Reference_Form.pdf
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- Solicitation number
- RFQ-8-25-07
- Issued by
- Brevard County, Florida
About this file
The document is a Reference Form for the Brevard County Natural Resources Management Department's Request for Qualifications (RFQ-08-25-07) for Professional Engineering Continuing Consultant Services. The form is designed to capture customer references for engineering consultants specializing in stormwater master planning, analysis, and pollution and flood reduction design projects. Consultants are required to list up to six customer/client references, providing details such as project name, cost, city/state, date of services, contact person, email, and phone number. The reference form is part of a procurement process seeking qualified engineering firms to provide comprehensive professional services for stormwater-related projects over a five-year contract period.
The reference form supports a procurement with a maximum project construction cost of $7,500,000 per project or $500,000 per study. The evaluation criteria totals 100 points, with weighted scoring across staff credentials (30 points), technical approach (20 points), quality control (10 points), related experience (30 points), and references (10 points). Potential task orders may involve projects funded by FEMA or the American Rescue Plan Act (ARPA), with specific scopes of work, fees, and schedules to be negotiated on a project-by-project basis. Consultants must maintain comprehensive insurance coverage and demonstrate at least five years of continuous business operation, with the final proposal due on February 7, 2025, at 10:00 am.
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Text version
PROFESSIONAL ENGINEERING CONTINUING CONSULTANT SERVICES FOR
STORMWATER MASTER PLANNING & ANALYSIS
And
POLLUTION AND FLOOD REDUCTION DESIGN PROJECTS
RFQ-08-25-07
REFERENCE FORM
List a maximum six (6) customers for the services specified in the solicitation in the spaces provided. Note: A customer/client shall be someone who has personal knowledge of the Consultant’s performance for the specified project listed. Do no list persons who will be unable to answer specific questions regarding the requirements.
Ref #1. Customer/Client:____________________________ _____________________________
Name of Project: ____________________________ _______Cost___________________
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
Ref #2. Customer/Client:________________________________________________________________
Name of Project: ____________________________ _______Cost___________________
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
Ref #3. Customer/Client:________________________________________________________________
Name of Project: ____________________________ _______Cost___________________
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
Ref #4. Customer/Client:________________________________________________________________
Name of Project: ____________________________ _______Cost___________________
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
Ref #5. Customer/Client:________________________________________________________________
Name of Project: ____________________________ __________ Cost
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
Ref #6. Customer/Client:________________________________________________________________
Name of Project: ____________________________ _______Cost___________________
City/State __ Date of Services _Contact Person:___
Email:_______________________________________ Phone #:__________________________
CONSULTANT NAME__________________________________________________________
ADDRESS____________________________________________________________________
PRINTED SIGNATURE__________________________________________________________
AUTHORIZED SIGNATURE______________________________________________________
TELEPHONE _____________________FAX#__________________DATE_________________
EMAIL:
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