J-12 Past Perf Data.docx
DOCX document 31 KB Posted
- Solicitation number
- N3220526R6052
About this file
This is a Past Performance Data form template for the USNS LUCY STONE (T-AO 209) Post Shakedown Availability (PSA) solicitation issued by the Department of the Navy Military Sealift Command under solicitation number N3220526R6052. The form is designed to collect historical performance information from offerors regarding their experience in ship overhaul, repair, and alteration work completed within the past three years. Offerors must provide comprehensive details about relevant reference contracts, including complete organizational information, contract numbers, dates of performance, contract types and pricing structures, final invoiced amounts, and technical and contracting points of contact for verification purposes.
The form requires offerors to document the current status of referenced contracts and provide summary descriptions of work performed that demonstrate comparable or related experience to the solicitation requirements. Additionally, offerors must address compliance with small business utilization requirements under FAR Part 52.219-8, with large businesses specifically required to demonstrate historical compliance with FAR 52.219-9 (Small Business Subcontracting Plan) and DFARS 252.219-7003 (DOD Small Business Subcontracting Plan requirements). The form includes sections for confirming whether small business subcontracting plans were required and whether timely reports were submitted to the Electronic Subcontract Reporting System (ESRS). This template serves as an attachment to the solicitation and is essential for evaluation of offeror capability and past performance.
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Other files
| File | Type | Posted |
|---|---|---|
| N3220526R6052 Solicitation Amendment 0001.pdf | ||
| J-10 Interport Differential LST PSA.doc.docx | DOCX document | |
| J-8-RFC(2022.12.28).docx | DOCX document | |
| J-13- Past Perf Questionaire.docx | DOCX document | |
| J-9 Disclsr Lobbying Activities SF-LLL.doc | DOC document | |
| J-14 Technical NDA.docx | DOCX document | |
| Solicitation - N3220526R6052.pdf | ||
| J-7 MSC Ship Repair Facility Survey.docx | DOCX document | |
| J-2 USNS LUCY STONE PSA 26R6052.xlsx | XLSX spreadsheet | |
| J-4 GFP Attachment (LUCY STONE) (PSA-2027-01-15).xlsx | XLSX spreadsheet | |
| J-11 Dry Dock Evaluation Form (for N10) MILK PSA.docx | DOCX document | |
| J-3 USNS LUCY STONE PSA.xlsx | XLSX spreadsheet |
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Text version
N3220526R6052
USNS LUCY STONE (T-AO 209)
PAST PERFORMANCE DATA
1. Complete Name of Reference (Government agency, commercial firm, or other organization)
2. Complete Address of Reference
3. Contract Number or other control number
4. Date of contract
5. Date work was begun
6. Date work was completed
7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee
8. Final amount invoiced or amount invoiced to date
9a. Reference/Technical point of contact (name, title, address, telephone no. and email address)
9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)
10. Location of work (country, state or province, county, city)
11. Current status of contract (choose one):
[ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)
12. Provide a summary description of contract work. Discuss relevant past performance of offeror, as a prime contractor and/or subcontractor, and of key personnel in the overhaul, repair, and alteration of ships within the last three years that is comparable or related to the work or effort required by this solicitation.
13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes __, No__.
13b. If “Yes” to 13a, have you regularly submitted your reports in the Electronic Subcontract Reporting System (ESRS) in a timely manner? Yes __, No__.
If no, why not?
14. All offerors should address historical compliance with the requirements of FAR Part 52.219-8 (Utilization of Small Business Concerns) for government contracts. In addition, large businesses shall address historical compliance with the requirements of FAR 52.219-9 (Small Business Subcontracting Plan) and DFARS 252.219-7003 (Small Business Subcontracting Plan, DOD Requirements.
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