Att 2 Past Performance Report Form.pdf

PAST PERFORMANCE REPORT FORM

Solicitation N0018921R0005

Complete and return NLT _10 January 2021__to:

Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Chris Whiteside, Code 235.2 Phone: (757) 443-0780 Email: Christopher.d.white1@navy.mil

On behalf of :

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: _________________________________

PAST PERFORMANCE QUALITY RATING TABLE

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.

2. Retention: The offeror’s demonstrated ability to maintain a stable workforce.

3. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering services that met or exceeded the requirements of the contract.

a. How would you describe your level of customer satisfaction?

b. Was the contractor able to consistently provide qualified mariners?

c. Please comment on the contractor’s safety record.

d. Were there instances of dismissal of contact crew member for poor performance or lack of professional endorsements?

4. Management.

a. Did the Contractor successfully manage schedules and requirements?

b. Was Contractor management responsive when issues/concerns were raised?

5. Additional Observations/Information

a. Identify any noteworthy strengths and/or 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?

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.)