FA520910T0168 Attach4 List of References.doc

Solicitation FA5209-10-T-0168

Attachment 4

List of References for Past Performance Information

(Sample Format)

Solicitation No.: FA5209-10-T-0168

Service: US Based Information Sciences & Technology Consultant to Support Asian Office of Research & Development (AOARD), Tokyo, Japan Company Name and Address (Offeror’s):

Person of Contact/TEL/FAX/e-mail address:

A. Contract Information:

1.

a. Name of Contracting Activity (e.g. Government Agency/Company name)

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

c. Contract number and project title

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

e. Total contract value

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

g. Description of contract work performed

h. Contracting Officer’s name and phone number

i. Government Inspector/commercial project manager and phone number

j. List of major subcontractors if applicable

k. Problems encountered and corrective actions taken to resolve these problems, if any

2.

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

l. Description of contract work performed

m. Contracting Officer’s name and phone number

n. Government Inspector/commercial project manager and phone number

o. List of major subcontractors if applicable

p. Problems encountered and corrective actions taken to resolve these problems, if any

3.

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

q. Description of contract work performed

r. Contracting Officer’s name and phone number

s. Government Inspector/commercial project manager and phone number

t. List of major subcontractors if applicable

u. Problems encountered and corrective actions taken to resolve these problems, if any