Attachment_5 _Past_ _Present_Performance_Form.pdf
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- FA5270-16-T-0007
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Attachment 5 Past/Present Performance Information
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Attachment 5, PAST AND PRESENT PERFORMANCE FORM
FA5270-16-T-0007
Type of Services
Customer/Address
Performance Period
Contract ¥/$ Amount
Point of Contact
Tel No.
Fax No.
Remarks
Pmp Out and Cleaning Oil/Water Separator Services
XYZ Corporation 1-2-3 Yamauchi, Okinawa City, Okinawa
From: 1 Jan 2015 To: 31 Dec 2015
¥xxxxxxxxx Mr. A. Yamada 098-868-xxxx
098-868-xxx
Pmp Out and Cleaning Oil/Water Separator Services
18th Contracting Sqiadrpm, B-99, Kadena AFB, Okinawa, Japan
From: 1 Oct 2014 To: 30 Sep 2015
¥xxxxxxxxxx Mr. B. Contracting
098-938- 1111, Extension 634-xxxx
098-938- 1111, Extension 634-xxxx
COMPANY/OFFEROR’S NAME: ____________________________________________________________________________
POC’s Name, Title and Signature: ____________________________________________________Date: ___________________
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