B08_-_Past_Experience_and_References_Form.pdf

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Attached to
WI - Necedah NWR - Articulated Concrete for Spillw
Solicitation number
140FS225Q0011
Issued by

About this file

This is a Past Experience & References form template that must be completed by all quoters bidding on an articulated concrete spillway erosion control project at the Necedah National Wildlife Refuge in Wisconsin for the U.S. Fish and Wildlife Service.

The form requires quoters to provide details for up to three current or past contracts that are similar in size and complexity to the scope of work, including contract type, contract number, total value, agency/firm name, contact information, contract period, and brief description of duties. Quoters must also separately include details of any relevant training that would enhance their ability to perform the specified work. Completed forms must be submitted to Dana Arnold at dana_arnold@fws.gov by the solicitation due date and time.

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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

File details come from the government source that posted it. Updated .