Past_Experience_and_References_Form.doc

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Attached to
CA-HMNC-EMERGENCY ROAD REPAIR MATERIALS Federal contract opportunity
Solicitation number
140FS123Q0120
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This form requests past experience and reference information from bidders for solicitation number 140FS123Q0120 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 emergency road repair materials. For each past experience, bidders must include the contract type, number, value, agency, point of contact, dates of work, and brief description of duties. References should include a name, phone number, and valid email address. Bidders must submit the completed form by the due date and time specified in the solicitation via email to Roger L. Lockhart, Contract Specialist at roger_lockhart@fws.gov.

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Attachment Solicitation No. 140FS123Q0120

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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