Reference_Form.pdf
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- Solicitation number
- RFQ-8-25-07
- Issued by
- Brevard County, Florida
About this file
This document is a Reference Form for a Request for Qualifications (RFQ-08-25-07) soliciting Professional Engineering Continuing Consultant Services for Stormwater Master Planning & Analysis and Pollution and Flood Reduction Design Projects. The form is designed for consultants to list up to six customer/client references who can provide detailed information about the consultant's performance on previous projects related to stormwater and flood management engineering services.
The reference form requires detailed information for each reference, including the customer/client name, project name, project cost, city and state, date of services, contact person, email, and phone number. At the bottom of the form, the consultant must provide their own company details such as name, address, contact information, and signatures. The form is structured to allow potential clients or procurement teams to independently verify the consultant's past performance, expertise, and reliability in conducting stormwater and flood reduction engineering projects.
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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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