N6264920Q0016_Attach(III)_PPI.doc

DOC document 44 KB Posted

Attached to
Gasket Cutting Machine Federal contract opportunity
Solicitation number
N6264920Q0016
Issued by
Department of the Navy Naval Supply Systems Command

About this file

This document contains a past performance information template for federal contractors to provide details on relevant prior contracts. The template requests contract number, customer information including name, point of contact, address, and contact details. Contractors must also provide a description of the item or service delivered and the total amount. Space is included for customers to optionally attach a performance rating for quality and timeliness. The template notes that past performance information will be retained no more than three years after contract completion and instructs contractors to submit a separate form for each prior contract.

The related federal opportunity is solicitation N6264920Q0016 for a gasket cutting machine from the Department of the Navy Naval Supply Systems Command. No further details are provided on requirements, response date, or anticipated award date.

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N6264920Q0016_N6264920Q0016_Amend0001.docx DOCX document
N6264920Q0016_Attachment_N6264920Q0016Amend0001.pdf PDF
N6264920Q0016_Attach(I)_Spec_Encl..pdf PDF
N6264920Q0016_Attach(II)_Financial_Info_Data_Sheet.doc DOC document
Combined_Syn-Sol_N6264920Q0016.docx DOCX document

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Text version

PAST PERFORMANCE INFORMATION (PPI)

(現在・過去の業務実績情報)

1. Contract information (current/previous) [契約情報(現在及び過去)] - Contract number (if any) [契約番号(該当する場合)] Date of contract (契約調停日) Contract period (契約期間)

2. Customer information (顧客情報) - Customer’s name (業務提供・物品納入先) Point of contact (現場担当者) Address (住所) Tel/Fax/Email (電話・ファックス・Eメール)

Tel #:

Fax #:

Email:

3. Contract description and total amount (契約上の要求記述と合計金額) -

Item description (契約要求の概要)
Total amount (契約総額)

4. Is there any performance rate provided by the customer in the areas of quality and timeliness? (上記契約上で、貴社が提供した物品や役務に対する品質や適時性に関し、顧客から何らかの査定を受けた事が有りますか?)

FORMCHECKBOX

Yes (はい) FORMCHECKBOX No (いいえ) If this answer is yes, please attach it (them) with this form. (貴社のこの質問に対する回答が「はい」の場合は、査定の写しを添付して下さい。)

5. Please provide any other necessary information that will help the Contracting Officer evaluate the above PPI in the below blank if any (上記契約上での貴社の業務実績を評価するに当たって、顧客からの感謝状などを含む、契約官に役立つその他の情報がある場合は、下記に記述して下さい。) - Note (注意):

(1) The PPI shall not be retained to provide source selection information for longer than three (3) years after completion of contract performance. (過去の業務実績情報は、入札書発行日から遡り3年以内に完了したものとする。)

(2) This form should be completed per contract; i.e., if an offeror has two or more contracts available, it shall complete this form for each contract. (この書類は、一契約に付き一部提出して下さい。即ち、入札業者が複数の契約情報を提出する場合は、該当する契約件数分だけの書類を作成して下さい。)

N6264920Q0016 Attachment (III)

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