Project - Client Reference Form v.12.25.pdf
PDF 813 KB Posted
- Solicitation number
- 141468
- Issued by
- Polk County, Florida
About this file
This is a Project/Client Reference Form used for the Structural/Mechanical Engineering Continuing Services contract opportunity in Florida. The form requires bidders to provide at least three (3) relevant project references that have been completed within the last five (5) years. Each reference entry requests comprehensive documentation including the client name, project name, primary contact information with phone number and email address, the original contract amount, any change order amounts, whether the project was completed on schedule, the actual completion date, and a detailed description of services performed. The form is structured to accommodate multiple project references with expandable sections for detailed service descriptions, allowing proposers to demonstrate their experience and qualifications for the continuing services contract.
The District intends to award multiple three-year contracts with an optional two-year renewal to the highest qualified proposers who achieve a minimum score of 90 points or higher. The reference form serves as a critical evaluation tool in the selection process, enabling the District to assess contractor experience, performance history, schedule adherence, and the scope of similar work completed. By requiring references from the past five years, the District ensures that bidders can demonstrate current capability and recent relevant experience in structural and mechanical engineering services.
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Text version
Please use this form to provide at least three (3) relevant project references completed within the last five (5) years
CLIENT NAME:
PROJECT NAME:
CONTACT NAME, PHONE NUMBER, & EMAIL ADDRESS:
CONTRACT AMOUNT: CHANGE ORDER(S)
AMOUNT(S):
COMPLETED ON
SCHEDULE:
ACTUAL COMPLETION
DATE:
DESCRIPTION OF SERVICES PERFORMED :
PROJECT/CLIENT REFERENCE FORM
v.2 12.25
Please use this form to provide at least three (3) relevant project references completed within the last five (5) years
PROJECT NAME:
CONTACT NAME, PHONE NUMBER, & EMAIL ADDRESS:
CONTRACT AMOUNT: CHANGE ORDER(S)
AMOUNT(S):
COMPLETED ON
SCHEDULE:
ACTUAL COMPLETION
DATE:
DESCRIPTION OF SERVICES PERFORMED:
Please use this form to provide at least three (3) relevant project references completed within the last five (5) years
PROJECT NAME:
CONTACT NAME, PHONE NUMBER, & EMAIL ADDRESS:
CONTRACT AMOUNT: CHANGE ORDER(S)
AMOUNT(S):
COMPLETED ON
SCHEDULE:
ACTUAL COMPLETION
DATE:
DESCRIPTION OF SERVICES PERFORMED:
| CLIENT NAMERow1: |
| PROJECT NAMERow1: |
| CONTACT NAME PHONE NUMBER EMAIL ADDRESSRow1: |
| CONTRACT AMOUNTRow1: |
| CHANGE ORDERS AMOUNTSRow1: |
| COMPLETED ON SCHEDULERow1: |
| ACTUAL COMPLETION DATERow1: |
| DESCRIPTION OF SERVICES PERFORMED Row1: |
| DESCRIPTION OF SERVICES PERFORMED Row2: |
| DESCRIPTION OF SERVICES PERFORMED Row3: |
| DESCRIPTION OF SERVICES PERFORMED Row4: |
| DESCRIPTION OF SERVICES PERFORMED Row5: |
| DESCRIPTION OF SERVICES PERFORMED Row6: |
| DESCRIPTION OF SERVICES PERFORMED Row7: |
| DESCRIPTION OF SERVICES PERFORMED Row8: |
| DESCRIPTION OF SERVICES PERFORMED Row9: |
| DESCRIPTION OF SERVICES PERFORMED Row10: |
| CLIENT NAMERow1_2: |
| PROJECT NAMERow1_2: |
| CONTACT NAME PHONE NUMBER EMAIL ADDRESSRow1_2: |
| CONTRACT AMOUNTRow1_2: |
| CHANGE ORDERS AMOUNTSRow1_2: |
| COMPLETED ON SCHEDULERow1_2: |
| ACTUAL COMPLETION DATERow1_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow1: |
| DESCRIPTION OF SERVICES PERFORMEDRow2: |
| DESCRIPTION OF SERVICES PERFORMEDRow3: |
| DESCRIPTION OF SERVICES PERFORMEDRow4: |
| DESCRIPTION OF SERVICES PERFORMEDRow5: |
| DESCRIPTION OF SERVICES PERFORMEDRow6: |
| DESCRIPTION OF SERVICES PERFORMEDRow7: |
| DESCRIPTION OF SERVICES PERFORMEDRow8: |
| DESCRIPTION OF SERVICES PERFORMEDRow9: |
| DESCRIPTION OF SERVICES PERFORMEDRow10: |
| CLIENT NAMERow1_3: |
| PROJECT NAMERow1_3: |
| CONTACT NAME PHONE NUMBER EMAIL ADDRESSRow1_3: |
| CONTRACT AMOUNTRow1_3: |
| CHANGE ORDERS AMOUNTSRow1_3: |
| COMPLETED ON SCHEDULERow1_3: |
| ACTUAL COMPLETION DATERow1_3: |
| DESCRIPTION OF SERVICES PERFORMEDRow1_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow2_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow3_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow4_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow5_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow6_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow7_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow8_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow9_2: |
| DESCRIPTION OF SERVICES PERFORMEDRow10_2: |
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