Past Performance Form.docx
DOCX document 42 KB Posted
- Attached to
- SHORE CONFINED SPACE ENTRY COURSES Federal contract opportunity
- Solicitation number
- HSCG23-12-R-PBP004
About this file
Past Performance Form
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 00003 - PBP004.pdf | ||
| Amendment 00002 - PBP004.pdf | ||
| HSCG23-12-R-PBP004 - QA.pdf | ||
| Amendment 00001 - PBP004.pdf |
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Text version
CONTRACT DATA SHEET
(Past Performance )
CONTRACTOR NAME____________________________________________________
(Complete one Contract Data Sheet per reference.)
| Contract Number: |
| Prime or Subcontractor: |
| Dollar Amount: |
| Date Completed: |
| Contract Type: |
| Fixed Price___ Cost Reimbursement ___ Other (Specify) __________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Activity:
Customer POC (Person who can verify data):
Address:
Phone:
FAX:
E-Mail:
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 in the past three years? |
| 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. |
| 8 |
| Overall Past Performance Rating (Check only one Box): |
No rating. The contractor has no relevant past performance.
Superior. One or more examples where past performance significantly exceeded requirements.
Excellent. One or more examples where past performance exceeded requirements.
Satisfactory. Past performance met requirements.
Marginal. One or more examples where past performance failed to meet requirements due to fault of contractor.
Unsatisfactory. One or more examples where past performance significantly failed to meet requirements due to fault of contractor.
| Prepared by: ________________________________ | Date: _______________ | |
| (Signature) |
File details come from the government source that posted it. Updated .