Project Team Composition

APPENDIX 3 S

Board of Regents of the University System of Georgia

Project Team Composition Form

List all major team firms. For each firm indicate the percentage of services/fees to be rendered by each proposed firm and the MBE & WBE status, if applicable.

% Service/

Firm Name Fee MBE WBE

a. Applying Firm:

b. Associated Firm:

c. Structural:

d. Civil:

e. Mechanical:

f. Electrical:

g. Plumbing:

h.

i.

j.

This certifies that the percentage of services/fees appropriate for each discipline and firm listed above have been discussed with, and are acceptable to, the respective firms.

DDate: ______

______

Signature & Title of Applying Firm Officer

University System of Georgia App. 3 S-1

Building Project Procedure 2000