J-12 Past Perf Data.docx

DOCX document 29 KB Posted

Attached to
USNS MEDGAR EVERS ( T-AKE 13) ROH/DD
Solicitation number
N3220526R6120
Issued by

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This is a Past Performance Data form for federal contract N3220526R6120 related to overhaul, repair, and alteration (ROHDD) work on the USNS MEDGAR EVERS (T-AKE 13), a Navy supply ship. The form is a template designed to collect comprehensive information from offerors about their relevant contracting history and qualifications for this Department of the Navy Military Sealift Command solicitation.

The form requires offerors to provide detailed information on reference contracts including the contracting organization's name and address, contract number, contract dates, pricing structure, final invoiced amounts, and points of contact for both technical and contracting matters. Offerors must describe the location of prior work and identify contract status. Additionally, offerors must provide a summary of comparable or related ship overhaul, repair, and alteration work performed within the last three years, including experience as both prime contractors and subcontractors, and documentation of key personnel qualifications. The form specifically addresses Small Business compliance requirements, including whether contracts required a Small Business Subcontracting Plan under FAR 52.219-9 and timely submission of reports to the Electronic Subcontract Reporting System (ESRS). Large businesses must demonstrate historical compliance with FAR Part 52.219-8 regarding utilization of small business concerns, FAR 52.219-9 on subcontracting plans, and DFARS 252.219-7003 on DOD-specific small business subcontracting requirements.

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Text version

N3220526R6120

USNS MEDGAR EVERS (T-AKE 13)

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.

ATTACHMENT J - 12

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