B08_-_Past_Experience_and_References_Form.pdf

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Attached to
TX-CADDO LAKE NWR JANITORIAL SERVICES
Solicitation number
140FS224Q0192
Issued by

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This document is a Past Experience & References form that must be completed by all quoters for consideration in the federal contract opportunity for janitorial services at the Caddo Lake National Wildlife Refuge. The form requires the quoter to provide details on up to three current or past relevant contracts, including the contract type, number, value, agency/firm for whom the work was performed, contact information for a point of contact at the site, and a brief description of the duties performed. The details are intended to demonstrate the quoter's experience and qualifications to perform the services outlined in the Scope of Work for the Caddo Lake National Wildlife Refuge janitorial services contract, which has a solicitation number of 140FS224Q0192 and is being issued by the Department of the Interior Fish and Wildlife Service. The completed form must be submitted by the due date and time specified in the solicitation.

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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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