B08_-_Past_Experience_and_References_Form.pdf
PDF 114 KB Posted
- Attached to
- IA UNION SLOUGH NWR - Air Screen Cleaner
- Solicitation number
- 140FS224Q0159
About this file
This document is a Past Experience & References Form that must be completed by all quoters for consideration in a federal contract opportunity. The form requires vendors to list up to three current or past contracts similar in size and complexity to the Scope of Work, including details on the contract type, value, agency, contact information, and a brief description of duties. The referenced federal contract opportunity is for the provision of an Air Screen Cleaner at the IA Union Slough National Wildlife Refuge, solicited by the Department of the Interior Fish and Wildlife Service. The Past Experience & References Form must be submitted by the due date and time specified within the solicitation to Dana Arnold at dana_arnold@fws.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FS224Q0159.pdf | ||
| A06_-_Specifications_for_Air_Cleaner.pdf |
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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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