2.02 d Attachment 4_Past_Performance_Report_Form.docx
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- Solicitation number
- N0018926RL021
About this file
This is a Past Performance Report Form template used by NAVSUP Fleet Logistics Center Norfolk to evaluate contractor performance on previous contracts. The form requests information from Government agencies or companies that have worked with a contractor to assess their probability of successfully accomplishing work under solicitation N0018926RL021 for Ocean Floor Mapping with Long-Endurance Unmanned Systems. Completed forms must be returned no later than 10:00 AM EST on 11 June 2026 to Borui Tang, Code 216, at the NAVSUP Fleet Logistics Center Norfolk Contracting Department.
The form evaluates four key performance areas: (1) Quality and Meeting Contract Requirements, including customer satisfaction, rework instances, and innovative applications; (2) Quality and Timeliness, covering delivery schedule adherence and submission of reports and invoicing; (3) Contractor Responsiveness, assessing the contractor's ability to address customer concerns, resolve problems, and manage costs; and (4) Additional Observations, requesting overall strengths and weaknesses assessment, satisfaction with the contractor's award, willingness for future engagements, and identification of similar contracted efforts. Respondents must provide requester information and command/company contact details, with instructions to not return forms to the contractor originating the request.
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Text version
N0018926RL021 - PAST PERFORMANCE REPORT FORM
Complete and return NLT 10:00 AM EST on 11 June 2026 to:
NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Borui Tang, Code 216 Phone: (757) 219-2859 Email: borui.z.tang.civ@us.navy.mil
On behalf of (Requester Information):
| Company's Name: | _________________________________ | |
| POC/Title/Position: | _________________________________ | |
| Email Address: | _________________________________ | |
| Contract/Purchase Order No.: | _________________________________ | |
| Contract Amount: | _________________________________ | |
| Contract Type: | _________________________________ | |
| Period of Performance: | _________________________________ | |
| Business Address: | _________________________________ | |
| _________________________________ | ||
| _________________________________ | ||
| Phone Number: | _________________________________ |
NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST
The completion of this questionnaire is requested from your agency/company in order for the U.S. Naval Supply System (NAVSUP) Fleet Logistics Center Norfolk (FLCN) to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the Government, relative to the award of a contract.
Completed by : ____________________________
| Command/Company’s Name: | _________________________________ | ||
| POC/Title/Position: | _________________________________ | ||
| Email Address: | _________________________________ | ||
| Address: | _________________________________ | ||
| _________________________________ | |||
| _________________________________ | |||
| Phone Number: | _________________________________ |
1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.
a. How would you describe your level of customer satisfaction?
b. Were there instances of rework and/or deficiency reports? (If yes, explain)
c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?
2. Quality/Timeliness.
a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?
b. Describe the timeliness of submission of requested information, reports and invoicing.
3. Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:
a. respond to customer concerns
b. isolate and resolve problems
· The number and severity of problems
· The effectiveness of corrective actions taken.
c. Contractor's cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/under-run, Government-imposed schedule changes, etc.)
4. Additional Observations/Information
a. Identify the contractor's overall strengths and weaknesses.
b. Given hindsight, are you satisfied that the contract was awarded to this contractor? Would you be pleased to have this contractor perform work for you again? Why?
c. Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.
d. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.
(If more comment space needed, please attach additional pages.)
File details come from the government source that posted it. Updated .