Past_Performance_and_Experience_Questionnaire_(1).docx

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TX- ARANSAS NWR-FURNITURE FOR ALL NEW BU
Solicitation number
140F0421Q0092
Issued by

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This document contains a past experience and references questionnaire for solicitation number 140F0221Q0054. Vendors are required to provide details on up to three past contracts demonstrating experience supplying similar goods to those described in the solicitation, including contract type and value, dates of work, agency or firm contracted for, and brief description of duties. References should also be provided including name, phone number and email of a point of contact.

The related federal contract opportunity is for furniture for six new buildings at the Aransas National Wildlife Refuge in Texas. Solicitation number is 140F0421Q0092 for the goods "TX- ARANSAS NWR-FURNITURE FOR ALL NEW BU." The contracting agency is the Department of the Interior Fish and Wildlife Service. Responses are due by the date and time specified in the solicitation and are to be emailed to joni_dutcher@fws.gov.

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Solicitation # 140F0221Q0054

PAST EXPERIENCE & REFERENCES

REFERENCES

All quoters/bidders must complete this form 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 goods award. Past performance and experience may be a combination contracts similar in size and complexity to those stated in the Specifications similar in nature and complexity to the required goods. 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: ____________________________________________

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: ____________________________________________

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

File details come from the government source that posted it. Updated .