Past_Experience_and_References_Form_0001.doc

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Attached to
CA-SAN LUIS NWRC-FIRE/BIL-MARSH MASTER Federal contract opportunity
Solicitation number
140FS124Q0091
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 in response to Solicitation No. 140FS124Q0091. The form requires bidders to provide details on up to three relevant past contracts or work experiences, including contract/work type, contract number, total contract value, agency/firm where work was performed, contact person information, and a brief description of duties. This information will be used to evaluate the bidders' past performance and experience, which is relevant to the requirements of the solicitation.

The related federal contract opportunity, Solicitation No. 140FS124Q0091, is for a Marsh Master MM-2MX-KC-FF Fire Package or Approved Equal for the FWS San Luis NWR Complex in California. The solicitation is being issued by the Department of the Interior Fish and Wildlife Service.

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Attachment Solicitation No. 140FS124Q0091

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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