B08_Solicitation___Past_Experience_and_References_Form.doc

DOC document 33 KB Posted

Attached to
FIRE: Hazardous Fuels Reduction-Blue Hill, Sherbur
Solicitation number
140FS224Q0230
Issued by

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This document is a Past Experience & References form that must be completed by all quoters/bidders for a federal contract opportunity. It requires the bidder to provide details on up to three relevant past contracts or work experiences, including the contract/work type, contract number, total contract value, agency/firm the work was performed for, contact information for a point-of-contact at the site, the timeframe the work was performed, and a brief description of the duties.

The federal contract opportunity this form is related to is a solicitation for "FIRE: Hazardous Fuels Reduction-Blue Hill, Sherburne NWR, Zimmerman, MN" issued by the U.S. Department of the Interior Fish and Wildlife Service. The solicitation number is 140FS224Q0230. Bidders must submit this completed Past Experience & References form, along with any other required documents, by the due date and time specified in the solicitation.

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B12_Misc___Notice_to_Quoters.doc DOC document
A04_SOW_Blue_Hill_Fuel_Break.docx DOCX document
B03_Wage_Determination_1979-1073.pdf PDF
Sol_140FS224Q0230.pdf PDF

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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 Darla Freyholtz Ballard email: darla_freyholtzballard@fws.gov

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