Recent_Relevant_Experience_and_Past_Performance_Questionnaire.doc

DOC document 28 KB Posted

Attached to
BFO Noxious Weed Control Federal contract opportunity
Solicitation number
140L1021Q0023
Issued by
Department of the Interior Bureau of Land Management Montana-Dakotas

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Text version

Recent Relevant Experience/Past Performance Questionnaire

Contractor Name: ____________________________________________________________________________ How many years of similar experience have you or your business had regarding the type of work required by this solicitation? ____________ Recent Relevant Experience: List the jobs your business has completed that are both recent (within the last 5 years) and similar in both magnitude and complexity to the requirements of this solicitation.

Include: description the work performed, please use a separate page if necessary, date the job was completed Past Performance: List a minimum three references with contact information (name, phone number and email). Contact information should be for recent relevant experience.

CERTIFICATION

I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Bureau of Land Management with any information needed to verify my capability to perform this project.

Certifying Official Name and Title:

Signature:

Date:

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