ATTACHMENT 3 REFERENCE SHEET

FA4419-11-R-0104

CARPET IDIQ

ATTACHMENT 3

REFERENCE SHEET

PURPOSE: Offeror will fill out the Reference Sheet and submit 3-5 Sheets for each reference and submit with proposal package to the 97th Contracting Sqaudron before solicitation closing date. The offeror shall submit a minimum of five references, but no more than six 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):