Atch_3_-_Present-Past_Experience_Reference_List.doc

RFQ No. FA520918U0043 Attachment 3

PRESENT/PAST EXPERIENCE REFERENCE LIST

UPGARDE OF DV SURREY BUS, 374 LRS/LGRV, 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