PAST_EXPERIENCE_ _REFERENCES_FORM.doc

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610 LIMESTONE Federal contract opportunity
Solicitation number
F16PS00288
Issued by
Department of the Interior Fish and Wildlife Service Region 9 Headquarters

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PAST EXPERIENCE REFERENCES FORM

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(Attachment #1) - Solicitation No.: F16PS00288 - #610 Crushed Limestone FWS Lake Ophelia NWR

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/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: ____________________________________________

Submit NLT than the due date and time specified within this solicitation to: E-mail: roger_lockhart@fws.gov or mail to FWS, CGS, 1875 Century Blvd, Suite 310 Atlanta, GA 30345 Attn: Bryan Hagood

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