Past_Experience_and_References_Form_0001.doc

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Attached to
OR-TUALATIN RIV NWR-FLAT BTM BOAT PKG Federal contract opportunity
Solicitation number
140FS124Q0021
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This form requests past experience and reference information from potential contractors for solicitation number 140FS124Q0021. Contractors must provide details of up to three past contracts similar in size, complexity, and duties to the required services. For each experience, they must include the contract type, number, value, agency, point of contact, and timeframe. They must also list any relevant training. Contractors must submit the completed form by the due date specified in the solicitation to Roger L. Lockhart via email.

The related federal contract opportunity is for boat package services at the Tualatin River National Wildlife Refuge in Oregon under solicitation number 140FS124Q0021 issued by the Department of the Interior Fish and Wildlife Service. Contractors must submit past experience and reference information using the provided form to be considered for the opportunity.

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Attachment 1 Solicitation No. 140FS124Q0021

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 Roger L. Lockhart, Contract Specialist (Affiliate) via email: roger_lockhart@fws.gov

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