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<br />City of Sunny Isles Beach |Request for Qualifications No. 16-12-01 24 <br /> <br /> REFERENCE QUESTIONNAIRE <br /> <br />It is the responsibility of the consultant/vendor to provide a minimum of three (3) different government <br />agency reference other than City of Sunny Isles Beach using this form and providing this information with your <br />submission. Failure to do so may result in the rejection of your submission. <br /> <br />Giving reference for: (Bidder) _______________________________________________________________ <br /> <br />Firm giving Reference: ____________________________________ _______________________________ <br />Address: ___________________________________________ <br />Phone: ____________________________________________ <br />Fax: ______________________________________________ <br />Email: ___________________________________________ <br /> <br />1. Q: What was the title of the contract or job assigned to Bidder? <br />A: <br /> <br />2. Q: What was the scope of work/services assigned to Bidder? <br />A: <br /> <br />3. Q: What was the dollar value of the contract? <br />A: <br /> <br />4. Q: Have there been any change orders, and if so how many? <br />A: <br /> <br />5. Q: Do they perform on a timely basis as required by the agreement? <br />A: <br /> <br />6. Q: Was the project manager easy to get in contact with? <br />A: <br /> <br />7. Q: Would you use them again? <br />A: <br /> <br />8. Q: Overall, what would you rate their performance? <br />A: <br /> <br />9. Q: Is there anything else we should know, that we have not asked? <br />A: <br /> <br />The undersigned does hereby certify that the foregoing and subsequent statements are true and <br />correct and are made independently, free from vendor interference/collusion. <br /> <br />Name: _______________________________________ Title _____________________________________________ <br /> <br />Sign Name: __________________________________ Date: ___________________________________________ <br />