Past_Experience_and_References_Form.doc
DOC document 34 KB Posted
- Attached to
- HI-OAHU NWR COMPLX-ADA HANDRAILS
- Solicitation number
- 140F0522Q0115
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| Sol_140F0522Q0115_Amd_0001.pdf | ||
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| 52_212-3_Offeror_Representations_and_Certifications.docx | DOCX document |
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Attachment 3 Solicitation No. 140F0522Q0115
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 (Contractor) via email: roger_lockhart@fws.gov
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