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E-83Proven solutionsResponsive and dependable performance <br />City of Sunny Isles Beach RFQ No. 20-07-01: Continuing Professional Consulting Services (CCNA) <br />I. AUTHORIZED REPRESENTATIVE <br />The foregoing is a statement of facts. <br />31. SIGNATURE 32. DATE <br />08.17.20 <br />33. NAME AND TITLE <br />Rudy M. Ortiz, PE, CGC <br /> STANDARD FORM 330 (REV. 8/2016) PAGE 5 <br />Vendor Reference Verification Form <br />Broward County Solicitation No. and Title: <br />Reference for: <br />Organization/Firm Name providing reference: <br />Contact Name: Reference date: <br />Contact Phone:Contact Email: <br />Name of Referenced Project: <br />Contract No.Date Services Provided:ProjecWAmount: <br />Vendor’s role in Project:Prime Vendor Subconsultant/Subcontractor <br />Would you use this vendor again?Yes No ,I1RSOHDVHVSHFLI\LQ$GGLWLRQDO&RPPHQWV EHORZ  <br />Description of services provided by Vendor: <br />Please rate your experience with the <br />referenced Vendor: <br />NeedsImprovement Satisfactory Excellent Not Applicable <br />1. Vendor’s Quality of Service <br />a. Responsive <br />b. Accuracy <br />c. Deliverables <br />2. Vendor’s Organization: <br />a. Staff expertise <br />b. Professionalism <br />c. Turnover <br />3. Timeliness of: <br />a. Projectb. Deliverables <br />4. Project completed within budget <br />5. Cooperation with: <br />a. Your Firm <br />b. Subcontractor(s)/Subconsultant(s) <br />c. Regulatory Agency(ies) <br />Additional Comments:(provide on additional sheet if needed) <br />All information provided to Broward County is subject to verification. Vendor acknowledges that inaccurate, untruthful, or incorrect statements made in support of this response may be used by the County as a basis for rejection, rescission of the award, or termination of the contract and may also serve as the basis for debarment of Vendor pursuant to Section 21.119 of the Broward County Procurement Code. <br />UP <br />7LWOH <br /> 7+,66(&7,21)25&2817<86(21/< <br />9HULILHGYLDBBBB(0$,/BBBB9(5%$/9HULILHGE\BBBBBBBBBBBBBBBBBBBBBBBBBBBBBB'LYLVLRQBBBBBBBBBBBBBBB'DWHBBBBBBBBBBBBB <br />%LG53%URZDUG&RXQW\%RDUGRI <br />&RXQW\&RPPLVVLRQHUV <br />30 S <br />E8CE  CΌ5_^dX^eX^V7^VX^SSbX^VFSbfXQScT_bJNdSb6XcdbXPedX_^ͨJNcdSgNdSb5_[[SQdX_^N^RFd_b]JNdSb5_[[SQdX_^ <br />57F5_^ce[dN^dcͨ<^Qͥ <br />5Xdi_TA_bdW@XN]X <br />JXc[SbCXSbbSΌ?_eXc <br />  B^V_X^V Ι ͨ <br />K <br />6XbSQd_b_TCeP[XQJ_bZc <br />AJ dW3fS^eSΌ8_bQS@NX^6ScXV^N^RCSb]XddX^V <br />06/24/16 <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />pwisler@northmiamifl.gov 305-895-9830 <br />Excellent <br />Vendor Reference Verification Form <br />Broward County Solicitation No. and Title: <br />Reference for: <br />Organization/Firm Name providing reference: <br />Contact Name: Reference date: <br />Contact Phone:Contact Email: <br />Name of Referenced Project: <br />Contract No.Date Services Provided:ProjecWAmount: <br />Vendor’s role in Project:Prime Vendor Subconsultant/Subcontractor <br />Would you use this vendor again?Yes No ,I1RSOHDVHVSHFLI\LQ$GGLWLRQDO&RPPHQWV EHORZ  <br />Description of services provided by Vendor: <br />Please rate your experience with the <br />referenced Vendor: <br />NeedsImprovement Satisfactory Excellent Not Applicable <br />1. Vendor’s Quality of Service <br />a. Responsive <br />b. Accuracy <br />c. Deliverables <br />2. Vendor’s Organization: <br />a. Staff expertise <br />b. Professionalism <br />c. Turnover <br />3. Timeliness of: <br />a. Projectb. Deliverables <br />4. Project completed within budget <br />5. Cooperation with: <br />a. Your Firm <br />b. Subcontractor(s)/Subconsultant(s) <br />c. Regulatory Agency(ies) <br />Additional Comments:(provide on additional sheet if needed) <br />All information provided to Broward County is subject to verification. Vendor acknowledges that inaccurate, untruthful, or incorrect statements made in support of this response may be used by the County as a basis for rejection, rescission of the award, or termination of the contract and may also serve as the basis for debarment of Vendor pursuant to Section 21.119 of the Broward County Procurement Code. <br />7LWOH <br /> 7+,66(&7,21)25&2817<86(21/< <br />9HULILHGYLDBBBB(0$,/BBBB9(5%$/9HULILHGE\BBBBBBBBBBBBBBBBBBBBBBBBBBBBBB'LYLVLRQBBBBBBBBBBBBBBB'DWHBBBBBBBBBBBBB <br />%LG53%URZDUG&RXQW\%RDUGRI <br />&RXQW\&RPPLVVLRQHUV <br />30 S <br />E8CE  CΌ5_^dX^eX^V7^VX^SSbX^VFSbfXQScT_bJNdSb6XcdbXPedX_^ͨJNcdSgNdSb5_[[SQdX_^N^RFd_b]JNdSb5_[[SQdX_^ <br />57F5_^ce[dN^dcͨ<^Qͥ <br />@6J3F6Ce]`FdNdX_^<]`b_fS]S^dCb_VbN]GSN] <br />ESX^N[R_EXfSbN <br />bbXfSbN͏]XN]XRNRSΌ`cX`ͥQ_]<br /> Ό Ό  <br />  UP B^V_X^V Ι<br />ͨͨ <br />K <br />Ce]`FdNdX_^<]`b_fS]S^dCb_VbN]Ό6ScXV^5_^ce[dN^d <br />6ScXV^5_^ce[dN^dC@ <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />Excellent <br />H. ADDITIONAL INFORMATION <br />30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED.