6._PPI_Ref_List.doc

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Attached to
Tree Trimming and Removals at Yokota AB and Geographically Separated Units, Japan
Solicitation number
FA520918R0012
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PPI Reference

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Solicitation No. FA5209-18-R-0012 Attachment 6

PRESENT/PAST PERFORMANCE REFERENCE LIST履行履歴表

TREE TRIMMING AND REMOVAL AT YOKOTA AIR BASE AND GEOGRAPHICALLY SEPARATED UNITS, JAPAN

1. Name of Contracting Activity

契約の相手方/注文主

No. 1 -履歴1
No. 2 - 履歴2
No.3 - 履歴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 契約担当者の氏名、役職と連絡先 例)米軍契約官または検査官、官公庁の 契約担当者または技師長など。

Tel:

Fax:

e-mail:

Tel:

Fax:

e-mail:

Tel:

Fax:

e-mail:

3. Contract number and project title

契約番号その他の識別番号

4. Total contract value

単年度合計と契約金額合計

5. Performance period

(e.g. date/month/year through date/month/year)

契約期間 (自 至 )

6. Description of contract work performed

主な業務の内容

7. Contractor’s contract manager or supervisory technicians

請負業者の責任者または技師長

8. Comments (optional)

その他の特記事項

Name of Offeror : ____________________________________

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