Attachment J-12 Past Performance Data.pdf

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Attached to
USNS KANAWHA (T-AO 196) MTA
Solicitation number
N3220521R4008
Issued by

About this file

This document contains a template for offerors to provide past performance references and data in response to solicitation number N3220521R4008 for a Mid-Term Availability (MTA) of the USNS KANAWHA (T-AO 196) to be performed in FY22. The template requests information on up to three past or current government or commercial contracts demonstrating relevant experience overhauling, repairing, or altering ships. Details include contract dates and type, description of work performed, compliance with small business subcontracting goals, and points of contact. Offerors must also address historical compliance with requirements to utilize small businesses. The solicitation is issued by the Department of the Navy Military Sealift Command for ship repair and alteration services.

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N3220521R4008 USNS KANAWHA (T-AO 196)

ATTACHMENT J - 12

PAST PERFORMANCE DATA

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work was begun

6. Date work was completed

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone

no. and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or province, county, city)

11. Current status of contract (choose one):

[ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)

12. Provide a summary description of contract work. Discuss relevant past performance of offeror, as a prime contractor and/or subcontractor, and of key personnel in the overhaul, repair, and alteration of ships within the last three years that is comparable or related to the work or effort required by this solicitation.

13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes __, No__.

13b. If “Yes” to 13a, have you regularly submitted your reports in the Electronic Subcontract Reporting System (ESRS) in a timely manner? Yes __, No__.

If no, why not?

14. All offerors should address historical compliance with the requirements of FAR Part 52.219-8 (Utilization of Small Business Concerns) for government contracts. In addition, large businesses shall address historical compliance with the requirements of FAR 52.219-9 (Small Business Subcontracting Plan) and DFARS 252.219-7003 (Small Business Subcontracting Plan, DOD Requirements.

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