B08_-_Technical_Experience_Form.pdf
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- MN AGASSIZ NWR - FUEL TANKS REPLACEMENTS
- Solicitation number
- 140FS225Q0131
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TECHNICAL EXPERIENCE FORM
REFERENCES:
This form must be completed by all offerers to receive consideration. Technical experience may consist of up to three projects that are comparable in size and complexity to those described in the Statement of Work. Reference information shall include the name of a point of contact, their telephone number, and email address. References will be used solely to verify the validity of the declared experience and will not be used to assess performance.
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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