Attachment 4- Reference Sheet

FA4419-11-R-0108

Attachment 4

REFERENCE SHEET

(To be completed by the offeror )

Offeror’s Company Name_________________________________________

1. Contract Number: _______________________________________

2. Contractor (Name, Address and Zip Code): _____________________________

3. Type of Contract: Negotiated _______ Sealed Bid _______

Fixed Price _____ Cost Reimbursement _______ Hybrid (explain) _______

4. Description, location & relevancy of work:

5. Current Contract Dollar Value: __________________

Status: Active _______ Complete _______

6. Date of Award: _____________

Contract Completion Date (including extensions): __________

7. Type and Extent of Subcontracting: ___________________________________________

8. Name, Address, Tel. No. & e-mail of the Procuring Contracting Officer and/or the Contracting Officer’s Representative (COR) (and other references, e.g.

Administrative Contracting Officer, if applicable):