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

This is a Design-Build Entity Reference Form for the Western Region Wastewater Treatment Facility Phase 2 Electrical Building & Resiliency Improvements project (Project No. 26-014R, Package Identification No. GL04) administered by Palm Beach County Utilities Department in Palm Beach County, Florida. The form is a required submission document for design-build entities proposing on this progressive design-build project. Proposers must complete the form with their company information, including business address, contact details, and authorized representative information. The form requires submission of a minimum of three professional references as specified in the Design-Build Entity Minimum Qualifications document, with each reference requiring the reference contact's name, title, corporation name, telephone number, email address, contract year and amount, project title, project location, and a description of the project work performed.

The reference form itself does not contain pricing information, set-asides, funding sources, or contract term details. As a submission document, it serves as a qualification verification tool requiring proposers to demonstrate relevant experience through documented references on comparable electrical building and wastewater treatment facility projects. Completion and submission of this form in the specified format is a prerequisite for design-build entity participation in the progressive design-build procurement process for this Florida infrastructure improvement project.