Attachment1 PPI Form .docx

DOCX document 47 KB Posted

Attached to
Environmental Sampling and Analysis Service Federal contract opportunity
Solicitation number
M6740023Q0012
Issued by
United States Marine Corps

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Other files attached to Environmental Sampling and Analysis Service, newest first.
File Type Posted
M67400-23-Q-0012 Amendment 00001.pdf PDF
Attachment2 PPQ Form .docx DOCX document
PRICE LIST.xlsx XLSX spreadsheet
M6740023Q0012 Env Sampling and Analysis.pdf PDF
Attachment3 Question Form.docx DOCX document

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ATTACHMENT 1

PAST PERFORMANCE INFORMATION LIST

Solicitation #: M6740023Q0012 Environmental Sampling and Analysis

(Note: Past Performance Information must incude relevant and recent contracts and subcontracts over the past three (3) years but limited to the most recent 5 contracts/subcontracts, for same or similar services.)

Past Performance Information (1):

Contracting Agency
Contract Number
Period of Performance
Contract Value ( including options)
(契約事務所・及び契約業者）
(契約番号)
（契約期間）
契約金額(オプション期間も含む）

Brief Description of Contract Effort (Service) （契約・業務内容の詳細）

POC Information (連絡先): All Information must be filled. (全て記入して下さい。）

Name:

(名前)

Title/Rank:

(役職)

Phone:

Fax:

E-mail:

Past Performance Information (2):

Contracting Agency
Contract Number
Period of Performance
Contract Value ( including options)
(契約事務所・及び契約業者）
(契約番号)
（契約期間）
契約金額(オプション期間も含む)

Brief Description of Contract Effort (Service) （契約・業務内容の詳細）

POC Information (連絡先): All Information must be filled. (全て記入して下さい。）

Name:

(名前)

Title/Rank:

Phone:

Fax:

E-mail:

Past Performance Information (3):

Contracting Agency
Contract Number
Period of Performance
Contract Value ( including options)
(契約事務所・及び契約業者）
(契約番号)
（契約期間）
契約金額(オプション期間も含む）

Brief Description of Contract Effort (Service) （契約・業務内容の詳細）

POC Information (連絡先): All Information must be filled. (全て記入して下さい。）

Name:

(名前)

Title/Rank:

Phone:

Fax:

E-mail:

Past Performance Information (4):

Contracting Agency
Contract Number
Period of Performance
Contract Value ( including options)
(契約事務所・及び契約業者）
(契約番号)
（契約期間）
契約金額(オプション期間も含む)

Brief Description of Contract Effort (Service) （契約・業務内容の詳細）

POC Information (連絡先): All Information must be filled. (全て記入して下さい。）

Name:

(名前)

Title/Rank:

Phone:

Fax:

E-mail:

Past Performance Information (5):

Contracting Agency
Contract Number
Period of Performance
Contract Value ( including options)
(契約事務所・及び契約業者）
(契約番号)
（契約期間）
契約金額(オプション期間も含む)

Brief Description of Contract Effort (Service) （契約・業務内容の詳細）

POC Information (連絡先): All Information must be filled. (全て記入して下さい。）

Name:

(名前)

Title/Rank:

Phone:

Fax:

E-mail:

(End ATTACHMENT 1 - Past Performance Information List)

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