Attachment_5 _Past_ _Present_Performance_Form.pdf
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- House Cleaning Services
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- FA5270-14-R-0001
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Attachment 5 Past and Present Performance Form
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Attachment 5, PAST AND PRESENT PERFORMANCE FORM, June 2014
FA5270-14-R-0001
Type of Services
Customer/Address
Performance Period
Contract ¥/$ Amount
Point of Contact
Tel No.
Fax No.
Remarks
House Cleaning Services
XYZ Corporation 1-2-3 Yamauchi, Okinawa City, Okinawa
From: 1 Jan 2010 To: 31 Dec 2012
¥xxxxxxxxx Mr. A. Yamada 098-868-xxxx
098-868-xxx
House Cleaning Services
18th Contracting Office B-99, Kadena AFB, Okinawa, Japan
From: 1 Oct 2009 To: 30 Sep 2013
¥xxxxxxxxxx Mr. B. Contracting
098-961-xxxx
098-961-xxxx
COMPANY/OFFEROR’S NAME: ________________________________________________________________
POC’s Name, Title and Signature: _________________________________________________________________
Date: _______________________________
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