Atttach_9-_Contractor_Performance_Data_Sheet.pdf

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Los Angeles-Class Sanitary Tanks #1, #2, #3 Cleaning & Gas Free
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N32253-19-R-0010
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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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