Atch_4,_Past_Experience_Reference_Sheet.doc

Attachment 4

FA5613-17-R-0015

PAST EXPERIENCE REFERENCE SHEET

This acquisition is for Falconry Services at Ramstein Air Base.

A.

OFFEROR’S GENERAL INFORMATION:

Contractor’s Name:

Address:

Telephone Number:

Email Address:

Point of Contact:

Project Title or Brief Description of Work*:

Customer Point of Contact:____________________________

Customer Phone: ____________________

Contract Number*:

Contract Amount:

Contract Period or Dates of Performance*:

Contractor performed as the ( Prime Contractor ( Sub-Contractor

* Note: If offeror holds or has held other contracts with this agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B.

SPECIFIC EXPERIENCE INFORMATION:

Falconry Services (hunting birds and other wildlife to assist in safety of air traffic):___________________________

Number/Type of birds used: ______________________________________________________________________ Composition of Team: __________________________________________________________________________

BASH equipment used:__________________________________________________________________________

Additional Comments:___________________________________________________________________________ For Official Use Only