PAST_EXPERIENCE_REFERENCES_(003).docx

RFQ / Solicitation #140F0922Q0077

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 #:

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 #:

E-mail address:

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

Brief description of duties:

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 #:

E-mail address:

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

Brief description of duties:

Experience 4

Contract/Work type:

Contract Number (if applicable):

Total Contract Value:

Agency/firm for who 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: lee_riley@fws.gov.

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