B08_Past_Experience_and_References_Form.pdf

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MN-GLACIAL RIDGE NWR- MECHANICAL LAND CLEARING OF
Solicitation number
140FS225Q0178
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The document is a Past Experience & References Form for a federal solicitation from the Department of the Interior Fish and Wildlife Service. The form requires bidders to provide detailed information about up to three previous contracts, including contract type, total contract value, agency/firm where work was performed, contact information, work dates, and a brief description of duties. The form is specifically for the Solicitation Number 140FS225Q0178 related to mechanical land clearing of vegetation at Glacial Ridge National Wildlife Refuge. Completed forms must be submitted via email to Khalilah Brown at khalilah_brown@fws.gov by 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/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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