B08_-_Technical_Experience_and_References_Form.pdf
PDF 201 KB Posted
- Attached to
- NM BITTER LAKE NWR - Repair of 4691 Well
- Solicitation number
- 140FS225Q0156
About this file
The document is a Technical Experience & References Form for a federal contract opportunity related to well repair at Bitter Lake National Wildlife Refuge. The form requires offerors to provide detailed information about up to three previous projects similar in size and complexity to the current solicitation, including contract/work type, total contract value, agency/firm details, contact information, work period, and a brief description of duties. Each experience entry must include a point of contact's name, telephone number, and valid email address. The completed form is to be submitted to Dana Arnold at dana_arnold@fws.gov no later than the specified due date and time in the solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| B03_-_Service_Contract_Act_WD_2015-5455_-_Rev_28.pdf | ||
| Sol_140FS225Q0156.pdf | ||
| A04_-_PWS_-_Well_Repair___Modification.pdf |
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Text version
TECHNICAL EXPERIENCE & REFERENCES
REFERENCES:
This form shall be completed by all offerors to receive consideration. Technical experience may be a combination of up to three projects similar in size and complexity to those stated in the Performance Work Statement. Reference information shall 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
| ContractWork type: |
| Contract Number if applicable: |
| Total Contract Value: |
| Agencyfirm for who work was performed: |
| Contact person at the site Telephone: |
| Valid Email address: |
| MonthYear work began MonthYear work ended: |
| ContractWork type_2: |
| Contract Number if applicable_2: |
| Total Contract Value_2: |
| Agencyfirm for who work was performed_2: |
| Contact person at the site Telephone_2: |
| Valid Email address_2: |
| MonthYear work began MonthYear work ended_2: |
| ContractWork type_3: |
| Contract Number if applicable_3: |
| Total Contract Value_3: |
| Agencyfirm for who work was performed_3: |
| Contact person at the site Telephone_3: |
| Valid Email address_3: |
| MonthYear work began MonthYear work ended_3: |
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