Soli Atch (C)_Contract Data Sheet.docx

DOCX document 31 KB Posted

Attached to
Oily Wastewater (OWW) Treatment, Recycling, and Disposal Services in Sasebo Japan
Solicitation number
N6264926QE025
Issued by

About this file

This is a Contract Data Sheet template designed for contractors to submit past performance information in response to solicitation N6824626QE025. The form requires contractors to provide detailed information about previous contract performance, including contractor name, contract number, service or supply description, award amount in Japanese Yen and US dollars, award date, performance location, performance period, and customer contact information. Contractors must complete a six-question performance evaluation section addressing whether services met quality requirements and were completed on schedule, whether corrective actions were necessary, if replacements or modifications were required, whether contract specifications were relaxed, if the contract experienced termination or claims, and whether quality awards were received within the past three years.

Several questions marked with asterisks require explanatory narratives if answered affirmatively, specifically regarding corrective actions, rework requirements, specification modifications, contract termination or litigation, and quality awards. This form is submitted as part of the quotation package and aligns with FAR provision 52.212-2 regarding evaluation of commercial items based on past performance. The template is associated with solicitation N6264926QE025 for Oily Wastewater Treatment, Recycling, and Disposal Services in Sasebo, Japan, issued by the Department of the Navy Naval Supply Systems Command as a Request for Quotation for commercial services.

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Text version

Solicitation: N6824626QE025 Attachment (C) Contract Data Sheet

Contract Data Sheet

Fill in and submit this form with your quotation. In accordance with FAR provision 52.212-2, Evaluation-Commercial Items, the Government evaluates submitted Past Performance Information.

Contractor Name

Contract No.

Description of the Service / Supply
Title:

[If above title is not specified as similar type work, describe detail (revision number, paragraph, man hours and material cost for the effort, etc.).]

Total Amount of Award
JPY
¥
US$
$
Award Date
dd mmm yyyy

Location of Performance

Period of Performance
dd mmm yyyy – dd mmm yyyy

Customer Name

Customer POC (Person who can verify data)

Customer Address

TEL
0956-xx

PERFORMANCE INFORMATION

1. Did the services meet the quality requirements of the contract and were completed within the required performance period(s)?

YES |_| / *NO |_|

2. Were any corrective actions taken to minimize contractual damages caused by the Offeror to the customers?

*YES |_| / NO |_|

3. Were any replacements, modifications or rework required to render the services acceptable?

4. Were any modifications issued to relax the contract specifications/delivery requirements?

5. Was the contract terminated for default, in litigation, or the subject of any protest or claims?

6. Did you receive any quality awards within the past three years?

NOTE: Answers in columns containing an asterisk (*) require as explanatory narrative either in the space provided above or on a separate sheet of paper.

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