0040561600__Past_Experience_Reference_Form.pdf
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- Attached to
- AR-SARC-FELSENTHAL'S PLUG AND CAP TWO WE
- Solicitation number
- 140F0622Q0089
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Attachment #2
RFQ# 140F0622Q0052
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all quoters/bidders in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or past experience that is pertinent to this position. Past performance and experience may be a combination of up to three contracts similar in size and complexity to those stated in the Scope of Work and work experience in similar positions, performing duties similar in nature and complexity to the required services. Include (separately) details of any training that would enable you to better perform the work outlined in the specifications. Reference information should include a point-of-contact's name, telephone number and e-mail address.
Experience No. 1
Contract/Work type: ___________________________________________________________________________
Contract Number (if applicable): _________________________________________________________________
Total Contract Value: __________________________________________________________________________
Agency/firm for who work was performed: _________________________________________________________
Contact person at the site: Telephone #: ____________________________________________________________
E-mail address: _______________________________________________________________________________
Month/Year work began Month/Year work ended: ___________________________________________________
Brief description of duties: _
Experience No. 2
Contract/Work type: __________________________________________________________________________
Contract Number (if applicable): ________________________________________________________________
Total Contract Value: _________________________________________________________________________
Agency/firm for who work was performed: ________________________________________________________
Contact person at the site: Telephone #: ___________________________________________________________
E-mail address: ______________________________________________________________________________
Month/Year work began Month/Year work ended: __________________________________________________
Brief description of duties:
Attachment #2
RFQ# 140F0622Q0052
Experience No. 3
Contract Number (if applicable): ________________________________________________________________
Total Contract Value: _________________________________________________________________________
Agency/firm for who work was performed: ________________________________________________________
Contact person at the site: Telephone #: ___________________________________________________________
E-mail address: ______________________________________________________________________________
Experience No. 4
Contract Number (if applicable): ________________________________________________________________
Total Contract Value: _________________________________________________________________________
Agency/firm for who work was performed: ________________________________________________________
Contact person at the site: Telephone #: ___________________________________________________________
E-mail address: ______________________________________________________________________________
Submit NLT than the due date and time specified within this solicitation to: E-mail: mack_washingtont@fws.gov.
*NOTE: This form may also be used to assess Past Performance.
mailto:mack_washingtont@fws.gov
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