C04.0 N4523A23R1054 UFDD-132 & UFDD-133 Attachment J-4 Past Performance.docx

DOCX document 16 KB Posted

Attached to
UFDD-132 and UFDD-133 Federal contract opportunity
Solicitation number
N4523A23R1054
Issued by
Department of the Navy Naval Supply Systems Command

About this file

This document contains a past performance evaluation form and details of a federal solicitation. The past performance evaluation form is to be completed by a contractor and provides a means to evaluate the contractor's performance on a previous government contract. The solicitation seeks maintenance, repair, and preservation services for two Deep Draft Utility Floats owned by the Navy. Services include cleaning, blasting, coating, and testing of the vessels' hulls and tanks as well as deck work and installation of anodes and fenders. The work is to be performed at a facility located in the Puget Sound region of Washington state and is expected to take place between April and June 2023. This is a 100% small business set-aside with a NAICS code of 336611 and size standard of 1,250 employees. Offerors must register in SAM to be eligible for award.

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Text version

CONTRACT PERFORMANCE DATA SHEET

N4523A23R1054 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:

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