The Massachusetts DSB Application Form is a critical document required for firms seeking to participate in state projects. This form collects essential information about the project, the firm, and its personnel, ensuring compliance with state regulations. Completing this application accurately is vital for a successful submission; please fill out the form by clicking the button below.
The Massachusetts DSB Application form serves as a critical document for firms seeking to participate in state projects. This form encompasses various essential elements, starting with the project name and location, followed by specific identification numbers such as the DSB and Massachusetts State Project numbers. Firms must provide detailed information about their primary office, including the name of the proposed project manager and the establishment dates of both current and predecessor firms. The application also requires the Federal ID number, the names of other participating offices, and the parent company, if applicable. Importantly, firms must indicate their certification status as a minority or woman-owned business, or other designations, which can enhance their competitive edge. The form further delves into the personnel involved, requiring a comprehensive list of team members categorized by discipline, along with an organizational chart that highlights the roles of prime and sub-consultants. Resumes for key personnel are also requested to demonstrate their qualifications and experience relevant to the project. Finally, firms must showcase their current and relevant work, highlighting up to five projects that illustrate their expertise in the areas specified in the advertisement. This thorough and structured approach ensures that the application process is both transparent and equitable, allowing for a fair evaluation of all submissions.
1. Project Name/Location for Which Firm is Filing:
2a. DSB #
Item #
Commonwealth of
Massachusetts
DSB Application Form
2b. Mass. State Project #
(Updated July 2016)
3a.
Firm (Or Joint-Venture) - Name and Address Of Primary Office To Perform The Work:
3e. Name Of Proposed Project Manager:
For Study:
(if applicable)
For Design:
3b. Date Present and Predecessor Firms Were Established:
3f. Name and Address Of Other Participating Offices Of The Prime Applicant, If Different From
Item 3a Above:
3c.
Federal ID #:
3g. Name and Address Of Parent Company, If Any:
3d.
Name and Title Of Principal-In-Charge Of The Project (MA Registration Required):
3h. Check Below If Your Firm Is Either:
(1) SDO Certified Minority Business Enterprise (MBE)
Email Address:
(2) SDO Certified Woman Business Enterprise (WBE)
(3) SDO Certified Minority Woman Business Enterprise (M/WBE)
Telephone No:
Fax No.:
(4) SDO Certified Service Disabled Veteran Owned Business Enterprise (SDVOBE)
(5) SDO Certified Veteran Owned Business Enterprise (VBE)
4.
Personnel From Prime Firm Included In Question #3a Above By Discipline (List Each Person Only Once, By Primary Function -- Average Number Employed Throughout The Preceding 6 Month
Period. Indicate Both The Total Number In Each Discipline And, Within Brackets, The Total Number Holding Massachusetts Registrations):
Admin. Personnel
(
)
Ecologists
Licensed Site Profs.
Other
Architects
Electrical Engrs.
Mechanical Engrs.
Acoustical Engrs.
Environmental Engrs.
Planners: Urban./Reg.
Civil Engrs.
Fire Protection Engrs.
Specification Writers
Code Specialists
Geotech. Engrs.
Structural Engrs.
Construction
Industrial Hygienists
Surveyors
Cost Estimators
Interior Designers
Drafters
Landscape Architects
Total
5.
Has this Joint-Venture previously worked together?
Yes
No
Updated July 2016
6.List ONLY Those Prime and Sub-Consultant Personnel Specifically Requested In The Advertisement. This Information Should Be Presented Below In The Form Of An Organizational Chart. Include Name Of Firm and Name Of The One Person In Charge Of The Discipline, With Mass. Registration Number, As Well As MBE/WBE Status, If Applicable:
User Agency
Prime Consultant
Principal-In-Charge
Project Manager for Study
Project Manager for Design
Discipline
(from advertisement)
Name Of Firm
Person In Charge Of Discipline
Mass. Registr. #
MBE/WBE Certified (If
Applicable)
7.
Brief Resume of ONLY those Prime Applicant and Sub-Consultant personnel requested in the Advertisement. Include Resumes of Project Managers. Resumes should be consistent with the
persons listed on the Organizational Chart in Question # 6. Additional sheets should be provided only as required for the number of Key Personnel requested in the Advertisement and they must
be in the format provided. By including a Firm as a Sub-Consultant, the Prime Applicant certifies that the listed Firm has agreed to work on this Project, should the team be selected.
a.
