B08_Past_Experience_References_Form.doc

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OK-WICHITA MTNS WILDL RFG-HEAVY EQP LEAS
Solicitation number
140F0822Q0003
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This document is a past experience and references form required to be completed by all bidders for federal contract number 140F0822Q0003 to lease heavy equipment for the Wichita Mountain National Wildlife Refuge. The form requests details of up to three prior contracts of similar size and complexity to the scope of work, including contract type and number, total value, agency or firm, point of contact, dates of work, and brief description of duties. Bidders must also provide up to four references from past work including name, phone number, email, dates of work, and brief description. The completed form is due no later than the date and time specified in the solicitation and must be emailed to the address provided.

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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 #: ____________________________________________

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 #: ____________________________________________

E-mail address: ____________________________________________

Experience No. 3

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Experience 4

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to: E-mail: mark_tapp@fws.gov.

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