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This is a service / maintenance or supply contract in Chillicothe, Ohio. Contact the soliciting agency for additional information.

Statements Received After This Deadline Will Not Be Considered.The Following Rating Factors Will Be Used by the Jackson Township Trustees to Evaluate Each Statement of Qualifications. All Rating Factors Will Have Equal Relative Importance. Please Respond Only to the Questions Listed. We Request That You Do Not Send Additional Forms, Brochures, or Similar Material. 1. List the Type of Work for Which Your Firm is Currently Prequalified by the Ohio Department of Transportation. 2. Detail the Project Staffing, Broken Down by the Number of: a. Professional Engineers B. Technicians C. Other Specialists Also Indicate the Number of Such Personnel Available for Assignment to This Project. 3. List the Project Manager(S). Attach Resume(S). 4. List the Experience of Your Firm's Personnel on Similar Projects. 5. Provide a Representative Listing of Projects Similar to the Proposed Project Performed by Your Firm. Include Number of Years Your Firm Has Been in Business. 6. List Your Firm's Present Workload. Please Specify the Dollar Value of Present Outstanding Fee Agreements. 7. Provide References. 8. Provide a Brief Description of Your Firms Equipment and Facilities. Geotechnical Services Required Odot Prequalifications: Geotechnical Engineering Services Geotechnical Testing Laboratory Geotechnical Field Exploration Services Geotechnical Drilling Inspection Services Source of Funding: Federal Emergency Management Agency, Fema Disaster No. Dr4424-oh Note: if Subconsultants Are to Be Utilized by the Prime Consultant, the Prime Consultant is Required to Take at Least the Following Five Affirmative Action Steps: 1. Place Qualified Small and Minority Businesses and Women's Business Enterprises on Solicitation Lists. 2. Assure That Small and Minority Businesses and Women's Business Enterprises Are Solicited Whenever They Are Potential Sources. 3. Divide Total Requirements, When Economically Feasible, Into Smaller Tasks or Quantities to Permit Maximum Participation by Small and Minority Businesses and Women's Business Enterprises. 4. Use the Services and Assistance, as Appropriate, of Such Organizations as the Small Business Administration (Sba) and Minority Business Development Agency of the Department of Commerce (Doc). The Preliminary Project Description is as Follows: Name of Project: Hickson Run Road Slip Repair Project, Pik-tr516-01.47 Location: Hickson Run Road, Jackson Township, Pike County, Ohio Description: The method of contractor selection has not been determined at this time.

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Roads / Highways

Public - City

Service, Maintenance and Supply

22

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2

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Hickson Run Rd, Chillicothe, OH

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