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E-30 <br />Ver 4-16-2020 <br /> 27 CN200304CJV Design & CEI North-South 24-Inch Interconnect – SR80 to Airport Haul Road <br /> <br />Form 3 Reference Survey Lee County Procurement Management <br /> Reference Survey <br /> <br />Reference surveys submitted can be a maximum of twelve (12) months old. If using a previous reference, Proposers must <br />clearly identify the project name and number the reference is being submitted for. <br /> <br />Project Name & Number: _________________________________________________________________________ <br /> <br />Section 1 Reference Respondent Information Please return completed form to: <br />FROM: Bidder/Proposer: <br />COMPANY: Due Date: <br />PHONE #: Total # Pages: 1 <br />FAX #: Phone #: Fax #: <br />EMAIL: Bidder/Proposer E-Mail: <br />Section 2 Enter Bidder/Proposer Information , if applicable Similar Performed Project (Bidder/Proposer to enter details of a project performed for above reference respondent) <br />Proposer Name: <br />Reference Project Name: Project Address: Project Cost: <br /> <br />Summarize <br />Scope: <br /> <br /> <br /> <br /> <br />You as an individual or your company has been given as a reference on the project identified above. Please <br />provide your responses in section 3 below. <br />Section 3 Indicate: “Yes” or “No” <br />1. Did this company have the proper resources and personnel by which to get the job done? <br />2. Were any problems encountered with the company’s work performance? <br />3. Were any change orders or contract amendments issued, other than owner initiated? <br />4. Was the job completed on time? <br />5. Was the job completed within budget? <br />6. On a scale of one to ten, ten being best, how would you rate the overall work <br />performance, considering professionalism; final product; personnel; resources. <br />Rate from 1 to 10. (10 being highest) <br /> <br />7. If the opportunity were to present itself, would you rehire this company? <br />8. Please provide any additional comments pertinent to this company and the work performed for you: <br />Section 4 Please submit non-Lee County employees as references <br /> <br /> Reference Name (Print <br /> <br />Reference Signature <br /> <br />Chen Moore and Associates, Inc. <br />Consultant Competitive Negotiation Act (CN) Request for Proposal - Solicitation No.: CN200304CJV <br />Omar Castellon, P.E. <br />City of Fort Lauderdale <br />954-828-5064 <br />954-828-5074 <br />ocastellon@fortlauderdale.gov <br />Construction of approximately 3,400 linear feet of 30” forcemain. The installation comprised of approximately 700 linear feet of <br />Horizontal Directional Drill (HDD) under Tarpon River which are federal waters of the United States, installation of approximately <br />750 linear feet of open cut, and approximately 1,950 linear feet of swagelining. <br />Fort Lauderdale Forcemain Rehab, HDD & Sistrunk Fort Lauderdale $14,000,000 <br />Yes <br />No <br />No <br />Yes <br />Yes <br />10 <br />Yes <br />At the moment Chen Moore is involved in the design of multiple projects for the City of Fort Lauderdale. <br />Omar Castellon <br />eference Signature <br />eference Name (Print <br />6/17/2020