N6824623Q0090 Attachment 2 PPI.doc
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- Solicitation number
- N6824623Q0090
About this file
This document contains a past performance information template for offerors to submit with proposals for a solicitation from the Naval Supply Systems Command to establish a three-year Indefinite Delivery/Indefinite Quantity contract for boiler plant feed water chemicals and supplies for Naval Air Facility Atsugi. The template requests details on up to two previous contracts including contract number, dates, customer information, description and total value of supplies provided, and whether the customer provided a performance rating for quality and timeliness which should be attached if applicable. Offerors are instructed to complete one template per previous contract and that the past performance information will be retained for source selection for up to three years after contract completion.
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| N6824623Q0090.pdf | ||
| N6824623Q0090 Attachment 1 Financial Data.doc | DOC document |
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Text version
NAVSUP FLC Yokosuka
Solicitation Attachment – Offeror’s PPI
(JUL 2011)
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)
| Ph. #: |
E-mail:
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。)
N6824623Q0090 Attachment (2) PPI
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