Past_Experience_and_References_Form_0001.doc

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Attached to
NV-DESERT NWRC-FIRE/BIL-MARSH MASTER Federal contract opportunity
Solicitation number
140FS124Q0090
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This document is a Past Experience & References form that must be completed by all bidders/quoters for Solicitation No. 140FS124Q0090. The form requires the bidder to provide details on up to three relevant past contracts or work experiences, including the contract type, number, total value, agency/firm, contact information, and a brief description of the duties performed. The information is intended to demonstrate the bidder's qualifications and past performance for the required services.

The related federal contract opportunity is for a Marsh Master MM-2MX-KC-FF Fire Package or Approved Equal for the FWS Desert NWR Complex in Nevada, solicited by the Department of the Interior Fish and Wildlife Service. The form must be submitted by the due date and time specified in the solicitation to the designated Contract Specialist.

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Attachment Solicitation No. 140FS124Q0090

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

PAGE

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