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RFQ No. 2012 -10 Continuing Contract for Professional Services <br />6.3 REFERENCE QUESTIONNAIRE <br />It is the responsibility of the contractor /vendor to provide a minimum of five (5) government agency references other <br />than North Miami Beach using this form and providing this information with your submission. Failure to do so may <br />result in the rejection of your submission. <br />Giving reference for: (Bidder) SRS Engineering, Inc. <br />Firm giving Re erne: 0"/, D <br />Address: Gt t ra Gi <br />Phone: 305 A- 69L) —J _ U °) <br />J <br />1. Q: What was the title of the contract job assigned to Bidder? / n 03 <br />A: /'vn /c,Z CIS S�"1� G nc� dGTr�I,�SCct�i)/t �]. /.' <br />2. Q: What was the scope or work/services as signed to Bidder? <br />A: G/)1 //) � %)h� WY'S / /v` /i'4y-) <br />3. Q: What s the ollar valu of the contract? <br />A: <br />4. Q:Have there been any change orders, and if so how many? <br />A: \'5 <br />I �G <br />5. Q: Do the perform on a time basis as required by the agreement? <br />A. <br />` <br />� <br />6. Q: Was the project manager easy to get in contact with? <br />A: \'Es <br />7. Q: Wou you use them again? <br />8. Q: Oveff((all, what would you rate their performance? (Scale from 1 -5) <br />A: >E�5 Excellent ❑4 Good 03 Fair ❑ 2 Poor ❑l Unacceptable <br />WGS e)gend" <br />9. Q: Is there anything else we should know, that we have not asked? <br />A: N) <br />t The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are made <br />independently, frr from vendor interference/collusion. //�1 / <br />Name: </v��4 .�6/Gf/7Lr. -7 Title L;Lt11'L ineeV <br />Print Name: Date: <br />Page 40 of 69 <br />