Name and Title Within Firm:
b.
Project Assignment:
c.
Name and Address Of Office In Which Individual Identified In 7a Resides:
MBE
WBE
SDOVBE
VBE
d.
Years Experience: With This Firm:
With Other Firms:
e.
Education: Degree(s) /Year/Specialization
f.
Active Registration: Year First Registered/Discipline/Mass Registration Number
Active Registration: Year First Registered/Discipline/Mass Registration Number:
g.
Current Work Assignments and Availability For This Project:
Current Work Assignments and Availability For This Project
h.
Other Experience and Qualification Relevant To The Proposed Project: (Identify Firm By
Which Employed, If Not Current Firm):
Which Employed , If Not Current Firm):
Current and Relevant Work By Prime Applicant Or Joint-Venture Members. Include ONLY Work Which Best Illustrates Current Qualifications In The Areas Listed In The DSB Advertisement (List
8a. Up To But Not More Than 5 Projects).
Project Name and Location
b. Brief Description Of Project and
c. Client’s Name, Address and Phone
d. Completion
e. Project Cost (In Thousands)
Services (Include Reference To Areas
Number. Include Name Of Contact Person
Date (Actual
Fee For Work For
Of Experience Listed In DSB
Or Estimated)
Costs(Actual, Or
Which Firm Was
Advertisement)
Estimated If Not
Responsible.
Completed)
(1)
(2)
(3)
(4)
(5)
8b. List Current and Relevant Work By Sub-Consultants Which Best Illustrates Current Qualifications In The Areas Listed In The Advertisement (Up To But Not More Than 5 Projects For Each Sub- Consultant). Use Additional Sheets Only As Required For The Number Of Sub-Consultants Requested In The Advertisement and They Must Be In The Format Provided.
Sub-Consultant Name:
c. Client’s Name, Address and Phone Number
Services (Include Reference To
(Include Name Of Contact Person)
Fee for Work for
Areas Of Experience Listed In DSB
Costs (Actual, Or
Responsible
9.List All Projects Within The Past 5 Years For Which Prime Applicant Has Performed, Or Has Entered Into A Contract To Perform, Any Design Services For All Public Agencies Within The Commonwealth.
# of Total Projects:
# of Active Projects:
Total Construction Cost (In Thousands)
of Active Projects (excluding studies):
Role
Phases
Construction Costs
Completion Date
Awarding Authority (Include Contact Name and
(In Thousands)
P, C, JV
St., Sch., D.D.,
Project Name, Location and Principal-In-Charge:
(Actual or Estimated)
Phone Number)
(Actual, or
*
C.D.,A.C. *
(R)Renovation or (N)New
Estimated if Not
1.
2.
3.
6.
8.
9.
10.
*P = Principal; C = Consultant; JV = Joint Venture; St. = Study; Sch. = Schematic; D.D. = Design Development; C.D. = Con struction Documents; A.C. = Administration of Contract
10.Use This Space To Provide Any Additional Information Or Description Of Resources Supporting The Qualifications Of Your Firm And That Of Your Sub-Consultants For The Proposed Project. If Needed, Up To Three, Double-Sided 8 ½” X 11” Supplementary Sheets Will Be Accepted. APPLICANTS ARE ENCOURAGED TO RESPOND SPECIFICALLY IN THIS SECTION TO THE APPLICATION EVALUATION - PROJECT EXPERIENCE REQUESTED IN THE ADVERTISEMENT.
Be specific – No Boiler Plate
11.Professional Liability Insurance:
Name of Company
Aggregate Amount
Pol icy Number
Expiration Date
12.Have monies been paid by you, or on your behalf, as a result of Professional Liability Claims (in any jurisdiction) occurring within the last 5 years and in excess of $50,000 per incident? Answer YES or NO. If YES, please include the name(s) of the Project(s) and Client(s), and an explanation (attach separate sheet if necessary).
13.Name Of Sole Proprietor Or Names Of All Firm Partners and Officers:
Name
Title
MA Reg #
Status/Discipline Name
Status/Discipline
14.If Corporation, Provide Names Of All Members Of The Board Of Directors:
15.Names Of All Owners (Stocks Or Other Ownership):
Name and Title
% Ownership
MA Reg.#
Status/Discipline Name and Title
16.I hereby certify that the undersigned is an Authorized Signatory of Firm and is a Principal or Officer of Firm. I further certify that this firm is a “Designer”, as that term is defined in Chapter 7C, Section 44 of the General Laws, or that the services required are limited to construction management or the preparation of master plans, studies, surveys, soil tests, cost estimates or programs. The information contained in this application is true, accurate and sworn to by the undersigned under the pains and penalties of perjury.
Submitted By
__________________________________________________
Printed Name and Title _______________________________
Date ____________
(Signature)
The following forms MUST be attached to only ONE (ORIGINAL Copy) application: 1. SDO Certification required for MBE/WBE Firms; 2. Sub-Consultant Acknowledgment.
DSB S-CA
Commonwealth of Massachusetts
Designer Selection Board SUB-CONSULTANT ACKNOWLEDGMENT
Project:
Applicant Designer:
Sub-consultant:
SUB-CONSULTANT ACKNOWLEDGMENT
The sub-consultant named above hereby certifies that it has been notified by the Applicant Designer that it has been nominated to perform work on the Applicant Designer’s team for the above Project, which is under consideration at the Designer Selection Board.
Signature of Sub-Consultant Duly Authorized Representative
Print Name and Title
Date
It is a requirement that all applicants supply this document signed, attached to the Original application, for each of the listed sub-consultants stating that they are aware and agree to being nominated by said applicant designer. Electronic signatures are accepted.
DSB Sub-Consultant Form
Completing the Massachusetts DSB Application form is an essential step for firms looking to participate in state projects. This guide will help you fill out the form accurately and efficiently.
The Massachusetts DSB Application Form is a document used by firms to apply for projects within the Commonwealth of Massachusetts. It collects essential information about the firm, its personnel, and the specific project for which the application is being submitted. This form ensures that all necessary details are provided for evaluation and selection purposes.
Any firm or joint venture interested in participating in projects funded by the Commonwealth of Massachusetts must complete this form. This includes primary consultants as well as any sub-consultants involved in the project. Each firm should provide accurate and complete information to ensure a smooth application process.
The form requires various details, including:
Each section must be filled out carefully to avoid delays in processing.
Once you have completed the form, it should be submitted according to the instructions provided in the project advertisement. This may involve electronic submission or mailing a hard copy. Always double-check the submission guidelines to ensure compliance.
If your firm is a certified Minority Business Enterprise (MBE), Woman Business Enterprise (WBE), or any other designated status, be sure to indicate this on the application. This information can enhance your firm's visibility and eligibility for certain projects.
Yes, each project will have its own deadline for application submissions. It is crucial to pay attention to these dates in the project advertisement. Late submissions may not be considered, so plan ahead and submit your application on time.
Yes, you can list multiple projects in your application. However, you should only include projects that are relevant to the specific areas of experience requested in the advertisement. Make sure to follow the format provided in the application for clarity.
After submission, the application will be reviewed by the appropriate agency. They will evaluate the qualifications of your firm and its personnel based on the information provided. If selected, you may be contacted for further discussions or interviews regarding the project.
If you have questions or need assistance, you can contact the agency that issued the project advertisement. They can provide guidance on completing the form and any specific requirements for the application process.
Incomplete Information: One common mistake is leaving sections blank or not providing all required details. Each item on the application form needs to be filled out completely to avoid delays.
Incorrect Firm Information: Applicants sometimes provide outdated or incorrect names and addresses for the firm. Ensure that the information is current and matches official documents.
Missing Certifications: Failing to check the appropriate boxes for certifications, such as MBE or WBE status, can lead to disqualification. Review the certification options carefully.
Organizational Chart Errors: Mistakes in the organizational chart, such as incorrect names or missing personnel, can create confusion. Each person listed should align with the roles specified in the advertisement.
Resume Inconsistencies: Resumes submitted must match the personnel listed in the organizational chart. Discrepancies can raise red flags and may result in rejection.
Failure to Follow Format: Not adhering to the required format for resumes or project descriptions can lead to issues. Use the specified format exactly as outlined in the application instructions.
Omitting Relevant Experience: Some applicants forget to include significant projects that demonstrate qualifications. Highlighting relevant experience is crucial for a strong application.
Not Double-Checking for Errors: Simple typos or errors can undermine an application. Taking the time to review the entire application before submission is essential.
