIS PROJECT (INCLUDE LEED ACCREDITED STAFF):
__________________________________________________________________________________________________________________________________




                                                                            21
e. ADDITIONAL INFORMATION:




f. EXPLAIN RELEVANCE OF THIS PROJECT TO THE UW STOUT MEMORIAL STUDENT CENTER RENOVATION PROJECT.




                                                            22
6. USE THIS SPACE TO PROVIDE ANY ADDITIONAL INFORMATION OR DESCRIPTION OF RESOURCES SUPPORTING YOUR FIRM‟S QUALIFICATIONS FOR THE
   PROPOSED PROJECT. (SEE ARTICLE 6 OF QUESTIONNAIRE INSTRUCTIONS)




7. IF APPLICABLE, PROVIDE VERY SPECIFIC DETAILS OF THE ASSOCIATION ARRANGEMENT FOR THIS PROJECT IN TERMS OF ROLES, RESPONSIBILITIES AND
   MANAGEMENT OF THE VARIOUS PHASES OF THE PROJECT. IDENTIFY THE PRIMARY PRINCIPAL FOR THE PROJECT. (SEE ARTICLE 7 OF QUESTIONNAIRE
   INSTRUCTIONS)




8. IF THE SUBMITTING A/E FIRM OR ONE OR MORE OF THE A/E FIRMS IN ASSOCIATION (AS PREVIOUSLY DEFINED IN THIS SOLICITATION) WITH THE SUBMITTING A/E
  FIRM HAS NOT WORKED ON A PROJECT WITH THE STATE OF WISCONSIN, DIVISION OF STATE FACILITIES WITHIN THE LAST 5 YEARS, PLEASE SUBMIT TWO (2)
 LETTERS OF RECOMMENDATIONS FROM ANY COMPLETED PROJECT THE A/E HAS INDICATED IN SECTIONS 4 OR 5 OF THIS QUALIFICATION. (SEE ARTICLE 8 OF
 QUESTIONNAIRE INSTRUCTIONS)




9. HOW DOES YOUR FIRM PLAN ON MEETING THE 5% MINORITY PARTICIPATION GOAL? (SEE ARTICLE 9 OF QUESTIONNAIRE INSTRUCTIONS FOR REVISED
REQUIREMENTS)




                                                                          23
10. PLEASE ANSWER THE QUESTIONS LISTED BELOW, TO CONFIRM SPECIFIC ELIGIBILITY REQUIREMENTS.



A.   Names and A/E Registration Numbers of Two Principals of the Firm:

     ___________________________________               ___________________               _________________________________              ___________________
                    (Name)                                 (Reg. Number)                               (Name)                               (Reg. Number)



B.   Our firm, members of our firm, or the firm in association with one or more firms has Substantially Completed a project in Section 4 of this qualification
     that meets the eligibility requirements of Administrative Code, Chapter 20.02(6)(d) as referenced in the eligibility statement of these instructions. Furthermore, I have
     validated the completeness and accuracy of the information provided by our team and am responsible for the quality checks for any errors and
     omissions in the submittal.


                                                                            Yes             No




11. THE FOREGOING IS A STATEMENT OF FACTS.
                                                                         _________________________________________________             __________________
______________________________________________________                                   (Typed Name)                                         (Date)
                          (Signature)                                    _________________________________________________
                                                                                         (Typed Title)




                                                                                       24

								
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