Attachment_3_-_PAST_EXPERIENCE_REFERENCES.pdf

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Attached to
MS-FWS NOXUBEE NWR-HERBICIDE AERIAL
Solicitation number
140FS325Q0074
Issued by

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The document is a Past Experience & References form for Request for Quote (RFQ) #140FS325Q0074 related to a herbicide aerial application project for the Noxubee National Wildlife Refuge. The form requires vendors to provide detailed information about up to four previous contracts, including contract/work type, contract number, total contract value, agency/firm, contact information, work dates, and a brief description of duties. Vendors are instructed to submit this form via email to Merenica_Banks@fws.gov no later than the due date specified in the solicitation. The form is designed to assess past performance and verify the bidder's experience in performing services similar in size, complexity, and nature to the required work.

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RFQ / Solicitation #140FS325Q0074

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: ____________________________________________

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 #: ____________________________________________

E-mail address: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

Experience 4

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:

Submit NLT than the due date and time specified within this solicitation to: E-mail: Merenica_Banks@fws.gov.

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

mailto:jamel_hooker@fws.gov

File details come from the government source that posted it. Updated .