Past_Experience_and_References_Form.doc
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- Attached to
- CA-SAN DIEGO NWRC-BPA SETUP- FIRE ENGINE
- Solicitation number
- 140FS124Q0018
About this file
This form requests past experience and reference information from bidders for solicitation number 140FS124Q0018 for the setup of a fire engine at the CA-SAN DIEGO NWRC. Bidders must provide details of up to three relevant past contracts or work experiences including the contract/work type, number, value, agency/firm, points of contact, dates, and brief description of duties. Reference contacts should include a 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 L. Lockhart via email. The related federal opportunity is for a fire engine setup at the CA-SAN DIEGO NWRC facility for the Department of the Interior Fish and Wildlife Service under solicitation number 140FS124Q0018.
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Attachment 1 Solicitation No. 140FS124Q0018
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all quoters/bidders 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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