B08_-_Past_Experience_and_References_Form.pdf

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Attached to
SD - DC BOOTH NFH Rehabilitate Fire Suppression Sy
Solicitation number
140FS225Q0040
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This is a Past Experience and References Form template that must be completed by all quoters for the DC Booth National Fish Hatchery Fire Suppression System rehabilitation project. The form requires vendors to provide details for up to three current or past experiences that demonstrate relevant work of similar size and complexity to the project's scope. For each reference, vendors must include contract type, contract number, total contract value, agency/firm name, point of contact details (including phone and email), project duration dates, and a brief description of duties performed. Additionally, vendors are instructed to separately detail 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.

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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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