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Attachment 3 to FA520926Q0005
Present/Past Performance Reference List (This document is only for solicitation and will not be a part of the contract.)
| Solicitation No. |
| FA520926Q0005 |
| Project |
| Household Goods Packing and Crating at Iwakuni |
Quoter’s Company Name
Quoter’s Address
| Point of Contact |
| Name: |
| Title: |
| Office Phone: |
| Cellular Phone: |
E-mail Address
Ref: See Addenda to FAR 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services.
Provide a list of no more than three (3) of the most relevant contracts performed for any customer. Furnish the following information for each contract listed.
Include rationale supporting your assertion of relevance and identify aspects of the contracts deemed relevant and how they relate to the proposed effort. If an offeror has no past performance history of relevance, the offeror must affirmatively state it possesses no past performance history of relevance.
REFERENCE NUMBER 1:
| (i) |
| Company/Division name |
契約請負会社名(部署名）
契約の内容
| (iii) |
| Contracting Agency/Customer |
契約発注者名/顧客名
契約番号
契約金額
| (vi) |
| Period of Performance (ex. from mmm/yy to mmm/yy) |
契約期間 (例：xx年xx月からxx年xx月まで)
(vii) Contracting Officer’s (or Point-of-Contact’s) mailing and email addresses and telephone number (verified & up-to-date) 担当契約官（もしくは担当者）の住所、電子メール、電話番号
| (viii) |
| Comments regarding compliance with contract terms and conditions (if applicable) |
（該当があれば）契約条件等に関してのご意見
| (ix) |
| Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions (if applicable) |
（該当があれば）顧客にとって受け入れない、もしくは契約条件等に則っていなかったと思われるような履行状況に関しての意見。
REFERENCE NUMBER 2:
| (i) |
| Company/Division name |
| (iii) |
| Contracting Agency/Customer |
| (vi) |
| Period of Performance (ex. from mmm/yy to mmm/yy) |
Contracting Officer’s (or Point-of-Contact’s) mailing and email addresses and telephone number (verified & up-to-date)
| (viii) |
| Comments regarding compliance with contract terms and conditions (if applicable) |
| (ix) |
| Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions (if applicable) |
REFERENCE NUMBER 3:
| (i) |
| Company/Division name |
| (iii) |
| Contracting Agency/Customer |
| (vi) |
| Period of Performance (ex. from mmm/yy to mmm/yy) |
Contracting Officer’s (or Point-of-Contact’s) mailing and email addresses and telephone number (verified & up-to-date)
| (viii) |
| Comments regarding compliance with contract terms and conditions (if applicable) |
| (ix) |
| Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions (if applicable) |
