C04.0 Attachment J-4 Past Performance IX-550 N4523A22R1051.docx
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- Solicitation number
- N4523A22R1051
About this file
This solicitation and past performance questionnaire are for docking and maintenance work on a Navy tank barge. The solicitation seeks a firm-fixed price contract to accomplish maintenance, repair, and preservation on the IX-550 barge from August 2022 through October 2022 at the contractor's facility. Work includes exterior blasting and preservation, replacing hull anodes and non-skid, cleaning and preserving cargo tanks and voids, replacing gaskets and hardware, repairing valves and piping, testing, and transporting the vessel. The opportunity is set aside for small businesses with less than 1,250 employees under NAICS code 336611. The past performance form collects data on a contractor's previous relevant contracts to assess delivery, quality, and any issues for consideration in the current award, which will be made to the lowest priced technically acceptable offeror.
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CONTRACT PERFORMANCE DATA SHEET
N4523A22R1051 Attachment J-4
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Name/Title/Phone #/Email):
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
NARRATIVE:
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
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