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Bundles with a contracted A&E firm and/or have a complete or nearly completed design will be under a construction manager at-risk (CMAR) model, in which the construction manager will have input to finalize the design and negotiate a guaranteed maximum price.

The remaining bundles under 30% design will pursue a progressive design-build model, in which the contractor will be responsible for the majority of the design. During design completion, the contractor and USVI will negotiate a final guaranteed maximum price or other payment model to complete construction.