B08_Past_Experience_and_References_Form.pdf

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AZ-IMPERIAL NWR - TAMARISK BACKPACK HERBICIDE APPL
Solicitation number
140FS225Q0151
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The document is a Past Experience & References form for a federal contract opportunity with the U.S. Fish and Wildlife Service related to herbicide application at Imperial National Wildlife Refuge in Arizona. The form is designed for potential contractors to provide detailed information about their previous work experience, including three separate sections to document contract/work type, total contract value, agency/firm, contact information, work duration, and a brief description of duties. The form requires comprehensive documentation of past performance to demonstrate capability and experience relevant to the solicitation, with specific instructions to submit the completed form to Khalilah Brown via email no later than the specified due date and time in the solicitation.

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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 Khalilah Brown email:

khalilah_brown@fws.gov mailto:khalilah_brown@fws.gov

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