Attachment_3,_Site_Visit_Reservation_Form.pdf

RFQ Number for Wastewater Treatment Plant Operation and Mainternace: FA5270-17-Q-0011 Attachment 3, Site Visit Form

PRE-PROPOSAL / SITE VISIT RESERVATION FORM

Pre-Proposal Meeting: Wednesday, 30 August 2017, 0900 JST at Camp Courtney, Okinawa, Japan

INSTRUCTIONS: Please complete and EMAIL this form to SSgt Darrell Thornburgh by 28 August 2017, 11:00 a.m., Monday, Japan Standard Time (JST) if your company wishes to attend pre-proposal meeting scheduled on Wednesday, 30 August 2017, 9:00 a.m. JST. It is the contractor’s responsibility to verify that this reservation form has been received by 18th Contracting Squadron.

Buyer: SSgt Darrell Thornburgh (Bldg 99, Kadena AB) Email: darrell.thornburgh@us.af.mil Tel No.: 098-961-4107 (DSN 634-4107) Fax No.: 098-961-1761 (DSN 634-1761)

Name of Company: ___________________________________________ Address: ___________________________________________ Point of Contact : ___________________________________________ E-mail Address: ___________________________________________ Phone No: ___________________ Fax No: ________________ Mobile Phone No: ___________________________________________

Name of the individuals to attend the site visit: (Maximum of Two (2)

Note: Meeting location will be at the main gate, Camp Courtney, Okinawa, Japan.

1._____________________________________________________________________________________ Job Title Name of Attendee

2._____________________________________________________________________________________ Job Title Name of Attendee

B. If offerors do not have base access and will need to be escorted onto Camp Courtney, please indicate the names of the personnel below. One time escort will be provided. Meeting place for contractors needing escort is the main gate Pass Office, Camp Courtney, at 0830, JST.

Name: _____________________________ Name: ____________________________

*** NOTE: Site visits will follow immediately after the pre-proposal meeting.

Signature of Requester: _____________________________ Date: ___________________________________