6_Atch3-PP_Ref_List_1Aug16.pdf

Attachment 3 to Solicitation No. FA5209-16-T-0042

Past Performance Information See Addenda to FAR 52.212-1 Instructions to Offerors –Commercial Items, (m)B.3. (c)

The Contractor shall submit to 374 CONS/LGCZ, by either e-mail (masayo.inoue.jp@us.af.mil) or

FAX (042-551-0973 from inside Japan or 81-42-551-0973 from outside Japan), NOT LATER THAN 7 SEP 2016, 02:00 pm

Solicitation No.: FA5209-16-T-0042 Service: Movement of Government Furniture and Appliances at COMFLEACT Sasebo Offeror’s Company Name and Address:

Person of Contact/TEL/FAX/e-mail address:

POC: Phone No.:

Fax No.: Email:

Reference Number Company Name / Division Name

No. 1 No. 2 No. 3

REFERENCE NUMBER 1: (Note: Use additional sheets as necessary for other References.)

i. Company/Division name

ii. Product/Service

iii. Contracting Agency/Customer

iv. Contract Number

v. Contract 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