When applying for projects in Massachusetts, the DSB Application form is just one piece of the puzzle. To ensure a complete submission, you may need to include additional forms and documents. Each of these documents serves a specific purpose and can significantly enhance your application. Below is a list of common forms and documents that are often required alongside the Massachusetts DSB Application form.
Including these additional documents can strengthen your application and provide a comprehensive view of your firm's capabilities. Always ensure that each document is tailored to the specific project and aligns with the requirements outlined in the DSB Application form. A well-prepared submission can significantly increase your chances of being selected for the project.
The Massachusetts DSB Application form shares similarities with the Federal Form 990, which is used by nonprofit organizations to report financial information to the IRS. Both documents require detailed information about the organization, including its mission, structure, and key personnel. The Form 990 asks for information about the board of directors and financial performance, while the DSB Application focuses on project-specific details and personnel qualifications. Each form aims to provide transparency and accountability in its respective sector.
Another comparable document is the Small Business Administration (SBA) 8(a) Application. This application is designed for small businesses seeking to participate in the SBA's 8(a) Business Development Program. Similar to the DSB Application, it requires information about the business's ownership, management, and relevant experience. Both documents emphasize the qualifications of key personnel and the firm's ability to perform on specific projects, ensuring that only qualified entities are considered for government contracts.
The Request for Proposal (RFP) is another document that shares commonalities with the Massachusetts DSB Application. An RFP outlines the requirements for a project and invites firms to submit proposals. Like the DSB Application, it includes information about the firm's capabilities, personnel, and relevant experience. Both documents are crucial in the selection process for contractors, as they provide a framework for evaluating potential candidates based on their qualifications and project history.
Similarly, the Statement of Qualifications (SOQ) is akin to the DSB Application in that it presents a firm's qualifications for a specific project. An SOQ typically includes information about the firm's experience, team members, and project management approach. Both documents serve to demonstrate a firm's ability to meet project requirements, and they often require resumes and project lists to substantiate claims of expertise.
The Joint Venture Agreement is another document that bears resemblance to the DSB Application. This agreement outlines the terms and conditions under which two or more parties collaborate on a project. Like the DSB Application, it requires details about the participating firms, including their roles, responsibilities, and qualifications. Both documents are essential for establishing clear expectations and ensuring that all parties are aligned in their objectives for the project.
The Construction Manager at Risk (CMAR) Agreement is also similar to the DSB Application. This contract outlines the responsibilities of the construction manager in relation to a specific project. Both documents require detailed information about the firm's experience and personnel, ensuring that the selected construction manager has the necessary qualifications to oversee the project effectively. Both emphasize the importance of having qualified individuals in key roles to mitigate risks and enhance project success.
The Qualifications-Based Selection (QBS) process documentation parallels the DSB Application as well. QBS is a method used to select design professionals based on their qualifications rather than price. The DSB Application, like QBS documentation, focuses on the qualifications of the firm and its personnel, requiring detailed resumes and project experience. Both processes aim to ensure that the most qualified firms are chosen for public projects, prioritizing expertise over cost considerations.
Additionally, the Professional Services Agreement (PSA) shares similarities with the DSB Application. A PSA outlines the terms under which professional services will be provided, often including details about the firm’s qualifications, scope of work, and personnel involved. Both documents require an emphasis on the qualifications of key team members and their relevant experience, ensuring that the selected firm can deliver the required services effectively.
Lastly, the Certificate of Insurance (COI) is another document that can be compared to the DSB Application. While a COI provides proof of insurance coverage, it often accompanies applications for projects to demonstrate that a firm is adequately insured to undertake the work. Both documents require detailed information about the firm, including its structure and personnel, to ensure compliance with project requirements and risk management standards.
When filling out the Massachusetts DSB Application form, attention to detail is crucial. Here are six important do's and don'ts to keep in mind:
Understanding the Massachusetts DSB Application form can be challenging, and there are several misconceptions that can lead to confusion. Here are ten common misconceptions explained:
By dispelling these misconceptions, applicants can approach the Massachusetts DSB Application form with greater confidence and clarity. Understanding the process is key to a successful submission.
When filling out the Massachusetts DSB Application form, it is important to keep several key points in mind to ensure a smooth and successful submission.
By paying attention to these key takeaways, you can enhance the quality of your application and improve your chances of success.