B08_-_Past_Experience_and_References_Form.pdf

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Attached to
WI-WHITNEY GL- (4) AIRCLEAN PCR WORKSTATIONS
Solicitation number
140FS224Q0169
Issued by

About this file

This document is a Past Experience & References form that must be completed by all offerors to be considered for a federal contract opportunity. It requires offerors to provide details on up to three relevant past contracts, including the contract type, number, value, agency, point of contact information, and a brief description of the duties performed. This information is intended to demonstrate the offeror's relevant experience and qualifications to perform the work outlined in the related federal contract opportunity.

The related federal contract opportunity is for the procurement of (4) Airclean PCR Workstations for the Department of the Interior Fish and Wildlife Service. The solicitation number is 140FS224Q0169. The form must be submitted no later than the due date and time specified within the solicitation to Dana Arnold at the email address provided.

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PAST EXPERIENCE & REFERENCES

REFERENCES:

This form must be completed by all quoters to receive consideration. List up to (3) 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: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

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: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

Submit NLT than the due date and time specified within this solicitation to Dana Arnold, email: dana_arnold@fws.gov

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