Past_Experience_and_References_Form.doc
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- Attached to
- CA-SDNWRC-BPA-FIRE ENGINE PUMPS & OTHER
- Solicitation number
- 140FS124Q0019
About this file
This document is a past experience and references form required to be completed by all bidders for Solicitation Number 140FS124Q0019 to provide fire engine pumps and other equipment to the Department of the Interior Fish and Wildlife Service. Bidders must provide details of up to three relevant past contracts including contract type and number, total value, agency, point of contact, dates, and brief description of duties. References should include a name, phone number, and valid email address. The completed form is due no later than the date and time specified in the solicitation and must be emailed to Roger L. Lockhart, Contract Specialist.
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Text version
Attachment Solicitation No. 140FS1
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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