Atch_4 _Site_Visit_Reservation.pdf

Solicitation Number: FA5270-16-T-0200

Removal and Installation of Furniture in Military Facility, Kadena AB, Okinawa, Japan Attachment 4

PRE-PROPOSAL SITE VISIT RESERVATION FORM

Removal and Installation of Furniture for Dorm 700, Kadena AB, Okinawa, Japan

INSTRUCTIONS: Please complete and e-mail this form to Ms. Atsuko Izumi by 28 July 2016, 12:00 pm, Japan Standard Time (JST). If your company wishes to attend site visit to be held at Bldg Number 700, Kadena Air Base on 2 August 2016 at 0900 a.m.

18th CONS/LGCA:

Ms. Atsuko Izumi Email: atsuko.izumi.jp@us.af.mil Tel No.: 098-938-1111, Ext: 634-4788

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 two (2))

1.______________________________

2.______________________________

B. If attendee(s) will need to be escorted from the Kadena AB security gate to the site visit Location, please indicate the name(s) of the personnel below:

Name: ___________________________ Cell Phone No. ________________________

Signature & Date______________________________________

PLEASE NOTE THAT REQUEST FOR SECOND (2ND) PRE-PROPOSAL SITE VISIT MAY NOT BE

ACCEPTED.

mailto:atsuko.izumi.jp@us.af.mil

PRE-PROPOSAL SITE VISIT RESERVATION FORM