PAST_EXPERIENCE_REFERENCES.pdf

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MS-TRNC-JANITORIAL SERVICES - MS-FWS THEODORE ROOS
Solicitation number
140FS324Q0052
Issued by

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This document contains a past experience and references form for a janitorial services solicitation issued by the Department of the Interior Fish and Wildlife Service. Quoters are required to complete this form to be considered, listing up to three relevant past contracts of similar size, complexity, and duties to the scope of work. References should include a point of contact's name, phone number, and email address for each experience. The solicitation number is 140FS324Q0052 for janitorial services at the Theodore Roosevelt National Wildlife Refuge Complex in Mississippi. Responses are due by the date and time specified and should be emailed to Merenica_Banks@fws.gov.

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RFQ / Solicitation #140FS324Q0052

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: Merenica_Banks@fws.gov.

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

mailto:jamel_hooker@fws.gov

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