12.SolicitationAttach_5_Past_Performance_Reference_List.doc

Attachment 5 to Solicitaion No. FA5209-16-R-0012

PAST PERFORMANCE REFERENCE LIST

Name of Offeror:

The following three (3) contracts are the most relevant contracts (similar in scope, magnitude of effort and complexity) performed for U.S. Government agencies, Government of Japan, and Commercial customers performed within the last three (3) years of the solicitation release date, or is currently in progress (see Solicitation Section L, Proposal Preparation Instructions, Paragraph B.4. for detail instruction):

＊Item No. 3 －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

(i) Company/Division Name of Prime Contractor:

(ii) Product/Service:

(iii) Contracting Agency/Customer:

(iv) Contract Number:

(v) Contract Dollar Value:

(vi) Period of Performance:

(vii) Verified, up-to-date name, mailing and e-mail addresses, and telephone number of the contracting officer (Point-of-Contact):

(viii) Comments regarding compliance with contract terms and conditions:

(ix) Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions:

(x) Rationale supporting your assertion of relevance and identify aspects of the contracts deemed relevant and how they relate to the proposed effort:

Contract No. 2

(i) Company/Division Name of Prime Contractor:

(ii) Product/Service:

(iii) Contracting Agency/Customer:

(iv) Contract Number:

(v) Contract Dollar Value:

(vi) Period of Performance:

(vii) Verified, up-to-date name, mailing and e-mail addresses, and telephone number of the contracting officer (Point-of-Contact):

(viii) Comments regarding compliance with contract terms and conditions:

(ix) Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions:

(x) Rationale supporting your assertion of relevance and identify aspects of the contracts deemed relevant and how they relate to the proposed effort:

Contract No. 3

(i) Company/Division Name of Prime Contractor:

(ii) Product/Service:

(iii) Contracting Agency/Customer:

(iv) Contract Number:

(v) Contract Dollar Value:

(vi) Period of Performance:

(vii) Verified, up-to-date name, mailing and e-mail addresses, and telephone number of the contracting officer (Point-of-Contact):

(viii) Comments regarding compliance with contract terms and conditions:

(ix) Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions:

(x) Rationale supporting your assertion of relevance and identify aspects of the contracts deemed relevant and how they relate to the proposed effort:

1 of 2 Pages