B08_-_Past_Experience_and_References_Form.doc

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SEA LAMPREY TRAPPING - TRAIL CREEK - IN
Solicitation number
140FS224Q0071
Issued by

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This document contains a past experience and references form for a federal solicitation. The form requests details on up to three past contracts or work experiences that are similar in size, complexity, and duties to those described in the solicitation's statement of work. For each experience, offerors are asked to provide the contract or work type, number, value, performing agency or firm, and contact information for a reference. Offerors must also describe any training that would help them perform the required work. The completed form should be submitted to Dana Arnold at the U.S. Fish and Wildlife Service by the due date and time specified in solicitation number 140FS224Q0071 for sea lamprey trapping services on Trail Creek in Indiana.

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Solicitation #140FS224Q0071

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 Dana Arnold, email: dana_arnold@fws.gov

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