Att. 3- PPI reference list as of May 10 Elevator-RFQ.doc

FA5209-10-R-0014

Attachment 3

PAST PERFORMANCE REFERENCE LIST

iNSPECTION and MAINTENANCE OF ELEVATORS AT Yokota Air Base and TAMA HILLS

RECREATION AREA, Japan

1. Name of contracting activity

2. Name and title of point of contact (POC); Contracting Officer or/and Government Inspector/commercial project manager’s phone/Fax number, and e-mail address

Tel:

Fax:

e-mail:

Tel:

Fax:

e-mail:

Tel:

Fax:

e-mail:

3. Contract number and project title

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

5. Total contract value (annual and total)

6. Performance period (e.g. date/month/year through date/month/year)

7. Description of contract work performed

(Work details-POG maintenance, Full maintenance)

Details

Details

Details

8. Contracting Officer’s name and phone number

9. Government Inspector/commercial project manager and phone number

10. List of major subcontractors if applicable

COMPANY NAME: _______________________________________________________________