Contractor_Performance_Data_Sheet.docx

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Touch Labor Sandblasters
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N32253-18-R-0083
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Contractor Performance Data Sheet PHNSY & IMF C/400 Reference 1

a. Contract/Task Order Number: _____________________________________________________

b. Agency/Company Name: _________________________________________________________

c. Contact Name: _________________________________________________________________

d. Phone Number: _________________________________________

e. E-mail: ________________________________________________

f. Contract Value (Original and Final): ________________________________________________

g. Description of Service provided and whether Prime or Subcontractor: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

h. Required Completion Date for the contract:_____________________

i. Date the services were actually completed: _____________________

j. Ship Name, Hull Number: __________________________________

k. Contract Type (FFP, IDIQ, Requirement, Cost Type): __________________________________

l. CPARS rating _________________________________________________________________

Reference 2

a. Contract/Task Order Number: _____________________________________________________

b. Agency/Company Name: _________________________________________________________

c. Contact Name: _________________________________________________________________

d. Phone Number: _________________________________________

e. E-mail: ________________________________________________

f. Contract Value (Original and Final): ________________________________________________

g. Description of Service provided and whether Prime or Subcontractor: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

h. Required Completion Date for the contract:_____________________

i. Date the services were actually completed: _____________________

j. Ship Name, Hull Number: __________________________________

Reference 3

a. Contract/Task Order Number: _____________________________________________________

b. Agency/Company Name: _________________________________________________________

c. Contact Name: _________________________________________________________________

d. Phone Number: _________________________________________

e. E-mail: ________________________________________________

f. Contract Value (Original and Final): ________________________________________________

g. Description of Service provided and whether Prime or Subcontractor: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

h. Required Completion Date for the contract:_____________________

i. Date the services were actually completed: _____________________

j. Ship Name, Hull Number: __________________________________

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