QBS EmailRegistration
for Design-Build (D-B) Services
Page 1 of 1
QBS Email Registration
1. / The purpose of this form is to provide the State of Connecticut, Department of Administrative Services, Construction Services (CT DAS/CS), with current contact information for the Prime Design-Build Firm and Prime Professional Services Consultant Firm. All DAS/CS responses and addendum to the QBS process for the entire Design-Build Team (for a specific contract) shall be sent by DAS/CS to the Prime Design-Build Firm’s 1st Contact’s email address. The Prime Design-Build Firm’s 1st Contact’s email address should be continuously monitored by the Contact to ensure timely receipt of all communications from DAS/CS. Please see Division 10 of the publication, “QBS Supplemental Submittal Booklet Requirements for D-B Services” (1512) for additional details regarding the QBS Email Registration for Design-Build (D-B) Services (1511).
2. / The Prime Design-Build Firm shall emailone (1) completed QBS Email Registration for Design-Build (D-B) Services (1511) to Rose Mitchell, (Connecticut Department of Administrative ServicesOffice of Legal Affairs, Policy & Procurement 450 Columbus Boulevard, Suite 1302 Hartford, Connecticut 06103) by the due date of this Contract at
3. / The Prime Design-Build Firm shall insert one (1) completed hard copy of the QBS Email Registration for Design-Build (D-B) Services (1511) behind the Division 10 Tab of each QBS Supplemental Submittal Booklet for D-B Services.
4. / The Prime Design-Build Firm shall provide the following information for two (2) representatives of the Prime Design-Build Firmandfor two (2) representatives of the proposedPrime Professional Services Consultant Firmthat DAS/CS can contact for additional information.
1. / Type of Consultant Services: / Exactly as per Web Advertisement for this Contract.
2. / DAS/CS Contract Number: / Exactly as per Web Advertisement for this Contract.
3. / Project Name: / Exactly as per Web Advertisement for this Contract.
4. / Project Location: / Exactly as per Web Advertisement for this Contract.
5. / Prime Design-Build Firm (Legal Name): / Enter the exact legal name of the Prime D-B Firm
6. / Firm Street: / Self Explanatory.
7. / FirmCity, State, Zip Code: / Self Explanatory.
8. / 1st. Contact Name: / First Contact Name
8.1 / 1st. Contact Phone Number: / Self Explanatory.
8.2 / 1st. Contact Email Address: / Self Explanatory.
9. / 2nd. Contact Name: / Second Contact Name
9.1 / 2nd. Contact Phone Number: / Self Explanatory.
9.2 / 2nd. Contact Email Address: / Self Explanatory.
10. / Prime Professional Services Consultant Firm (Legal Name): / Enter the exact legal name of the Prime Consultant Firm
11. / Firm Street: / Self Explanatory.
12. / FirmCity, State, Zip Code: / Self Explanatory.
13. / 1st. Contact Name: / First Contact Name
13.1 / 1st Contact Phone Number: / Self Explanatory.
13.2 / 1st Contact Email Address: / Self Explanatory.
14. / 2nd. Contact Name: / Second Contact Name
14.3 / 2nd. Contact Phone Number: / Self Explanatory.
14.2 / 2nd. Contact Email Address: / Self Explanatory.
END
QBS Email Registration for D-B Services
CT DCS – 1511(Rev: 02-21-17) / 1500 –D-B Total Cost ●Best Value Selection Forms