Attachment 3 Past Performance Information.docx
DOCX document 30 KB Posted
- Solicitation number
- N6264926QB040
About this file
This is a Past Performance Information (PPI) form template used by the Department of the Navy Naval Supply Systems Command for evaluating contractor performance on the Unit Dolly Jacking and Carrying Services solicitation (N6264926QB040). The form is designed to be completed by offerors to document their relevant contract history and performance credentials.
The template requires offerors to provide comprehensive contract information including contract numbers, dates, customer details, and points of contact. Offerors must describe the items or services delivered, specify total contract amounts, and indicate whether performance ratings in quality and timeliness were provided by the customer, with instructions to attach such ratings if available. The form emphasizes that one form should be completed for each relevant contract when an offeror has multiple contracts to reference. Additionally, the form notes that PPI documentation shall not be retained for source selection purposes longer than three years after contract performance completion. This form applies to the Yokosuka, Japan-based solicitation for unit dolly jacking and carrying services to support USS BLUE RIDGE shaft and rudder removal operations, with performance scheduled from September 2026 through December 2026, with three optional five-day extension periods.
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Text version
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)
| Tel #: |
Fax #:
Email:
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｡)
N6264926QB040
Attachment (3)
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