A-14 performance reference lists.doc

Attachment 3 for FA5209-09-T-0185

PRESENT/PAST PERFORMANCE REFERENCE LISTS

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 Provision under FAR 52.212-2, Paragraph (a)(vii)(A)(1), for detail instruction):

*Item No. 3 – 契約件名がある場合は、英語及び日本語でご記入ください。

Contract 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/commercial project manager and phone number:

10. List of major subcontractors if applicable:

Contract No. 2

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/commercial project manager and phone number:

10. List of major subcontractors if applicable:

Contract No. 3

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/commercial project manager and phone number:

10. List of major subcontractors if applicable: