C2 N4523A26Q0013 XRay Gen Attachment J-3 Past Performance.docx

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Attached to
Semi-Annual Maintenance for X-ray Generators and Cooling Units
Solicitation number
N4523A26Q0013
Issued by

About this file

This is a Contract Performance Data Sheet template (Attachment J-3) used to document past performance information for federal contract N4523A26Q0013 related to semi-annual maintenance services for X-ray generators and cooling units. The form is designed to be completed by contractors to provide verifiable performance history on government contracts.

The template requires contractors to complete standard identification fields including contractor name, contract number, date completed, and contract type (FFP or Cost Reimbursement). It requests detailed information about the item/service description, contract quantity, period of performance, and customer contact information including the point of contact who can verify the performance data. The performance evaluation section consists of seven yes/no questions addressing critical performance metrics: on-time delivery within original schedule, compliance with contract specifications and statement of work, need for replacement or modification of deliverables, specification relaxations issued, contract termination for default or cause, receipt of quality awards, and description of any corrective actions taken to address deficiencies. The form concludes with a narrative section for expanded discussion of performance details. This template is intended to be completed by contractors bidding on or performing work related to maintenance services for COMET Technologies USA industrial X-ray equipment models at TRIREFFAC under Naval Supply Systems Command, Department of the Navy.

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CONTRACT PERFORMANCE DATA SHEET

N4523A26Q0013 Attachment J-3

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:

File details come from the government source that posted it. Updated .