B08_-_Past_Experience_and_References_Form.doc

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Firebreak Enhancment, Agassiz NWR, Middle River, M
Solicitation number
140FS224Q0053
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This document is a past experience and references form required to be completed by all bidders for a federal contract opportunity with the Department of the Interior Fish and Wildlife Service. The form requests details on up to three past contracts similar in size, complexity, and duties to the scope of work. It requires information such as contract type and number, total value, agency, point of contact, dates, and brief description of duties. The related federal contract opportunity is for firebreak enhancement at the Agassiz National Wildlife Refuge in Middle River, Minnesota. The solicitation number is 140FS224Q0053. Bidders must submit the completed past experience and references form by the due date and time specified in the solicitation to the email address provided.

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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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