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I �' A11AW -DARE COUNTY -CICC (FORM 2A FRT iV$-' - ` :J t. A. 4 !J PART I (To he completed by the Prime Consu)tant) Consultant's Name: BEISWENGER, HOCH AND ASSOCIATES, INC. FEIN No. 59- 0751610 Reference Project Name/Address: CITY OF SUNNY ISLES BEACH Reference Project Description: GOLDEN SHORES DRAINAGE AND STREET IMPROVEMENTS Scope of Services Provided: PRELIMINARY AND 'FINAL DESIGN AND CONSTRUCTION INSPECTION Professional Fees: $ 448,.864.00 Project Start Date: 11 /20/ 2000 Project Completion Date: 3/ 31/ 2003 Construction Start Date: 3 11/2002 Construction Completion Date: 1/15/2003 Not Applicable (N /A) Project Budget: $ 3, 449,896.56 Project Actual Cost: $ 3,454783 ,11 PART 2 STo be completed by the Reference) Reference Company Name CITY SUNNY.'_ ISLES BEACH Reference Name MR. CHRISTOPHER J. RUSSO Telephone No. 305 -947 -0606 Fax No. 305 -949 -3113 Email: a) Was the project completed within the original professional services budget? Yes ❑ No 19 N/A 0 If no, or N /A, provide comment CHANGE ON ORIGINAL SCOPE OF SERVICES b) Were the construction documents completed within the scheduled time? Yes 0 No 0 N/A ❑ if no, or N /A, provide comment c) Was the project's construction completed within the scheduled time? 11"D Nog NIA 0 If no, or N /A, provide comment on consultant's role CHANGE ON SCOPE OF WORK d) Was the project completed within the estimated construction budget? Yes N No D N/A ❑ If no, or N /A, provide comment e) Were contract amendments or change orders issued for Professional Services? Yes IN No 0 if yes, please check all applicable Owner requested N Errors & Omissions D Other D Comment f) Were contract amendments or change orders issued for Construction? YesP No D If yes, please check all applicable Owner requested N Errors & Omissions 0 Other D N/A 0 g) Was the consultant responsive to the owner's needs? Yes N No 0 Comment h) Communication between Consultant and Owner: Good N Fair 0 Poor 0 Comment i) Overall satisfaction with services provided and project as designed: Very satisfied N Satisfied ❑ Not satisfied ❑ Comment Additional comments may be attached on a separate sheet. Please in ifadditionel comments are provided: Yes !ffi No D I hereby certify that to the best of my knowledge and belief all the foregoing information is true and correct, Print Name of Authorized Reference: MR. CHRISTOPHER J. RUSSO Signature of Authorized Reference: Title: CITY MANAGER STATE OF iC3"; ` COUNTY OF F410.n^i — ' 1 �eP{ , ._ t'l t S-� D key �'. SSO SUBSCRIBED AND SWORN TO (or affirmed) before me on Sow Date) I by (Affiant) He /She is personally known to me or has presented (Signature Notary) 1+r;S6 ��-, 1 4 (e-+' yictl�cl' _ (Print or Stamp Name of Nolan) �G6 ZMAL 41 n' a COMMISSION NUMBER DDt33748 t i R� MY GOMMISSVa, EXPIRES OF V "C JULY 24.2006 as identification D t3374qR (Serial Number) _"U 11 a 4, 20 0C___ (Expiration Date) Nolan Public Notary Seal Alf 9,'H/0;