Attachment_4_-_Past_Performance_Information.pdf

Solicitation No.: FA527019QA046 Atch 4 Past/Present

Performance Information (PPI)

Name of Offeror:

The following Three (3) contracts are the most relevant contracts (similar in scope, magnitude (size) and complexity) performed for US Government agencies, Government of Japan, and Commercial customers performed within the last 3 years of the solicitation release date, or is currently in progress (see Solicitation Provision 52.212-1). Limited to no more than three(3) pages per contract listed.

Past/Present Performance Information Sheet

Reference 1 -履歴1

1. Company/Division name

会社名/担当部署名(契約の相手方/注文主)

2. Product/Service title and Description 業務内容

3. Contracting Agency/Customer 契約事務所/顧客会社名

4. Contract Number/Project Title

契約番号その他の認識番号/契約名

5. Contract Value/Amount (Per Year and/or

Total) (Dollar/Japanese Yen) 単年度合計と

契約金額合計

6. Period of Performance (e.g. date/month/year through date/month/year) 契約期間 （自 至 ）

7. Verified, up-to-date name, mailing and e- Name:

mail addresses, and telephone number of the contracting officer (Point-of-Contact) 契約担当者の氏名、役職、連絡先等。 例）米軍契約官、官公庁の契約担当者または技 Tel:

術士など。 Fax:

e-mail:

8. Comments regarding compliance with contract terms and conditions

契約条件の遵守に関するコメント

9. Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions

顧客に受け入れられなかった、または契約条件 に合

わなかった業務に関するコメント

10. Include rationale supporting your assertion of relevance and identify aspects (scope, magnitude of effort, and complexity) of the contracts deemed relevant and how they relate to the proposed effort.

この業務を請け負ったなかで、今回の案件とどのような関

連性のある業務内容(契約の範囲、規模、複雑さ)をもっ

ているか。

11. Contractor’s role. Work performed as:

契約者形態:

□Prime Contractor

□Sub Contractor

□Other (Explain)

12. Other Comments (optional) その他の特記事項

Please note, the Japanese translation used in this document is only applied for your reference. In the even ot any conflict between the English and Japanese translated version, the English version shall prevail.

この書類に使われた日本語訳はあくまでも参考までの表記です。英語と日本語訳とのあいだに矛盾が生じた場合、英語版が優先されます。

Reference 2 -履歴2 contracting officer (Point-of-Contact) 契約担当者の氏名、役職、連絡先等。 例）米軍契約官、官公庁の契約担当者または技 Tel:

術士など。 Fax:

e-mail:

8. Comments regarding compliance with accordance with the contract terms and conditions magnitude of effort, and complexity) of the contracts deemed relevant and how they relate to the proposed effort.

この業務を請け負ったなかで、今回の案件とどのような関

□Prime Contractor

□Sub Contractor

□Other (Explain)

Please note, the Japanese translation used in this document is only applied for your reference. In the even ot any conflict

Reference 3 -履歴3 contracting officer (Point-of-Contact) 契約担当者の氏名、役職、連絡先等。 例）米軍契約官、官公庁の契約担当者または技 Tel:

術士など。 Fax:

e-mail:

8. Comments regarding compliance with accordance with the contract terms and conditions magnitude of effort, and complexity) of the contracts deemed relevant and how they relate to the proposed effort.

この業務を請け負ったなかで、今回の案件とどのような関

□Prime Contractor

□Sub Contractor

□Other (Explain)

Please note, the Japanese translation used in this document is only applied for your reference. In the even ot any conflict