Attachment_4-Past_Performance_Questionnaire.pdf

PDF 122 KB Posted

Attached to
Bosque Mastication Support Services Federal contract opportunity
Solicitation number
140F0222R0033
Issued by
Department of the Interior Fish and Wildlife Service Region 2

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File Type Posted
Attachment_5-Amendment_0001_Mastication_RFIs_0001.pdf PDF
Sol_140F0222R0033_Amd_0001.pdf PDF
Attachment_1-B08-Solicitation_Bosque_140F0222R0033_(2).pdf PDF
Sol_140F0222R0033.pdf PDF
Attachment3-B03-DOL_Wage_Determination.pdf PDF
Attachment_2-A04-Performance_Work_Statement(PWS)_Bosque_FY22.pdf PDF

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A. Past Performance Questionnaire (Offeror Document)

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 Performance Work Statement (PWS) and work experience in similar positions, performing duties similar in nature and complexity to the required services. 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:

Experience No. 3

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:

Experience 4

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:

Submit NLT than the due date and time specified within this solicitation to: E-mail: joann_mallory@fws.gov mailto:joann_mallory@fws.gov

A. Past Performance Questionnaire

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