26-014 WRWWTF Electrical Building Design-Build Entity Reference Form.docx

DOCX document 86 KB Posted

Attached to
Western Region WWTF Elect. Bldg. Progressive Design Build
Solicitation number
RFP 720 WUD 26-014 1
Issued by
Palm Beach County, Florida

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This is a Design-Build Entity Reference Form for the Western Region Wastewater Treatment Facility Phase 2 Electrical Building & Resiliency Improvements Progressive Design-Build project (Project No. 26-014, Package Identification No. GL04) in Palm Beach County, Florida. The form requires design-build entities to submit proposer information including company name, business address, contact details, and authorized representative information. Design-build entities must provide a minimum of three references as specified in the Design-Build Entity Minimum Qualifications document. Each reference must include the reference contact name/title/corporation name, telephone number, email address, contract year and amount, project title, project location, and a detailed description of the project.

The reference form serves as a qualification and evaluation document that demonstrates the design-build entity's relevant experience and past performance on similar projects. Submission of completed and accurate reference information is mandatory for proposal consideration. The form does not specify pricing terms, contract duration, or financial requirements, as it functions solely as a reference documentation tool within the broader progressive design-build procurement process for the electrical building and resiliency improvements project.

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26-014 WRWWTF Electrical Building Project Underst.pdf PDF
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26-014 WRWWTF Electrical Building Progressive Design-Build RFP AD-Signed.pdf PDF

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DESIGN-BUILD ENTITY REFERENCE FORM

WESTERN REGION WASTEWATER TREATMENT FACILITY PHASE 2 ELECTRICAL BUILDING & RESILIENCY IMPROVEMENTS PROGRESSIVE DESIGN-BUILD

PBCWUD PROJECT NO. 26-014, PACKAGE IDENTIFICATION NO. GL04

PALM BEACH COUNTY, FLORIDA

THE REFERENCE FORM SHALL BE SUBMITTED IN THE FORMAT ATTACHED.

THE DESIGN-BUILD ENTITY MUST COMPLETE THE FOLLOWING INFORMATION AND ANY OTHER INFORMATION OR ATTACHMENTS.

PROPOSER’S INFORMATION

COMPANY NAME:

BUSINESS ADDRESS:

CITY, STATE, ZIP CODE:

TELEPHONE:

FAX:

E-MAIL:

PRINT NAME OF AUTHORIZED REPRESENTATIVE:

TITLE OF AUTHORIZED REPRESENTATIVE:

SIGNATURE OF AUTHORIZED REPRESENTATIVE:

REFERENCE NO. 1 (1)

Reference Name/Title/Corporation Name:

Reference Telephone Number:

Reference E-Mail Address:

Contract Year/Amount:

Project Title:

Project Location:

Description of Project:

(1) Add references as required by the Design-Build Entity Minimum Qualifications document.

REFERENCE NO. 2 (1)

Reference Name/Title/Corporation Name:

Reference Telephone Number:

Reference E-Mail Address:

Contract Year/Amount:

Project Title:

Project Location:

Description of Project:

REFERENCE NO. 3 (1)

Reference Name/Title/Corporation Name:

Reference Telephone Number:

Reference E-Mail Address:

Contract Year/Amount:

Project Title:

Project Location:

Description of Project:

File details come from the government source that posted it. Updated .