Attachment_3_-_PAST_EXPERIENCE_REFERENCES_2026.pdf
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- Solicitation number
- 140FS326Q0171
About this file
This is a Past Experience & References form (Attachment 3) required for RFQ/Solicitation #140FS326Q0171. The form is a template that must be completed by all quoters/bidders to receive consideration for the contract opportunity.
The form requires submission of up to four examples of current or past experience relevant to the position, with each entry requesting: contract/work type, contract number (if applicable), total contract value, agency/firm for whom work was performed, contact person name and telephone number, email address, month/year work began and ended, and a brief description of duties. Quoters may submit a combination of up to three contracts similar in size and complexity to those stated in the Scope of Work, along with work experience in similar positions performing duties of similar nature and complexity to the required services. The form also allows for submission of details regarding any training that would enable better performance of the outlined work. Submissions must be sent no later than the due date and time specified in the solicitation to Merenica_Banks@ios.doi.gov. The contracting officer notes that this 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 #140FS326Q0171 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 .