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City of Sunny Isles Beach |Request for Qualifications No. 19-11-01 28 <br />PROJECT VERIFICATION FORM <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 />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 />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 />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 />END OF SECTION <br />Gasaprilla Island Bridge Authority <br />PO Box 1981 <br />Boca Grande, FL 33921 <br />Kathy Banson-Verrico <br />Executive Director <br />Kathygiba@earthlink.net <br />941-697-2271 <br />Bridge design, permitting and construction support <br />2012 / 2016 <br />1,743,000 (for Gasaprilla Island bridge <br />Miami-Dade County Public Works <br />701 NW 1st Court, Suite 1500 <br />Miami, FL 33136 <br />Dennis Fernandez, PE <br />Highway Bridge Engineer <br />fernandezd@miamidade.gov <br />786.469.5264 <br />Bridge design, permitting and construction support <br />Bridge design, permitting and construction support <br />2012 / 2021 <br />2,067,000 (for Tamiami NW South River Dr. bridge) <br />Florida DOT District 6 <br />1000 NW 111 Avenue, Room 6251Miami, FL 33172 <br />Humberto Gomez, PE CPM <br />Project Management Engineer SupervisorHumberto.gomez@dot.state.us <br />305.640.7390 <br />2014 / 2017 <br />4,082,000 (for SR 968 / SW 1st Street bridge