2-1. ATTACHMENT A Reference Sheet - DONE.pdf

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Attached to
Engineering Services for City of Liberty Hill Public Works Capital Improvement Projects – FY2026
Solicitation number
S2026-001
Issued by
Upton County, Texas

About this file

This is a Reference Sheet attachment form required for the City of Liberty Hill's Request for Qualifications (RFQ) for Engineering Services for FY2026 Capital Improvement Projects in Texas. Respondents must submit this form with their solicitation response and provide detailed information for at least three municipal and/or government agency references of comparable size that have utilized similar engineering services within the last two years. References from the City of Liberty Hill are not applicable. The solicitation seeks qualified firms to provide engineering and design, permitting, solicitation, and construction administration services for six specific projects: Butler Farms Storage Tank(s) Design, South Forks Wastewater Treatment Plant On-Site Lift Station Design, Stonewall Parkway Extension Design, Lift Station 19 Upgrade, Lift Station 12A Rehabilitation, and AC Waterline Rehabilitation. The City intends to match the most technically qualified firm with these projects rather than establish a rotation list.

For each reference, respondents must provide the company name, contact person name and title, email address, physical address with city, state, and zip code, telephone number, and fax number. Failure to provide complete reference information with the solicitation response will result in automatic disqualification. The City reserves the right to check references prior to award, and any negative responses received from references may also result in disqualification of the submittal.

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ATTACHMENT A

RESPONDENT’S REFERENCE SHEET

PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE

SOLICITATION NUMBER:

RESPONDENT’S NAME: DATE:

Provide the name, address, telephone number and E-MAIL of at least three (3) Municipal and/or Government agencies or firms of comparable size that have utilized similar service within the last two (2) years. City of Liberty Hill references are not applicable. References may be checked prior to award. Any negative responses received may result in disqualification of submittal.

1. Company’s Name Name of Contact Title of Contact E-Mail Address Present Address City, State, Zip Code Telephone Number ( ) Fax Number: ( )

2. Company’s Name

Title of Contact E-Mail Address Present Address

3. Company’s Name

Title of Contact E-Mail Address Present Address

FAILURE TO PROVIDE THE REQUIRED INFORMATION WITH THE SOLICITATION RESPONSE MAY

AUTOMATICALLY DISQUALIFY THE RESPONSE FROM CONSIDERATION FOR AWARD.

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