J-12 Past Perf Data.docx

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USNS ZEUS (T ARC 7) Mid Term and Dry-Docking
Solicitation number
N3220524R4052
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This document contains a past performance reference form for the USNS ZEUS (T ARC 7) contract, solicitation number N3220524R4052. The contract is for the mid-term and dry-docking of the USNS ZEUS vessel, which is a Total Small Business Set-Aside. The reference form requests information such as the contract number, dates of performance, contract type and pricing, and points of contact. Offerors are also asked to provide a summary of the contract work, including their relevant past performance as a prime contractor and/or subcontractor. The form inquires about small business subcontracting and compliance with relevant FAR clauses. The related federal contract opportunity indicates that the response date for this solicitation is July 2, 2024 at 1:00 PM Eastern Standard Time, and that work items, references, and the Contract Data Requirements List will be provided to contractors who have signed the Technical Non-Disclosure Agreement.

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Text version

N3220524R4052

USNS ZEUS (T ARC 7)

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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