About this file

This is a Past Performance References form (Attachment 3) used for federal contract solicitation N6264926QJ001, presented in both English and Japanese.

The form requires offerors to document current and previous contract performance on a per-contract basis. Contractors must provide contract information including contract number, contract date, and contract period. Customer information sections require the customer's name, point of contact, address, and telephone/fax/email contact details. Offerors must describe the contracted items or services and state the total contract amount. The form specifically asks whether the customer provided any performance ratings regarding quality and timeliness of the delivered goods or services, with instructions to attach such ratings if available. Offerors may also provide additional information to support the Contracting Officer's evaluation of past performance, including letters of commendation or other relevant documentation. Critical administrative notes specify that past performance information must be from contracts completed within three years prior to the bid submission date, and that offerors with multiple contracts must submit a separate completed form for each contract being referenced.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

N6264926QJ001, ATTACHMENT 3

PAST PERFORMANCE REFERENCES

PAST PERFORMANCE INFORMATION (PPI)

(現在・過去の業務実績情報)

1. Contract information (current/previous) [契約情報(現在及び過去)] -

Contract number (if any) [契約番号(該当する場合)]

Date of contract (契約調停日)

Contract period (契約期間)

2. Customer information (顧客情報) -

Customer’s name (業務提供・物品納入先)

Point of contact (現場担当者)

Address (住所)

Tel/Fax/Email (電話・ファックス・E メール)

Ph. #:

Fax #:

E-mail:

3. Contract description and total amount (契約上の要求記述と合計金額) -

Item description (契約要求の概要) Total amount (契約総額)

4. Is there any performance rating provided by the customer in the areas of quality and timeliness? (上記契約上で、貴社が提供した物品や役務に対する品質や適時性に関し、顧

客から何らかの査定を受けた事が有りますか?)

Yes (はい) No (いいえ) If this answer is yes, please attach it (them) with this form. (貴社のこの質問に対する回答が「はい」の場合は、査定の写しを添付して下さい。)

5. Please provide any other necessary information that will help the Contracting Officer evaluate the above PPI in the below blank if any (上記契約上での貴社の業務実績を評価す

るに当たって、顧客からの感謝状などを含む、契約官に役立つその他の情報がある場合

は、下記に記述して下さい。) -

Note (注意): (1) The PPI shall not be retained to provide source selection information for longer than three (3) years after completion of contract performance.

(過去の業務実績情報は、入札書発行日から遡り3年以内に完了したものと

する。)

(2) This form should be completed per contract; i.e., if an offeror has two or more contracts available, it shall complete this form for each contract.

(この書類は、一契約に付き一部提出して下さい。即ち、入札業者が複数の

契約情報を提出する場合は、該当する契約件数分だけの書類を作成して下さ

い。)

fill_1:
fill_2:
fill_3:
fill_4:
fill_5:
fill_6:
Ph Fax Email:
fill_7:
fill_8:
Check Box1: Off
Check Box2: Off
Text3:

File details come from the government source that posted it. Updated .