Past_Experience_Reference_Form_0040646053.pdf

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Attached to
WI-GREEN BAY FWCO-AIS HELIX BOAT MAINT
Solicitation number
140FS224Q0078
Issued by

About this file

This document is a past experience reference form for solicitation number 140FS224Q0078 for maintenance services on the WI-GREEN BAY FWCO-AIS HELIX boat. Quoters are required to fill out the form providing details on up to four past contracts of similar size and complexity to the scope of work. Required information for each past experience includes the contract/work type, number, value, agency/firm, point of contact, and period of performance. Brief descriptions of duties are also to be included. The completed form is to be submitted electronically to mack_washingtont@fws.gov by the due date specified in the solicitation. The solicitation is for the U.S. Fish and Wildlife Service and involves maintenance including electrical work on booms and control boxes, addition of anodes and a cathode curtain, and welding of cracks on the transom of the Wattson vessel to ensure functionality and safety of the electrofishing equipment.

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Attachment #2

RFQ# 140FS224Q0078

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 #: ____________________________________________________________

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 #: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Month/Year work began Month/Year work ended: __________________________________________________

Brief description of duties:

Attachment #2

RFQ# 140FS224Q0078

Experience No. 3

Contract Number (if applicable): ________________________________________________________________

Total Contract Value: _________________________________________________________________________

Agency/firm for who work was performed: ________________________________________________________

Contact person at the site: Telephone #: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Experience No. 4

Contract Number (if applicable): ________________________________________________________________

Total Contract Value: _________________________________________________________________________

Agency/firm for who work was performed: ________________________________________________________

Contact person at the site: Telephone #: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Submit NLT than the due date and time specified within this solicitation to: E-mail: mack_washingtont@fws.gov.

*NOTE: This form may also be used to assess Past Performance.

mailto:mack_washingtont@fws.gov

File details come from the government source that posted it. Updated .