Amend_01_Revised_Attachment_9.FA5270-14-R-0019.3Dec14.pdf

RFP NO. FA5270-14-R-0019

Attachment #9

Revised by Amendment 01, 3 Dec 14

PLEASE NOTE THAT REQUEST FOR SECOND (2ND) SITE VISIT SHALL NOT BE ACCEPTED.

SITE VISIT RESERVATION FORM

Mini-Multiple Award Construction Contract (Mini-MACC), Okinawa, Japan

Site Visit Date & Location 16 Dec 2014 (Tue), 1300 hours, JST: Pre-Proposal Conference at Schilling Community

Activities Center, Bldg. 455, Site Visit for Sample Project will be conducted after conference

INSTRUCTIONS: Please complete & EMAIL this form to Mr. Kiyoshi Higa by 8 Dec 14 (Mon), 1600 hours, Japanese Standard Time (JST) if your company wishes to attend pre-proposal conference and site visit scheduled on 1300 hours, 16 Dec 2014 (Tue), JST.

ALL INTERESTED CONTRACTORS MUST BE AT Kadena Marina at 1100 hours, on 16 Dec 14 (For applicants who have not Base Pass for Kadena AB) or, Schilling Community Activities Center, Bldg. 455 at 1300 hours (For applicants who have Base Pass for Kadena AB), on 16 Dec 14, JST.

Mr. Kiyoshi Higa / 18 CONS/LGCC, Bldg. 95, Kadena AB Email: kiyoshi.higa.1.jp@us.af.mil Tel No.: 098-631-1111/938-1111 (DSN 634-2393)

Name of Company: ___________________________________________

Address: ___________________________________________

Point of Contact: ___________________________________________

E-mail Address: ___________________________________________

Phone No.: ___________________________________________

Cell Phone No. ___________________________________________

Fax No.: ___________________________________________

A. Name of the individuals to attend the site visit: (Maximum of Three (3)

1.__________________________________________________________________ Name of Attendee Job Title/ Cell Phone No.

Nationality: _______________ Birth Date: ______________

Present Address: ____________________________________________

Permanent Address: ____________________________________________

Base Pass for Kadena AB: (Yes, I have it / No, I haven’t it) Please circle

Attachment #9

Revised by Amendment 01, 3 Dec 14

PLEASE NOTE THAT REQUEST FOR SECOND (2ND) SITE VISIT SHALL NOT BE ACCEPTED.

2.__________________________________________________________________

Nationality: _______________ Birth Date: ______________

Present Address: ____________________________________________

3.__________________________________________________________________

Nationality: _______________ Birth Date: ______________

Present Address: ____________________________________________