Attachment_3_-_PAST_EXPERIENCE_REFERENCES.pdf

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Attached to
Merritt Island NWR -Janitorial Services - Option Y
Solicitation number
140FS323Q0165
Issued by

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This document is a past experience and references form required to be completed by all bidders for solicitation number 140FS323Q0165 for janitorial services at Merritt Island National Wildlife Refuge. The solicitation is issued by the U.S. Fish and Wildlife Service within the Department of the Interior. Bidders must provide details of up to three past contracts similar in size, complexity, and duties to the required services, including contract type and number, total value, agency, point of contact, and period of performance. References should also be included with name, phone number, and email address. The completed form is due by the date and time specified in the solicitation and must be emailed to the address provided.

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RFQ / Solicitation #140FS323Q0165

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 mbanks Underline

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@fws.gov. *NOTE: This form must be used to assess Past Performance.

mailto:jamel_hooker@fws.gov

File details come from the government source that posted it. Updated .