Attachment_2_Past_Experience_and_References_Form.doc

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Attached to
OK-TISHOMINGO NFH-SKID STEER GRADER BLADE
Solicitation number
140FS224Q0266
Issued by

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This document is an Attachment 1 Past Experience & References Form related to RFQ No. 140FS224Q0266 for the procurement of a skid steer grader blade for the OK-Tishomingo National Fish Hatchery. The form requires vendors to list up to 3 examples of past relevant experience and references, including contract/work type, contract number, total contract value, agency/firm, contact information, period of performance, and a brief description of duties. The related federal contract opportunity is for a skid steer grader blade, with the Department of the Interior Fish and Wildlife Service as the procuring agency. No other details about the procurement are provided in the materials given.

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ATTACHMENT 1

RFQ No. 140FS224Q0266

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 Faulk via email: monica_faulk@fws.gov

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