Past_Experience_Ref_Form.doc

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Attached to
MD-FWS ESTRN NECK NWR-MOWING/LANDSCAPING
Solicitation number
140FS325Q0053
Issued by

About this file

The document is a Past Experience & References Form for Solicitation #140FS325Q0053, which appears to be for mowing and landscaping services at the Eastern Neck National Wildlife Refuge. The form is designed for potential contractors to document their relevant professional experience by providing details on up to four prior contracts, including contract type, total contract value, agency/firm details, point of contact information, work period, and a brief description of duties.

The form allows bidders to demonstrate their qualifications by showcasing past performance in similar work, with space to detail three contracts that are comparable in size and complexity to the current solicitation. Bidders are instructed to submit the completed form by the specified due date, with the understanding that the information may be used to assess past performance for the Department of the Interior's Fish and Wildlife Service mowing and landscaping opportunity.

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Text version

(Attachment #1) - Solicitation #

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 who 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 who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Experience No. 3

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Experience 4

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to: E-mail:

*NOTE: This form may also be used to assess Past Performance.

Solicitation #

PAGE

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