B08_-_Past_Experience_and_References_Form.pdf

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Attached to
TX ANAHUAC NWR - Ditch Clean-Out - Pond 11 and Pon
Solicitation number
140FS224Q0218
Issued by

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This document is a Past Experience & References form that must be completed by all quoters to receive consideration for the TX ANAHUAC NWR - Ditch Clean-Out - Pond 11 and Pond 23 contract opportunity. It requires applicants to list up to 3 relevant current or past experiences, including contract details, agency/firm, contact information, and a brief description of duties. The related federal contract opportunity is a solicitation issued by the Department of the Interior Fish and Wildlife Service for ditch clean-out services at the TX McFaddin National Wildlife Refuge. The completed Past Experience & References form must be submitted by the due date and time specified in the solicitation to Dana Arnold at dana_arnold@fws.gov.

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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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