Attachment_J-4_Contract_Performance_Data_Sheet_YC-800_and_804.docx
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- N4523A18R0002
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Attachment J-4, Contract Performance Data Sheet YC-800 and 804
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CONTRACT PERFORMANCE DATA SHEET
N4523A18R0002 Attachment J-4
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Name/Title/Phone #/Email):
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
NARRATIVE:
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
CONTRACTOR NAME____________________________________________________
Contract Number (Government Contracts):
Date Completed:
| Contract Type: |
| FFP____ Cost Reimbursement ____ Other (Specify) ___________ |
Item/Service Description:
Contract Quantity/Period of Performance:
Customer Name:
Customer POC (Person who can verify data;
Address:
Telephone:
Email:
PERFORMANCE INFORMATION
| YES |
| NO |
| 1 |
| Were all supplies/services delivered within the original contract schedule? |
| 2 |
| Did all delivered supplies/services comply with the contract specifications/ statement of work? |
| 3 |
| Did any of the delivered supplies/services require replacement, modification or rework in order to be acceptable? |
| 4 |
| Were any modifications issued relaxing the contract specifications/delivery requirements? |
| 5 |
| Was any part of this contract terminated for default or cause? |
| 6 |
| Did you receive any quality awards? |
| 7 |
| If applicable, describe any corrective action(s) initiated to solve any problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken. |
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