Atch_3_-_Present-Past_Experience_Reference_List.doc

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Unfunded Purchase Request Rewiring Service for Bldg 948, Yokota Air Base, Japan
Solicitation number
FA520918U0027
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Attachment 3 - Present -Past Experience List

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RFQ No. FA520918U0027 Attachment 3

PRESENT/PAST EXPERIENCE REFERENCE LIST

REWIRING CABLES SERVICE FOR CIVIL ENGINEER SQUADRON AT BLDG 948, YOKOTA AIR BASE, JAPAN

1. Name of contracting activity

契約機関名称

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 契約官・検査官・プロジェクト マネージャー 御担当者氏名・及び 連絡先 Name/Title of POC:

Tel:

Fax:

e-mail:

3. Contract number and project title

契約番号及び案件名称

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

5. Total contract value ($ or ¥) 契約金額

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

契約期間

7. Description of contract work performed

契約作業内容

8. Contracting Officer’s name and phone number

契約官氏名及び電話番号

9. Government Inspector/commercial project manager and phone number 政府検査官・民間プロジェクトマネージャー氏名 及び 電話番号

10. List of major subcontractors if applicable

主な下請業者様名称 (該当あれば)

COMPANY NAME:

業者名

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