Statement Of Qualifications For Professional Services

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Alan Brubaker, P.E., P.S. Summit County Engineer Statement of Qualifications for Professional Services Summary Sheet Date:

Name of Firm: Contact Person and Title: Address: City:

State:

Telephone:

Fax:

Email:

Web Page:

Zip:

Please check all the services that your firm can provide and/or check the appropriate box if your firm is ODOT pre-qualified to provide such services.

Engineering Categories Non-complex Roadway Design Complex Roadway Design Safety Studies Right-of-Way Plan Development Level 1 Bridge Design Level 2 Bridge Design Level 3 Bridge Design Elements Minor Bridge Inspection Major Bridge Inspection Underwater Bridge Inspection Geotechnical Engineering Services Geotechnical Testing Laboratory Basic Traffic Signal Design Traffic Signal System Design Limited Lighting Design Complex Lighting Design

SOQ Summary Sheet Page 1 of 3

Service Provided

ODOT Pre-Qualified

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

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Environmental Categories Environmental Document Preparation – EA/EIS Environmental Document Preparation – CE Environmental Document Preparation – 4(f) Aquatic Ecology Survey Terrestrial Ecology Survey Wetland Delineation Wetland Mitigation Waterway Permits Air Quality Analyses Noise Analyses and Abatement Design Archaeological Investigations History/Architectural Investigations Environmental Site Assessment Screening Phase I Environmental Site Assessment Phase II Environmental Site Assessment Environmental Site Assessment Remedial Design Right-of-Way Categories Project Management Title Search Value Analysis Appraisal Appraisal Review Negotiation Closing Relocation Relocation Review Construction Categories Construction Inspection Construction Materials Testing Construction Administration SOQ Summary Sheet Page 2 of 3

Service Provided

ODOT Pre-Qualified

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

Service Provided

ODOT Pre-Qualified

□ □ □ □ □ □ □ □ □

□ □ □ □ □ □ □ □ □

Service Provided

ODOT Pre-Qualified N/A

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N/A N/A

Miscellaneous Categories Access Management Traffic Studies Bridge Load Rating

Service Provided

□ □

Field Surveying Floodplain Management Studies



Hydraulic & Hydrologic Modeling



Maintenance Facility Design



Maintenance Service facility needs studies



Municipal Engineering Type Services



Pavement Condition Assessment



Program Public Participation Assistance



Storm Water Pollution Prevention Plans



Storm Water Detention/Retention Design



Storm Water Utility Master Planning



Storm Water Utility Policy Development



SOQ Summary Sheet Page 3 of 3

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