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® r T <br />1 S <br />I aanurvvna ro �napesw Suo-Fn. e <br />MJ•�rMnv.I <br />Miami -Dade County Public Schools <br />Department of A/E Selection & Negotiations <br />PROJECT REFERENCE FORM <br />form is to be submrtNW with the <br />$pLIGfrATION FOR' <JE o' R'co (p•urncPSyy_J,c <br />` ` CM at -RISK SPmlect -sPe -n) <br />.vEPC or SPC (ooncinuing conpacl) <br />` GM of -Risk (continuing mnvecn <br />.7e$Ign7BUllder <br />` Program Manager ` Lana Surveyor <br />Id <br />` Geolechnical Lab <br />` HVAC T&B ` Cost Estimating <br />Construction <br />FOR WE lUEPC E SP : <br />2. PROJECT NAME & TIT Gulliver Academy <br />EXAMPLE PROJECT 1(EY NUNBER <br />Building A classroom Addition <br />7Gaoles, <br />(SF 330. Sad.'on •F'): <br />PROJECT LOCATION (Address City & State): 12595 Red R56 <br />SUBST. COMPLETION DATE: 2012 <br />PROJECT VA LUE: S 500,000 <br />PROPOSER'S CONTRACTURAL RELATIONSHIP TO OWNER ON THIS PROJECT: A!E of Record <br />OWNER: Gulliver Schools <br />REPRESENTATIVE: Mr. Jamie Prosper <br />POFFF <br />TITLE: Senior Director- Cons'.)uction <br />DEPARTMENT: Construct on <br />PHONE NO.:786.281.0111 <br />F•w . rM, s c,�.a)• as7� Nnnh Kendall Dr. Kami. Florida 33156 <br />E -MAIL: prosp�i @pdbus ness.com <br />(The following section is to be completed by the Owner's representatives m ,.��ed serrices), we <br />Statement to ownees Representative: to an eForr to assure a high standard of quafty on our desf nftl7sLVcfirn Pry <br />era seetng inbma; w horn, you on this firm's Pefarmanoe on the spsdfic png0d tilted above. We have asked each proposer to secure references from the owner <br />on each pro d sub)TOed as related experience end as an exempla 0(0e tam's work The authonty makrng re''erence must be a key member of the Pmedt raam <br />Owners Reoresentati�e <br />-. Is the informatics listed in section 2. above. accurate' <br />+voold You rate the c%calt performance of this firm in temps o!- <br />.. Tiody mmp,ot o r of (l +n H(OlKt. <br />Cost cBacti :'cools ;A :hin budaet) <br />Cual¢v oi'h o: r :rmuaratior :SrC :)o; bination with crojeu team. members. <br />RespenSbrenCS£ L(; ih;: nl•Inel .ind <br />_ Glralirr of the prejci!- <br />VC!dd you do husire5s with 11115 firs again? <br />.n Ccrlments% <br />Plame of Cvs!ar s .e {xc ;zra(rve con :oleling this form fPrint): <br />Sicnature: <br />?mcec;uestoFSe4ttino1 Art+tam aric Engneas <br />(Cvcte oNy ont boa !w eech• <br />YES <br />NO <br />if -,,o _"Via'. Win-, <br />comments <br />OD <br />I FAIR <br />FOOR <br />YES_- sl NO MAYBE <br />Date <br />, 5 business days <br />FM -7516 (1413) <br />