Past_Performance_and_Experience_Questionnaire.docx
DOCX document 15 KB Posted
- Attached to
- MO-LBNWR-LOESS BLUFFS ROADS ROCK PROJECT
- Solicitation number
- 140F0421Q0093
About this file
This document contains a past experience and reference questionnaire for solicitation number 140F0221Q0082. Vendors must complete this form to be considered and list any current or past experience pertinent to providing 1" road rock (surface) aggregate for Loess Bluffs National Wildlife Refuge in Missouri. References should include a point of contact's name, phone number, and email address. Bidders must also describe up to three past contracts including type, number if applicable, total value, agency, contact information, dates, and brief description of duties. The completed form is due by the date and time specified in the solicitation and must be emailed to joni_dutcher@fws.gov.
The related federal contract opportunity is for solicitation number 140F0421Q0093 to provide 1" road rock (surface) aggregate for road work at Loess Bluffs National Wildlife Refuge in Missouri. The contracting agency is the U.S. Fish and Wildlife Service within the Department of the Interior.
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Other files
| File | Type | Posted |
|---|---|---|
| SPECIFICATIONS.docx | DOCX document | |
| B08_FAR_52_212-3.docx | DOCX document | |
| Sol_140F0421Q0093.pdf |
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Text version
Solicitation # 140F0221Q0082
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
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