Annual Announcement

UCSF, Real Estate

To be completed by all firms or individuals proposing to do business with UCSF Real Estate

GENERAL INFORMATION

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Phone

(This is not your Social Security Number)


ACCOUNTING/BILLING

Phone

OWNERSHIP INFORMATION

Select one of the following, if applicable:
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Upload an SBE/DVBE certificate at the end of this form.  

*Definitions of SBE/DVBE can be found here:

https://ucop.edu/sbe-dvbe-certifications


Checking either SBE or DVBE will make the firm eligible for participation in the Sheltered Applicant Pool program.


BUSINESS ORGANIZATION

(Select One)*
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(If the Firm is a Sole Proprietorship, List the Name of the Individual)


INFORMATION

ARE ANY OF THE OWNER(S) OR OWNERS' RELATIVES CURRENTLY EMPLOYED BY THE UNIVERSITY OF CALIFORNIA?*

Provide their Name(s), Department(s) & Relationship(s).

Include: Name(s), Project Assignment, Degree, License or Certificate and Institution.

(If necessary, upload additional documents at the end of this form)

Include: Name(s), Project Assignment, Degree, License or Certificate and Institution.

(If necessary, upload additional documents at the end of this form)

(Please provide at least three (3) references. Include: name, title, company, phone number, and email address.)


(Select all that apply & provide the number of staff in your office)

(Include: Project, Owner, Year, and Building Cost (if applicable))

DOES YOUR FIRM HAVE UNIVERSITY OF CALIFORNIA EXPERIENCE?*

*Claims includes all pending, unresolved claims of professional negligence or breach of contract for professional services against your firm or any owner or principal of your firm.

The information provided on this experience form was prepared by the office of the consultant listed above, who verifies under penalty of perjury that all information set forth on this form, is to the best of his/her knowledge, complete and accurate as of the date of submission.

Phone

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