Past_Performance_Data_Worksheet.docx

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Electrical Repair for a 74' Azimut Vessel
Solicitation number
DJM-14-A44-Q-0009
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Past Performance Data Worksheet

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Text version

(Attachment # 6)

REQUEST FOR QUOTE

ELECTRICAL REPAIR OF 74’ VESSEL

DISTRICT OF SOUTH CAROLINA

SOLICITATION NO.: DJM-14-A44-Q-0009

PAST PERFORMANCE DATA WORKSHEET

1.
Name of Contracting Activity/Organization:
2.
Contract Number:
3.
Contract Type:
Negotiated

Sealed Bid

Labor Hour (IDIQ

Cost reimbursement

Fixed Price

Other

4
Total Contract Value:
$
5.
Status:
Active

Completed

6.
Date of Award:

Original estimated completion date:

Actual completion date:

Explanation for variance:

7.
Nature and Scope of the work:
8.
Contracting Officer & Telephone Number:

E-mail address:

9.
Program Manager & Telephone Number:

E-mail address:

10.
Administrative Contracting Officer (if different from #8):

E-mail address:

11.
Contracting Officer’s Representative (COR) and Telephone Number:

E-mail address:

12.
List of major subcontracts and their contribution to the overall value of the contract (percentage):
13.
Any problems or mitigating circumstances which the offeror would like to have known to balance the evaluations of those named above:

A SEPARATE WORKSHEET MUST BE COMPLETED FOR THREE (3) FEDERAL GOVERNMENT OR COMMERCIAL CONTRACTS PERFORMED DURING THE LAST 3 YEARS THAT ARE SIMILAR AND RELEVANT TO THE PERFORMANCE REQUIREMENTS IN THE SOLICITATION.

-USE ADDITIONAL PAPER IF NECESSARY-

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