ATTACHMENT_3__REFERENCE_SHEET__(SOLICITATION_ONLY)__20-Apr-09.doc

FA4419-09-R-0107

ATTACHMENT 3

REFERENCE SHEET

PURPOSE: Offeror will fill out the Reference Sheet and submit One Sheet for each Reference and submit with proposal package to the 97th Contracting Sqaudron before solicitation closing date. The offeror shall submit a minimum of three references, but no more than five overall.

Offeror’s Company Name_________________________________________

1. Referenced Company (Name, Address, Zip Code, Point of Contact, and Phone Number or E-mail):

2. Type of Contract: Negotiated _______ Sealed Bid _______

Fixed Price _____ Cost Reimbursement _______ Hybrid (explain) _______

3. Description, location & relevancy of work performed:

4. Dollar Value of work performed: ____________________________________ Status: Active _______ Complete _______

5. Date of Award: ____________________________ Contract Completion Date (including extensions if applicable): ______________________________

6. Type and Extent (Percentage if applicable) of Subcontracting:

7. Name, Address, Tel. No. & E-mail of the Procuring Contracting Officer and/or the Contracting Officer’s Representative (COR) (Company Official in Charge of Contract Administration or Award, as applicable):