Past_Experience_Reference_Form_0044003520.pdf

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Attached to
WI-TREMPEALEAU NWR-SIDE SHIFT MOWER
Solicitation number
140FS226Q0065
Issued by

About this file

This is a Past Experience & References form (Attachment #3) for RFQ# 140FS226Q0065 issued by a federal agency. The form is a template that quoters and bidders must complete to receive consideration for the contract opportunity. Bidders are required to document up to three contracts (with additional space available for a fourth experience entry) that are similar in size and complexity to the scope of work, along with relevant work experience in similar positions performing comparable duties. For each experience entry, bidders must provide the contract or work type, contract number if applicable, total contract value, the agency or firm for which work was performed, a contact person's name and telephone number, email address, work start and end dates (month/year), and a brief description of duties performed.

Completed forms must be submitted no later than the due date and time specified in the solicitation via email to mwashingtont@ios.doi.gov. The form indicates that past performance and experience information may also be used in assessing past performance evaluation criteria. Bidders may duplicate the form as needed if additional space is required beyond the four experience slots provided on the template.

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Sol_140FS226Q0065_Amd_0001.pdf PDF
(A04)_Equipment_Trade-In_Form_0044025001.pdf PDF
(A04)_Compliance_Specification_Form.pdf PDF
Sol_140FS226Q0065.pdf PDF

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Text version

Attachment #3

RFQ# 140FS226Q0065

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 whom work was performed: _______________________________________________________

Contact person at the site: Telephone: ____________________________________________________________

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 whom work was performed: _______________________________________________________

Contact person at the site: Telephone: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Month/Year work began Month/Year work ended: __________________________________________________

Brief description of duties:

Attachment #3

RFQ# 140FS226Q0065

Experience No. 3

Contract Number (if applicable): ________________________________________________________________

Total Contract Value: _________________________________________________________________________

Agency/firm for whom work was performed: _______________________________________________________

Contact person at the site: Telephone: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Month/Year work began Month/Year work ended: __________________________________________________

Brief description of duties:

Experience No. 4

Contract Number (if applicable): ________________________________________________________________

Total Contract Value: _________________________________________________________________________

Agency/firm for whom work was performed: _______________________________________________________

Contact person at the site: Telephone: ___________________________________________________________

E-mail address: ______________________________________________________________________________

Month/Year work began Month/Year work ended: __________________________________________________

Brief description of duties:

Submit NLT than the due date and time specified within this solicitation to: E-mail: mwashingtont@ios.doi.gov.

*NOTE: This form may also be used to assess Past Performance.

mailto:mwashingtont@ios.doi.gov

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