Attachment_9___Site_Visit_Reservation_Form.21Nov14.pdf

RFP NO. FA5270-14-R-0019

Attachment #9

PLEASE NOTE THAT REQUEST FOR SECOND (2

ND

) SITE VISIT SHALL NOT BE ACCEPTED.

SITE VISIT RESERVATION FORM

RFP NO. FA5270-14-R-0019

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

Site Visit Date & Location

TBD

INSTRUCTIONS: Please complete & EMAIL this form to Mr. Kiyoshi Higa by TBD, P.M., Japan Standard Time (JST) if your company wishes to attend site visit scheduled on TBD, JST. Meeting Place is at, Kadena Marina, Okinawa ALL INTERESTED CONTRACTORS MUST BE AT THE KADENA MARINA AT TBD a.m., FOR THIS ONE-TIME SITE VISIT.

Buyer: 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) Fax No.: 098-631-1111/938-1111 (DSN 634-4795)

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.

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

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