2.02d - Past Performance Report Form.pdf
PDF 788 KB Posted
- Attached to
- Berthing and Messing Program Services
- Solicitation number
- N0018926RL013
About this file
This is a Past Performance Report Form issued by the U.S. Naval Supply System (NAVSUP) Fleet Logistics Center Norfolk (FLCN) for solicitation N0018926RL013. The form is designed to collect references and performance feedback from previous customers or agencies regarding a contractor's capabilities and past performance on related contracts and efforts.
The form requests submission to Fleet Logistics Center Norfolk Contracting Department, attention Zackery Bowman, no later than the solicitation due date. It requires documentation of the contractor being evaluated, including company name, point of contact, contract/purchase order number, contract amount, contract type, period of performance, and business address. The form then requests feedback from the organization completing the reference on four primary evaluation areas: Quality (encompassing recruiting capability, workforce retention, contract requirement fulfillment, customer satisfaction, rework/deficiency instances, and innovative work applications); Timeliness (performance schedule compliance and submission timeliness for reports and invoicing); Responsiveness (ability to address customer concerns, problem isolation and resolution, and effectiveness of corrective actions); and Cost Control (delivery against agreed pricing and explanation of contract value changes). The Additional Observations section seeks overall contractor strengths and weaknesses, future recommendation likelihood, awareness of similar contracted efforts, and identification of other potential references. The form permits attachment of additional pages for extended commentary and explicitly instructs not to return completed forms to the originating contractor, as this information constitutes source selection material protected under FAR 2.101 and 3.104.
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Text version
Source Selection Information – See FAR 2.101 and 3.104
Solicitation N0018926RL013
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation to:
Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Zackery Bowman Phone: (757) 443-1135 Email: Zackery.l.bowman.civ@us.navy.mil
On behalf of:
Company’s Name:
POC, Title/Position:
Email Address:
Contract/Purchase Order No.:
Contract Amount: $ Contract Type:
Period of Performance: Click or tap to enter a date. – Click or tap to enter a date.
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 resulting from the solicitation.
Completed by:
Command/Company’s Name:
POC, Title/Position:
Email Address Business Address:
Phone Number:
Solicitation N0018924Q0122
Quality:
1. Recruiting: The offeror’s demonstrated ability to recruit personnel with the skill sets, qualifications/certifications, experience and security clearance required of the contract.
Provide additional comments if necessary.
Click or tap here to enter text.
2. Retention: The offeror’s demonstrated ability to maintain a stable workforce.
Click or tap here to enter text.
3. 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?
Click or tap here to enter text.
b. Were there instances of rework and/or deficiency reports? (If yes, explain)
Click or tap here to enter text.
c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?
Click or tap here to enter text.
Timeliness:
1. Did the Contractor meet/comply with performance schedules?
Click or tap here to enter text.
a. Rate the timeliness of submission of requested information, reports and invoicing.
Click or tap here to enter text.
Responsiveness:
1. Describe the offeror’s demonstrated ability to respond to customer concerns
Click or tap here to enter text.
Solicitation N0018924Q0122
2. Describe the offeror’s efforts to isolate and resolve problems and take systematic improvement action. Please include:
the number and severity of problems the effectiveness of corrective actions taken.
Click or tap here to enter text.
3. 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.)
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Additional Observations/Information:
1. Identify the contractor's overall strengths and weaknesses.
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2. 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?
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3. 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.
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4. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.
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(If more comment space needed, please attach additional pages.)
File details come from the government source that posted it. Updated .