B08_-_Past_Experience_and_References_Form_1.doc

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Native Species Planting-Buenos Aires NWR, AZ
Solicitation number
140FS224Q0060
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This document is a past experience and reference form required to be completed by bidders for federal contract opportunity 140FS224Q0060 for native species planting at Buenos Aires National Wildlife Refuge in Arizona. The form requests details of up to three prior contracts similar in size, complexity, and duties to the scope of work. Required information includes contract type and number, value, agency, point of contact, dates, and brief description of duties. References must also be provided including name, phone number, and email address. The completed form is to be submitted electronically to Darla Freyholtz Ballard at the U.S. Fish and Wildlife Service by the due date and time specified in the solicitation.

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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 #: ____________________________________________

Valid 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 #: ____________________________________________

Valid E-mail address: ____________________________________________

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 #: ____________________________________________

Valid E-mail address: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to Darla Freyholtz Ballard email: darla_freyholtzballard@fws.gov

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