02._Atch_2_(PPI_Reference_List)_Revised_by_Amendment_0014.doc
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- Solicitation number
- FA5209-11-R-0004
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Attachment 2 of RFP (PPI Reference List) revised by Amendment 0014
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Attachment No. 2 to RFP No. FA5209-11-R0004 (Revised by Amendment 0014)
PAST PERFORMANCE REFERENCE LIST
Name of Offeror:
The following five (5) 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 I.3. for detail instruction):
＊Item No. 2 －日本語で、工事件名が在る場合は、英語及び日本語、両方の言語で御記入下さい Contract No. 1
Block No.
Description
1. Company/Division Name of Prime Contractor:
1a.
Offeror’s role in the contractor (if other than prime contractor):
2. Exact Contract/Project Title, and Contract Number for the offeror:
3. Name and Address of Contracting Activity:
4. Name and Title of Person to Contract at the Contracting Activity:
5. Telephone Number of POC in Block 4:
6. Fax Number of POC in Block 4 if known:
7. E-mail Address of POC in Block 4 if known:
8. Brief Description of Work Performed, managed by the offeror (specify either Design-Build or Construction Only Project at the beginning) including discussion as to its relevancy to this acquisition:
9. Dollar Amount of Contract/Project in Block 2 (include base price plus all options):
10. Period of Performance and Final Contract Completion Date:
11. Place of Performance:
12. Name of key personnel who were involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
13. Name of the subcontractor which was involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
Contract No. 2 Block No.
Description
1. Company/Division Name of Prime Contractor:
1a.
Offeror’s role in the contractor (if other than prime contractor):
2. Exact Contract/Project Title, and Contract Number for the offeror:
3. Name and Address of Contracting Activity:
4. Name and Title of Person to Contract at the Contracting Activity:
5. Telephone Number of POC in Block 4:
6. Fax Number of POC in Block 4 if known:
7. E-mail Address of POC in Block 4 if known:
8. Brief Description of Work Performed, managed by the offeror (specify either Design-Build or Construction Only Project at the beginning) including discussion as to its relevancy to this acquisition:
9. Dollar Amount of Contract/Project in Block 2 (include base price plus all options):
10. Period of Performance and Final Contract Completion Date:
11. Place of Performance:
12. Name of key personnel who were involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
13. Name of the subcontractor which was involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
Contract No. 3 Block No.
Description
1. Company/Division Name of Prime Contractor:
1a.
Offeror’s role in the contractor (if other than prime contractor):
2. Exact Contract/Project Title, and Contract Number for the offeror:
3. Name and Address of Contracting Activity:
4. Name and Title of Person to Contract at the Contracting Activity:
5. Telephone Number of POC in Block 4:
6. Fax Number of POC in Block 4 if known:
7. E-mail Address of POC in Block 4 if known:
8. Brief Description of Work Performed, managed by the offeror (specify either Design-Build or Construction Only Project at the beginning) including discussion as to its relevancy to this acquisition:
9. Dollar Amount of Contract/Project in Block 2 (include base price plus all options):
10. Period of Performance and Final Contract Completion Date:
11. Place of Performance:
12. Name of key personnel who were involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
13. Name of the subcontractor which was involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
Contract No. 4 Block No.
Description
1. Company/Division Name of Prime Contractor:
1a.
Offeror’s role in the contractor (if other than prime contractor):
2. Exact Contract/Project Title, and Contract Number for the offeror:
3. Name and Address of Contracting Activity:
4. Name and Title of Person to Contract at the Contracting Activity:
5. Telephone Number of POC in Block 4:
6. Fax Number of POC in Block 4 if known:
7. E-mail Address of POC in Block 4 if known:
8. Brief Description of Work Performed, managed by the offeror (specify either Design-Build or Construction Only Project at the beginning) including discussion as to its relevancy to this acquisition:
9. Dollar Amount of Contract/Project in Block 2 (include base price plus all options):
10. Period of Performance and Final Contract Completion Date:
11. Place of Performance:
12. Name of key personnel who were involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
13. Name of the subcontractor which was involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
Contract No. 5 Block No.
Description
1. Company/Division Name of Prime Contractor:
1a.
Offeror’s role in the contractor (if other than prime contractor):
2. Exact Contract/Project Title, and Contract Number for the offeror:
3. Name and Address of Contracting Activity:
4. Name and Title of Person to Contract at the Contracting Activity:
5. Telephone Number of POC in Block 4:
6. Fax Number of POC in Block 4 if known:
7. E-mail Address of POC in Block 4 if known:
8. Brief Description of Work Performed, managed by the offeror (specify either Design-Build or Construction Only Project at the beginning) including discussion as to its relevancy to this acquisition:
9. Dollar Amount of Contract/Project in Block 2 (include base price plus all options):
10. Period of Performance and Final Contract Completion Date:
11. Place of Performance:
12. Name of key personnel who were involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
13. Name of the subcontractor which was involved in the project in Block 2 and will be involved in the project described in this solicitation. Insert “None” if there is none.
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