J-15_PPQ.doc

Past Performance Questionnaire

USS SAMSPON (DDG 102) N4523A-18-R-0550

Offerors may submit the following information in Vol. II Section 4 of their proposal:

A. Up to five (5) ship repair and maintenance contracts completed by the offeror, including the following information about each contract:

1. Name of the contracting activity:

2. Contract Number:

3. Contract Title:

4. Face value at award, including all options:

5. Procuring Contracting Officer’s name and telephone number:

6. Program Manager name and telephone number:

7. Administrative Contracting Officer’s name and telephone number:

8. Contract type:

9. Basic contract award amount:

10. Current contract award amount:

11. Final project contract amount (including all unexercised options that may still be exercised):

12. Original delivery schedule:

13. Current delivery schedule:

14. Was the work performed as Prime Contractor or Subcontractor:

15. Short description of the requirement:

16. Description of your performance to date, including corrective actions taken, in the following areas: cost, schedule. management, technical:

17. Description of major subcontracts:

18. Description of why contract is considered relevant:

Source Selection Information - See FAR 2.101 & 3.104

For Official Use Only