RFQ No. 2024-1C
Attachment 1. Reference Project Form
Firms interested in responding to RFQ No. 2024-1C, “Street Lighting System Acquisition and LED
Conversion,” issued by the City of Buffalo on February 8, 2024 must complete this form as part of the
submission package to fulfill the requirement for project references. Space is provided in this document
to complete the required two (2) project references in standalone forms.
Reference Project One
Project Location
City, County, State
Contracting Municipality
(alt: Agency/Authority)
Project Contact
Scope of Work
Describe work activities
performed by firm
(250 words)
Roles and Responsibilities
Describe responsibilities of
firm, clearly identifying status
as Prime or Sub.
(250 words)
Project Team
List all sub-consultants or
partner agencies that
contributed to the project.
Project Size
Number of Streetlights:
Project Cost:
Name:
Title:
Phone:
E-mail:
▪
▪
Note: Identify what facilities elements are included in number of streetlights
(e.g. luminaries, poles, etc.)
Page 1 of 4
Timeline
Include number of phases, if
applicable, and status.
Financing
Describe the financing
mechanism(s) used to fund
the project and method of
analysis for selection.
(250 words)
Cost Savings
Provide as available based
upon project phase, the
projected and actual savings
for the overall project, energy
costs, and maintenance costs.
Projected
Total:
Energy:
Maintenance:
Actual
Total:
Energy:
Maintenance:
Other Savings
Describe additional savings or
cost reductions realized
through the project, during
acquisition or conversion
phases, etc. not described
above. (250 words).
Environmental and
sustainability goals
Energy savings (kWh):
Carbon reduction (MTCO2e):
Outreach and Engagement
Describe efforts to inform
community and communicate
with project partners,
including details about
provision of marketing and/or
communications materials.
(250 words)
Additional Services
Provide other supporting
information related to project
work not described above.
(250 words)
Weblink
Provide hyperlink(s) to
project website, if available.
Note: Provide as applicable to projects, and where available, reference or
links to rationale/protocol followed for calculating.
Page 2 of 4
Reference Project Two
Project Location
City, County, State
Contracting Municipality
(alt: Agency/Authority)
Project Contact
Scope of Work
Describe work activities
performed by firm
(250 words)
Name:
Title:
Phone:
E-mail:
Roles and Responsibilities
Describe responsibilities of
firm, clearly identifying status
as Prime or Sub.
(250 words)
Project Team
List all sub-consultants or
partner agencies that
contributed to the project.
Project Size
Number of Streetlights:
Project Cost:
▪
Note: Identify what facilities elements are included in number of streetlights
(e.g. luminaries, poles, etc.)
Timeline
Include number of phases, if
applicable, and status.
Financing
Describe the financing
mechanism(s) used to fund
the project and method of
analysis for selection.
(250 words)
Cost Savings
Provide as available based
upon project phase, the
projected and actual savings
for the overall project, energy
costs, and maintenance costs.
Projected
Total:
Energy:
Maintenance:
Actual
Total:
Energy:
Maintenance:
Page 3 of 4
Other Savings
Describe additional savings or
cost reductions realized
through the project, during
acquisition or conversion
phases, etc. not described
above. (250 words).
Environmental and
sustainability goals
Energy savings (kWh):
Carbon reduction (MTCO2e):
Outreach and Engagement
Describe efforts to inform
community and communicate
with project partners,
including details about
provision of marketing and/or
communications materials.
(250 words)
Additional Services
Provide other supporting
information related to project
work not described above.
(250 words)
Weblink
Provide hyperlink(s) to
project website, if available.
Note: Provide as applicable to projects, and where available, reference or
links to rationale/protocol followed for calculating.
Page 4 of 4
