B08_-_Past_Experience_and_References_Form.doc

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OK OK FWCO AIRBOAT GARAGE
Solicitation number
140FS223Q0196
Issued by

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This document is a past experience and references form required for solicitation number 140FS223Q0196 from the Department of the Interior Fish and Wildlife Service seeking an airboat garage. Quoters must complete the form listing up to three relevant past contracts or work experience including the contract/work type, number, value, agency/firm, point of contact, dates performed, and brief description of duties. References should include a name, phone number, and valid email address. The completed form is due by the date and time specified in the solicitation and must be submitted to Dana Arnold at dana_arnold@fws.gov. The opportunity seeks an airboat garage but provides no further details on required products, services, pricing, or award timing.

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140FS223Q0196

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. 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 Dana Arnold, dana_arnold@fws.gov.

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