VENDOR’S CUSTOMER
REFERENCE FORM
Customer Company Name:
Primary Contact Name:
Telephone:
Email:
Relevant Project Information
Project Name:
Project Summary:
Period of Performance (POP) - Represented in Weeks
POP @ Contract Award	POP @ Contract Closure
Weeks	Weeks
If any, explain schedule variances.
Contract Value
Initial Amount	Final Amount
$	$
If any, explain contract amount variances.
Scope / Work Performed
Identify project successes.
Define changes in scope, challenges, and lessons learned.
Explain similarities between this work & the RFQ effort.
Release: I authorize Florida Department of Transportation to contact these references.
Print Name (Key Staff Member)	Vendor’s Company Name
Signature (Key Staff Member)	Date