Past_Experience_and_References_Form_0002.doc

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OR-CLARK R BAVIN NWR-LEDGER ART EVAL
Solicitation number
140FS124Q0052
Issued by

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This document contains a past experience and references form for a federal contract opportunity to provide temporary contract personnel services to the Clark R Bavin Fish and Wildlife Service office in Oregon. Quotes are due no later than the date and time specified in solicitation number 140FS124Q0052. Bidders must complete the form to be considered, listing up to three relevant past contracts demonstrating experience in similar size, complexity, duties, and training. For each, the contract type and number, value, agency, point of contact, dates, and brief description of duties are required. Submissions should be emailed to Roger L. Lockhart, Contract Specialist.

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Attachment Solicitation No. 140FS124Q0052

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 #: ____________________________________________

Valid 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 #: ____________________________________________

Valid E-mail address: ____________________________________________

Experience No. 3

Contract/Work type: ____________________________________________

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

Valid E-mail address: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to Roger L. Lockhart, Contract Specialist (Affiliate) via email: roger_lockhart@fws.gov

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