B08_-_Past_Experience_and_References_Form.doc

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Attached to
NM-OFC OF RFG LE - Boat Motor Servicing
Solicitation number
140FS224Q0058
Issued by

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This document is a past experience and references form required to be completed by all bidders for solicitation number 140FS224Q0058 from the Department of the Interior Fish and Wildlife Service. Bidders must provide details on up to three past contracts similar in size, complexity, and duties to the required boat motor removal and installation services. For each past experience, bidders must include the contract type and number, total value, agency, point of contact, dates of work, and brief description of duties performed. References should also be included with name, phone number, and valid email address. The completed form is due by the date and time specified in the solicitation and should be emailed to the address provided.

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Solicitation # 140FS224Q0058

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 Dana Arnold, email: dana_arnold@fws.gov

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