2.01b Attachment II PPI.docx

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Attached to
Bunkering / De-bunkering service at Tokyo Bay area in Japan for Commander Fleet Activities Yokosuka
Solicitation number
N6264926QB001
Issued by

About this file

This is a Past Performance Information (PPI) form template used by NAVSUP FLC Yokosuka for offerors responding to federal contract solicitations. The form is designed to be completed on a per-contract basis, requiring offerors to document their relevant past performance history to support source selection evaluations. Offerors must provide contract information including contract number and performance period, customer details with primary point of contact information, a description of the contract work and total contract amount, and any performance ratings provided by the customer in the areas of quality and timeliness. The form includes space for offerors to attach customer-provided performance ratings and to provide additional information deemed relevant to the Contracting Officer's evaluation of past performance.

This specific form is an attachment to Solicitation N6264926QB001 for Bunkering/De-bunkering services at Tokyo Bay in Japan supporting Commander Fleet Activities Yokosuka. The form establishes that past performance information will be retained for source selection purposes for no longer than three years after contract completion, and that offerors with multiple relevant contracts must complete a separate form for each contract submission. The template does not specify response dates, pricing terms, or other solicitation-specific requirements, serving instead as a standardized data collection instrument for evaluating offeror qualifications.

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Text version

NAVSUP FLC Yokosuka Solicitation Attachment – Offeror’s PPI

(JUL 2011)

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 rate 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。) Attachment (II) Solicitation # N6264926QB001

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