C04.0 N4523A23R1061 Old Man IV Attachment J-4 Past Performance.docx

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Attached to
Maintenance, Repair, and Preservation of Old Man IV
Solicitation number
N4523A23R1061
Issued by

About this file

This document contains a past performance questionnaire for the contractor Old Man IV regarding Contract Number N4523A23R1061 with the Department of the Navy Naval Supply Systems Command. The questionnaire requests information about a previous contract for maintenance, repair, and preservation services, including whether all supplies and services were delivered on schedule and in compliance with specifications, whether any modifications or corrective actions were needed, and whether the contract was terminated for default. The related federal contract opportunity is Solicitation Number N4523A23R1061 for maintenance, repair, and preservation of Old Man IV.

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Text version

CONTRACT PERFORMANCE DATA SHEET

N4523A23R1061 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:

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