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<br />City of Sunny Isles Beach |Request for Qualifications No. 19-11-01 28 <br /> <br />PROJECT VERIFICATION FORM <br /> <br />Respondent must have completed the design and permitting of at least one (1) pedestrian bridge project <br />in the past ten (10) years. The completed projects meeting this minimum qualification may have been <br />performed by the individual, firm, or project manager assigned to the Work. PLEASE TYPE. <br /> <br />1) Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />Email Address:____________________________________________________ <br />Telephone: ________________________________________________________ <br />Scope of Work: _____________________________________________________ <br />Contract Start/End Dates: _____________________________________________ <br />Consultant Contract Amount: $_________________________________________ <br /> <br />2) Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />Email Address:____________________________________________________ <br />Telephone: ________________________________________________________ <br />Scope of Work: _____________________________________________________ <br />Contract Start/End Dates: _____________________________________________ <br />Consultant Contract Amount: $_________________________________________ <br /> <br />3) Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />Email Address:_____________________________________________________ <br />Telephone: ________________________________________________________ <br />Scope of Work: _____________________________________________________ <br />Contract Start/End Dates: _____________________________________________ <br />Consultant Contract Amount: $_________________________________________ <br /> <br />END OF SECTION