Past_Experience_Reference_Form_0044042709.pdf
PDF 130 KB Posted
- Attached to
- ND-ARROWWOOD NWR-UTVS Federal contract opportunity
- Solicitation number
- 140FS226Q0109
About this file
This is a Past Experience & References form (Attachment #10) for RFQ# 140FS226Q0109 issued by the Department of Interior. The form is a template that must be completed by all quoters and bidders to receive consideration for the solicitation.
Quoters must document relevant past performance and experience through up to four contract or work experience entries. Each entry requires documentation of the contract or work type, contract number (if applicable), total contract value, the agency or firm where work was performed, contact person details (name, telephone, and email address), work period (month/year begin and end dates), and a brief description of duties performed. The form allows for the inclusion of training details that would enhance the quoter's ability to perform the required services. Submissions must be sent no later than the due date and time specified in the solicitation to mwashingtont@ios.doi.gov. The form notes that it may be duplicated if additional space is needed and may also be used to assess past performance as part of the evaluation criteria.
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Text version
Attachment #10
RFQ# 140FS226Q0109
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 whom 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 whom 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 #10
RFQ# 140FS226Q0109
Experience No. 3
Contract Number (if applicable): ________________________________________________________________
Total Contract Value: _________________________________________________________________________
Agency/firm for whom 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. 4
Contract Number (if applicable): ________________________________________________________________
Total Contract Value: _________________________________________________________________________
Agency/firm for whom work was performed: _______________________________________________________
Contact person at the site: Telephone: ___________________________________________________________
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: E-mail: mwashingtont@ios.doi.gov.
*NOTE: This form may also be used to assess Past Performance.
mailto:mwashingtont@ios.doi.gov
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