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City of Sunny Isles Beach |Request for Qualifications No. 18-11-01 27 <br />PROJECT VERIFICATION FORM <br />Respondent must have completed the design and permitting of at least two (2) pump station projects in <br />the past ten (10) years. The completed projects meeting this minimum qualification may have been <br />performed by the individual, firm, or project manager assigned to the Work. <br />1)Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />Email Address:____________________________________________________ <br />Telephone: ________________________________________________________ <br />Scope of Work: _____________________________________________________ <br />Contract Start/End Dates: _____________________________________________ <br />Consultant Contract Amount: $_________________________________________ <br />2)Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />Email Address:____________________________________________________ <br />Telephone: ________________________________________________________ <br />Scope of Work: _____________________________________________________ <br />Contract Start/End Dates: _____________________________________________ <br />Consultant Contract Amount: $_________________________________________ <br />3)Name of Client Entity: ______________________________________________ <br />Address: __________________________________________________________ <br />City/State/Zip: ______________________________________________________ <br />Contact: __________________________________________________________ <br />Title: _____________________________________________________________ <br />____________________ <br />END OF SECTION <br />City of Miami Beach <br />City of Miami Beach <br />Miami-Dade Water & Sewer Deparetment <br />Public Works Department, 1700 Convention Center Drive <br />Public Works Department, 1700 Convention Center Drive <br />3071 SW 38th Avenue <br />Miami Beach, Florida 33139 <br />Miami Beach, Florida 33139 <br />Luis Soto, P.E. <br />Luis Soto, P.E. <br />Assistant City Engineer <br />Assistant City Engineer <br />luissoto@miamibeachfl.gov <br />luissoto@miamibeachfl.gov <br />305-673-7000 Ext: 6924 <br />May 2016 to May 2018 <br />Design of a 80.000 GPM Stormwater Pump Station <br />450,000.00 <br />Miami, Florida 33146 <br />Rolando M. Roque, P.E. <br />Pump Station Compliance Section Chief <br />roquer@miamidade.gov <br />786-552-8129 <br />Design of the rehabilitation of Pump Station PS 437 and PS 351 <br />April 2015 to Dec. 2016 <br />187.000.00 <br />Email Address:__ _______________________________ <br />Telephone: __________305-673-7000 Ext: 6924______________________________________________ <br />Scope of Work: __________________Design of a 24.000 GPM Stormwater Pump Station__________________________________ <br />Contract Start/End Dates: __________Dec 2014 to Oct 2015___________________________________ <br />Consultant Contract Amount: $_______345,000.00__________________________________