Past_Experience_and_References_Form.doc
DOC document 31 KB Posted
- Attached to
- CA-RED BLUFF FWO-NEW IRRIGATION PUMP
- Solicitation number
- 140FS125Q0001
About this file
This document is the Past Experience & References form required as part of the solicitation for Solicitation No. 140FS125Q0001 for the CA-RED BLUFF FWO-NEW IRRIGATION PUMP contract opportunity. The objective is to furnish and install a closed-coupled vertical turbine pump at the Red Bluff Fish & Wildlife Office in California.
The form requires offerors to provide details on up to three relevant past experiences, including contract/work type, contract number, total contract value, the agency/firm for whom the work was performed, and a point of contact with phone number and email address. Additionally, offerors must provide a brief description of the duties performed. This past experience should demonstrate a minimum of 5 years' experience in the Agriculture Water and Pumping industry, performing duties similar in nature and complexity to the required services. The completed form must be submitted by the due date specified in the solicitation to the Contract Specialist via email.
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Text version
Attachment 1 Solicitation No. 140FS125Q0001
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all offerors to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or experience that is pertinent to this solicitation. Past performance and experience may be a combination of up to three contracts similar in size and complexity to those stated in the Statement of Work and work experience in similar positions, with a minimum of 5-years’ experience in the Agriculture Water and Pumping industry, 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 Not Later than the due date and time specified in this solicitation to Roger Lockhart, Contract Specialist (Affiliate) via email: roger_lockhart@fws.gov
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