Attachment 4

RFP No. FA5209-09-R-0003

Attachment No. 4

1 of 2 Pages

PAST PERFORMANCE REFERENCE LIST

Name of Offeror:

The following three (3) contracts are the most relevant contracts (similar in scope, size and complexity) performed for US Government agencies, Government of Japan, and Commercial customers performed within the last 3 years of the solicitation release date, or is currently in progress (see Solicitation Section L, YCL004, Paragraph D.2. for detail instruction):

＊Item No. 3 －日本語で工事件名がある場合は、英語及び日本語の両方の言語で御記入下さい

Past Performance Information (PPI) No. 1

1. Name of contracting activity (e.g. Government Agency/Company name):

2. Point of Contact (POC), Contracting Officer and/or Contract Administrator’s phone/FAX number, and e-mail address (if available):

*3. Contract number and project title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements type):

5. Total contract value:

6. Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

7. Description of contract work performed:

8. Contracting Officer’s name and phone number:

9. Government Inspector and phone number:

10. List of major subcontractors:

PPI No. 2 phone/FAX number, and e-mail address (if available):

*3. Contract number and project title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements type):

5. Total contract value:

6. Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

7. Description of contract work performed:

8. Contracting Officer’s name and phone number:

RFP No. FA5209-09-R-0003

Attachment No. 4

2 of 2 Pages

PPI No. 3 phone/FAX number, and e-mail address (if available):

*3. Contract number and project title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements type):

5. Total contract value:

6. Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

7. Description of contract work performed:

8. Contracting Officer’s name and phone number: