13D_-_Reference_List.pdf

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Attached to
Vault Latrine Cleaning Services Federal contract opportunity
Solicitation number
140L3621Q0002
Issued by
Department of the Interior Bureau of Land Management

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File Type Posted
13C_-_Wage_Determination.pdf PDF
13B_-_Latrine_Cleaning_Locations_Map.pdf PDF
13A_-_Performance_Work_Statement.pdf PDF
13E_-_WH-1313.pdf PDF
140L3621Q0002_-_Solicitation_Package_(Issued).pdf PDF
Sol_140L3621Q0002.pdf PDF

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Solicitation No: 140L3621Q0002 PROJECT DESCRIPTION: Vault Latrine Cleaning Services, Billings Field Office Recreation Sites

REFERENCE LIST

The contractor shall furnish a list (no more than five) of Federal, State, local government or commercial projects similar in scope, complexity, and magnitude to the work required under this solicitation that the contractor has completed within the last five years. These projects must clearly demonstrate the contractor’s successful ability to accomplish projects in a timely and satisfactory manner. If an offeror intends to utilize subcontractors to perform any of the major components of work, all the requested information must be provided for each proposed subcontractor.

CONTRACTOR NAME: _____________________________________________________________________

Submitting Proposal as (select one) Prime Contractor Subcontractor

If submitting as Subcontractor, your prime contractor is

1. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

2. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

Solicitation No: 140L3621Q0002 PROJECT DESCRIPTION: Vault Latrine Cleaning Services, Billings Field Office Recreation Sites

3. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

4. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

5. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

REFERENCE LIST
CONTRACTOR NAME: _____________________________________________________________________
Prime Contractor

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