Atch_3_PP_Ref_List.pdf

Attachment 3 To Solicitation No. FA5209-14-T-0009

PRESENT/PAST PERFORMANCE REFERENCE LIST

REFERRAL MANAGEMENT CENTER CLEAR AND LEGIBLE RESULTS TECHNICIAN FOR 374TH MEDICAL GROUP, YOKOTA AIR BASE, JAPAN

1. Name of Contracting Activity

PPI# 1 PPI# 2 PPI# 3

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:

3. Contract number and project title

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

5. Total contract value ($ or ¥)

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

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

COMPANY NAME:________________________________________________