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Eli lJ E MIAMI -DADE COUNTY — INTERNAL SERVICES DEPARTMENT (ISD) ma ISD FORM NO. 11 EXPERIENCE & QUALIFICATION / PREFERENCE / REFERENCE FORM INSTRUCTIONS This form must be submitted by each team member (Prime, A/E Sub - consultant, and /or non -A/E sub - consultant), as applicable. Applicable firm must list previous similar type project in which it has performed work. The reference provided below should be for one project and must comply with the requirements listed in Sections 1.2, Scope of Services, Experience and Qualifications /Preferences, and 2.1, Format and Contents, of the NTPC. APPLICABILITY TO EXPERIENCE & QUALIFICATION(S) / PREFERENCE (S) This project reference complies with the Experience and Qualification (s) and /or Preference(s) required under Section 1.2, Scope of Services, of the NTPC. ® Yes OR ❑ Not Applicable If yes, please indicate which of the Experience and Qualification(s) and /or Preference(s) that is met with this project reference. Programming, Multi- Purpose Facility, Design, One Level Above Classroom, Athletic Space, Acoustics, Audio- Visual, Loading/Unloading, Theater, New Construction, Large Crowds REFERENCE PROJECT INFORMATION Firm Name: R.E. Chisholm Architects, Inc. Reference Project Name /Address: Gulliver Academy Multi- Purpose Building/12595 SW 57th Avenue, Coral Gables, FL 33156 Name(s) and Role(s) of Consultant Personnel Working on this Reference Project: Robert E. Chisholm FAIA, NCARB, Chairman, Matthew Polak, AIA, LEED AP, President, Reference Project Description: Gulliver Schools Scope of Services Provided: Architecture Total Compensation for Services: $ $1,500,000.00 Project Start Date: 01/2012 Project Completion Date: /ongo Construction Start Date: Construction Completion Date: Project Construction Cost: $ $12,000,000.00 /TBD /TBD Reference Company Name: Gulliver Schools Reference Contact Name: Jamie Prosper Reference Telephone Number: Facsimile Number: E -mail: N/A 786.281.0111 N/A SPACE BELOW 15 TO BE UTILIZED TO EXPAND ON THE SCOPE OF SERVICES PROVIDED FOR THIS PROJECT REFERENCE. PLEASE DESCRIBE YOUR FIRM'S INVOLVEMENT IN THE REFERENCE PROJECT. PROVIDE DETAILS TO SUPPORT WHETHER EACH TEAM MEMBER'S PARTICULAR EXPERTISE RELEVANT TO THE PROJECT WAS GAINED UNDER CURRENT EMPLOYMENT, OR AS A MEMBER OF ANOTHER FIRM. (ADDITIONAL SHEETS OF PAPER MAY BE USED TO INCLUDE INFORMATION).