Past_Experience_and_References_Form.doc
DOC document 30 KB Posted
- Attached to
- CA-KERN NWR-PIPE AND CANAL GATES/SLIDES
- Solicitation number
- 140FS124Q0017
About this file
This form requests past experience and reference information from bidders for solicitation number 140FS124Q0017 for the CA-KERN NWR-PIPE AND CANAL GATES/SLIDES opportunity. Bidders must provide details of up to three relevant past contracts including contract type, number, value, agency, contact information, dates, and brief description of duties. References should include a point of contact's name, phone number, and email address. The opportunity is for the Department of the Interior Fish and Wildlife Service to replace pipe and canal gates/slides at the Kern National Wildlife Refuge. Bidders must submit the completed past experience and references form by the due date and time specified in the solicitation to Roger L. Lockhart, Contract Specialist via email.
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Other files
| File | Type | Posted |
|---|---|---|
| Vendor_Questions_and_FWS_Answers_0001.pdf | ||
| Sol_140FS124Q0017_Amd_0001.pdf | ||
| Sol_140FS124Q0017.pdf |
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Attachment Solicitation No. 140FS124Q0017
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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