Attachment 04 - Past Performance Report Form.docx
DOCX document 41 KB Posted
- Solicitation number
- N0018926BR005
About this file
This is a Past Performance Report Form template used by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk to evaluate contractor performance on previous contracts. The form must be completed and returned by April 6, 2026 at 5:00 PM EST to Shanna Harris at the Philadelphia Detachment, FLCN Contracting Department. It is designed to assess a specific contractor's qualifications and past performance relative to Solicitation N0018926BR0005 for specialized technical and analytical support services in support of the Assistant Secretary of the Navy (Energy, Installations and Environment).
The form evaluates contractors across five performance dimensions: Quality (recruiting ability, workforce retention, and contract requirement delivery), Timeliness (schedule compliance and submission timeliness), Responsiveness (customer concern responsiveness, problem resolution capability, and cost control), and Additional Observations (overall strengths/weaknesses, contractor satisfaction, similar contracted efforts, and referrals to other relevant points of contact). Respondents are instructed to provide narrative responses addressing customer satisfaction levels, instances of rework or deficiency reports, innovative work applications, schedule adherence, information submission timeliness, problem severity and corrective action effectiveness, cost control performance, and overall recommendations for future contract awards. The form is designated as Source Selection Information under FAR 2.101 and 3.104.
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Text version
Solicitation N0018926BR0005
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation, 4/6/2026 at 5:00 PM EST, to:
Fleet Logistics Center Norfolk (FLCN) Contracting Department, Philadelphia Detachment Attn: Shanna Harris Email: shanna.c.harris.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:
Quality:
1. Recruiting: The quoter’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.
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2. Retention: The quoter’s demonstrated ability to maintain a stable workforce.
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3. Meeting Contract Requirements: The quoter’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?
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b. Were there instances of rework and/or deficiency reports? (If yes, explain)
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c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?
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Timeliness:
1. Did the Contractor meet/comply with performance schedules?
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a. Rate the timeliness of submission of requested information, reports and invoicing.
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Responsiveness:
1. Describe the quoter’s demonstrated ability to respond to customer concerns
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2. Describe the quoter’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.
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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.)
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.
(If more comment space needed, please attach additional pages.)
Source Selection Information – See FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .