Attachment_3_-_PAST_EXPERIENCE_REFERENCES_2026.pdf
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- Attached to
- LA-SE LA REFUGEES-CONVAULT TANK REPAIR
- Solicitation number
- 140FS326Q0096
About this file
This is a Past Experience & References form (Attachment-3) for RFQ/Solicitation #140FS326Q0096 issued by the Department of Interior (DOI). The form is a template that must be completed by all quoters and bidders to receive consideration for the contract opportunity.
The form requires applicants to document up to four examples of relevant past experience and performance, with each entry including the contract or work type, contract number, total contract value, agency or firm for whom the work was performed, contact person information (name, telephone, and email), work period (month and year began and ended), and a brief description of duties performed. Acceptable experience may be a combination of up to three contracts similar in size and complexity to those stated in the Scope of Work, or work experience in similar positions performing duties of similar nature and complexity. Applicants may also separately document training that would enable better performance of the outlined specifications. Completed forms must be submitted via email to Merenica_Banks@ios.doi.gov no later than the due date and time specified in the solicitation. The form may also be used to assess past performance as part of the evaluation process.
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Text version
RFQ / Solicitation #140FS326Q0096
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:
Attachment -3
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@ios.doi.gov. *NOTE: This form may also be used to assess Past Performance.
mailto:jamel_hooker@fws.gov
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