Attachment_1_Past_Experience_and_References_Form.doc

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Attached to
OK-TISHOMINGO NFH-SKID STEER GRADER BLADE 8ft.
Solicitation number
140FS225Q0026
Issued by

About this file

This is a past experience and references form (Attachment 1) for RFQ No. 140FS225Q0026, which is required for all quoters bidding on a skid steer grader blade procurement for the Tishomingo National Fish Hatchery under the Department of Interior Fish and Wildlife Service.

The form requires bidders to provide details for up to three current or past experiences that are similar in size and complexity to the scope of work. For each reference, vendors must include contract type, contract number, total contract value, agency/firm name, point of contact details (including name, phone number, and email), contract period, and brief description of duties. Vendors are also asked to separately detail any relevant training that would enhance their ability to perform the work. Completed forms must be submitted to Monica Adams via email at monica_adams@fws.gov.

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ATTACHMENT 1

RFQ No. 140FS225Q0026

PAST EXPERIENCE & REFERENCES

REFERENCES:

This form must be completed by all quoters in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List up to 3 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 #: ____________________________________________

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: ____________________________________________

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: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to Monica Adams via email: monica_adams@fws.gov

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