Past_Experience_and_References_Form.doc

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WA_FWS SPRING CRK NFH-OVADINE
Solicitation number
140FS123Q0113
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This document is a past experience and references form required to be completed by all bidders for solicitation number 140FS123Q0113 from the Department of the Interior Fish and Wildlife Service. Bidders must provide details of up to three past contracts similar in size, complexity, and duties to the required services, including the contract/work type, number, value, agency/firm, contact information, dates, and brief description of duties performed. References should also include a point of contact's name, phone number, and valid email address. The completed form must be submitted by the due date and time specified in the solicitation to Roger Lockhart, Contract Specialist via email.

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Attachment Solicitation No. 140FS123Q0113

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 Lockhart, Contract Specialist (Contractor) via email: roger_lockhart@fws.gov

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