B08_-_Past_Experience_and_References_Form.pdf

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TX - INKS DAM NATIONAL FISH HATCHERY Radon Mitigat
Solicitation number
140FS224Q0249
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This document is a Past Experience and References Form that must be completed by all quoters to receive consideration for a federal contract opportunity. The form requires applicants to list up to three relevant past experience contracts or work assignments, including details such as contract/work type, contract number, total contract value, agency/firm for whom the work was performed, contact person information, start and end dates, and a brief description of duties. This information will be used to evaluate the applicant's qualifications and past performance for the TX - INKS DAM NATIONAL FISH HATCHERY Radon Mitigation at Inks Dam contract opportunity, solicited by the U.S. Department of the Interior Fish and Wildlife Service. The completed form must be submitted no later than 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 to receive consideration. List up to (3) 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: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

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: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

Submit NLT than the due date and time specified within this solicitation to Dana Arnold, email: dana_arnold@fws.gov

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