FA5209-16-R-0015_Atch_7_-_PPI_List.doc

Attachment No. 7 to RFP No. FA5209-16-R-0015

PRESENT/PAST PERFORMANCE REFERENCE LIST

Name of Offeror: _______________________ The following ( ) 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 Provision under FAR 52.212-1 for detailed instructions):

*Item No. 3 - 日本語で契約件名がある場合は、英語及び日本語、両方の言語で御記入ください。 Past Performance Information (PPI) No. 1:

1.

Name of contracting activity (e.g. Government Agency/Company name):

2.

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

*3.

Contract number and project title:

4.

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

5.

Total contract value:

6.

Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

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:

PPI No. 2:

1.

Name of contracting activity (e.g. Government Agency/Company name):

Contract number and project title:

4.

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

5.

Total contract value:

6.

Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

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:

PPI No. 3:

1.

Name of contracting activity (e.g. Government Agency/Company name):

Contract number and project title:

4.

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

5.

Total contract value:

6.

Performance period (e.g. 18 Jan 20XX through 15 Aug 20XX):

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: