Attachment 0003 - Work Experience Reference Sheet.pdf

PDF 407 KB Posted

Attached to
Oahu/PTA/KMC Emergency Response and Repair of High Voltage Systems
Solicitation number
W912CN-25-Q-0009
Issued by

About this file

Written by GovTribe AI ·

This is a Work Experience Reference Sheet template (Attachment 0003) for solicitation W912CN-24-Q-0020 for High Voltage Services. The form is designed to collect past performance information from quoters, specifically limiting references to those within the past three years.

The template requires quoters to provide detailed information including: company name, reference/customer contact details, contract number, project title, scope of work description, period of performance, and contract amounts broken down by base year and four option years. The form also requires quoters to document any problems encountered during performance and corrective actions taken, or to state "NONE" if no issues occurred. This reference sheet appears to be part of a larger solicitation package for emergency response and repair of high voltage systems for Oahu/PTA/KMC, being administered by the Department of the Army Materiel Command Army Contracting Command.

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ATTACHMENT 0003

WORK EXPERIENCE REFERENCE SHEET

For

W912CN-24-Q-0020, HIGH VOLTAGE SERVICES

NOTE: The quoter is responsible for reproducing copies of this form. Limit to references within the past three (2) years.

1. Name of Quoter:

2. Name of Reference/Customer:

Phone No.: Fax No.:

Email:

3. Contract Number:

4. Project Title:

5. Description of scope of work:

6. Period of Performance:

7. Contract Amount:

Base Year: $ __________________ 1st Option: $ __________________ 2nd Option: $ __________________ 3rd Option: $ __________________ 4th Option: $ Total: $

8. Quoter’s statement on problems, if any, encountered during performance of work and any corrective actions taken to resolve problems. If no problems encountered, state NONE.

1 Name of Quoter:
2 Name of ReferenceCustomer:
Phone No:
Fax No:
Email:
3 Contract Number:
4 Project Title:
6 Period of Performance:
Base Year:
1st Option:
2nd Option:
3rd Option:
4th Option:
Total:
Text1:
Text2:

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