Public Works | Private Const. | Other | |
---|---|---|---|
# of Cases as Arbitrator | |||
# of Cases as Counsel in Arbitration | |||
# of Cases as Party in Arbitration | |||
Please provide the following information:
Architect | Industrial Engineer | Builder/Developer |
Structural Engineer | Electrical Engineer | Planner/Developer |
Civil Engineer | Geotechnical Foundation Engineer | Land Surveyor |
Mechanical Engineer | General Contractor | Accountant |
Chemical Engineer | Construction Mgr. | Supplier/Mfg. |
Environmental Engineer | Sub-/Specialty Contractor | Owner/Representative |
Nuclear Engineer | Designer | |
Other (describe): |
Airports | Bridges | Dams |
High-Rise Buildings | Highways | Hospital Nursing Homes |
Light Industrial | Low-Rise Dwellings | Office Buildings |
Sewers Waterworks | Power Plants | Processing Plants |
Renovations | Schools | Shopping Centers |
Single-Family Dwellings | Tunnels | Aqueducts/Pipelines |
Foundations | Prisons | Marine Structures |
Site Preparation | Pumping Plants | Earth Retaining Structures |
Other (describe): |
Acoustical | Carpentry | Concrete |
CurtainWall | Demolition | Drywall/Plastering |
Electrical | Excavation | HVAC |
Masonry | Painting/Finishing | Steel/Structural |
Plumbing | Roofing | Steel/Ornamental |
Paving | Sitework/Landscaping | |
Other (describe): |
Law Specialty | Percentage |
---|---|
$
If required to travel, you will be reimbursed for travel expenses and per diem in accordance with the Department of Personnel Administration (DPA) regulations, Title 2, and the State Administrative Manual (SAM) Sections 0700 and 4100. In addition to these reimbursements will you also charge the litigants for your travel time?
I am not now an employee of a public entity or an employee or owner of a construction company.
I am an employee of a public entity. Please explain in what capacity you are connected with the public entity and any other explanatory information that would indicate no potential conflict of interest.
I am an employee or owner of a construction company. Please explain in what capacity you are connected with the company and any other explanatory information which would indicate no potential conflict of interest.