PPI reference list.docx

FA5209-12-R-0012

Attachment 2

PAST PERFORMANCE REFERENCE LIST

TAMA HILLS GOLF COURSE SUPPLIES AT YOKOTA AB, JAPAN

1. Name of contracting activity (該当契約事務所-米軍の契約の場合)

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 （業務評価の連絡先）

Tel:

Fax:

e-mail:

3. Contract number and project title （契約番号と契約名称）

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

5. Total contract value （契約総計金額）

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

7. Description of contract work performed （契約内容） (Select applicable provided services from 1 thru 4 and describe its details.)

Details

8. Contracting Officer’s name and phone number （米軍の契約であれば、契約将校の名前と電話番号）

9. Government Inspector/commercial project manager and phone number （米軍の契約であれば、弁軍側の業務検査官）

10. List of major subcontractors if applicable (下請け業者があれば、その会社名)

COMPANY NAME____________________________________________