Current-Prior Experience Verification.pdf
PDF 101 KB Posted
- Solicitation number
- 300000256578698
- Issued by
- Missouri
About this file
This is a Current/Prior Experience Verification form related to a Timber Stand Improvement project for the Huzzah Conservation Area in Crawford County, Missouri, administered by the State of Missouri Department of Conservation. The project involves timber stand improvement work across three stands totaling approximately 33 acres (Stand 12: 9.3 acres, Stand 13: 10.7 acres, and Stand 14: 13.0 acres) located in Compartment #04. Vendors and subcontractors must complete this form to document relevant current and prior experience applicable to the services required, and must provide contact information for references who can verify the work performed.
Contractors must possess a valid Missouri commercial pesticide applicators license prior to performing any chemical applications on Department property and must provide documentation of compliance upon request. The form requires vendors to list company or client names, addresses, contact person information with phone numbers and email addresses, dates of service, dollar values of services, and descriptions of services performed. The Department of Conservation will contact listed references during the evaluation process, and any listed experience may not be considered if the contact person cannot be reached, making accurate and accessible reference information critical to the contractor's proposal evaluation.
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Text version
ATTACMENT 3
CURRENT/PRIOR EXPERIENCE VERIFICATION
In order to verify the contractor’s compliance with minimum experience requirements specified herein, the vendor should copy and complete this form documenting the vendor and any subcontractor’s current/prior experience considered relevant to the services required herein. In addition, the vendor is advised that if the contact person listed for verification of services is unable to be reached during the evaluation, the listed experience may not be considered.
Vendor Name or Subcontractor Name: ____________________________________________________
Experience/Service Information Verification (Current/Prior Services Performed For):
Name of Company/Client:
Address of
Company/Client
• Street Address
• City, State, Zip
Company/Client Contact
Person Information:
a. Name
b. Phone number
c. E-mail Address
Dates of Services:
If service/contract has terminated, specify reason:
Dollar Value of Services
Description of Services Performed
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