Quality Control Checklist

Section F, ABC Quality Control Checklist/Certification 02/05/08 This certification must be submitted along with the other paper materials.

This certifies that the information submitted has been reviewed and is in accordance with the following checklist. The current forms and instructions are at our website: https://www.nysdot.gov/portal/page/portal/main/business- center/consultants/forms-publications-and-instructions - (Process II).

NYSDOT255 □ The NYSDOT255ABC FORM document has not been altered. □ The NYSDOT255ABC does not contain Color. □ The NYSDOT255ABC does not contain any Graphics except as needed for Item 7. (Org Chart) □ The NYSDOT255ABC is a single file in Adobe Acrobat (.pdf) format. □ It does not include the three pages of instructions. □ All firms’ listed in Sections 3A and 6 MUST MATCH their legal name listed on both the NYS Education Department’s and NYS Department of State’s Certifications. □ The team members, their roles, their proposed tasks and % work are the same as proposed in the E-EOI (unless the advertisement specifies otherwise). Resumes □ Each resume does not exceed a page. □ The font is no smaller than 10 point. □ Includes the key staff according to the mini-ad. □ Includes no more than the number of resumes permitted. Section A1 □ If NYSDOT indicates Section A1 is required, it is submitted electronically as an attachment to the NYSDOT 255 and it contains not more than the permitted number of pages. □ Section A1 responses to issues are numbered and addressed individually. □ The font is no smaller than 10 point. Certification: Availability date of key Staff. □ The “Certification: Availability date of key Staff” includes all Key Staff listed in the Advertisement (Project Manager, Resident Engineer, Office Engineer, Chief Inspector, etc...).

The backup material includes: □ Section E, Proofs of Authority - the consultant will print, for each Team Member, the information from the New York State Education Department and/or New York State Department of State websites or sign the affidavit within a week before the submittal to NYSDOT. Refer to “Proofs of Authority” document at the NYSDOT Business Center website “HOW TO DO BUSINESS WITH DOT” under “Electronic Consultant Selection System (Process II)”. □ Section F, ABC Quality Control Checklist/Certification. □ Procurement Lobbying Law Forms, “Offerer’s Affirmation of Understanding Form” and “Offerer’s Disclosure of Prior Non-Responsibility Form”.

This certifies that the information submitted has been reviewed and is in accordance with the above. Submittals found inconsistent with this certification may affect the firm’s selection. Firm:

L: PIN: Description:

Name and Signature Date

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