Attachment_3_-_PAST_EXPERIENCE_REFERENCES_2026.pdf
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- Solicitation number
- 140FS326Q0168
About this file
This is a Past Experience & References form required as Attachment 3 to RFQ/Solicitation #140FS326Q0168. The form must be completed by all quoters and bidders to receive consideration for the solicitation. Quoters may provide up to four examples of current or past experience that is pertinent to the position, with each entry requiring the contract or work type, contract number (if applicable), total contract value, agency or firm for which work was performed, contact person information (name, telephone number, and email address), work dates (month/year began and ended), and a brief description of duties performed. The form allows for duplication if additional space is needed beyond the four experience sections provided.
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. Applicants may also include separately details of any training that would enable them to better perform the work outlined in the specifications. Completed forms must be submitted no later than the due date and time specified within the solicitation to Merenica.Banks@ios.doi.gov. The form may also be used to assess past performance.
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Text version
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:
RFQ / Solicitation #140FS326Q0168 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:
@ .gov. *NOTE: This form may also be used to assess Past Performance.
File details come from the government source that posted it. Updated .