Attachment_2-Past_Performance_Report_Form.doc

PAST PERFORMANCE REPORT FORM

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO THE NAVSUP FLEET LOGISTICS CENTER NORFOLK; NORFOLK, VA

(PLEASE DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST)

A. The completion of this questionnaire is requested from your agency/company in order for the NAVSUP Fleet Logistics Center Norfolk to evaluate the aforementioned vendor’s past performance on previous contracts as it relates to the probability of successful accomplishment of the work required by the Government relative to the award of the contract resulting from the solicitation.

Please provide detailed comments regarding your overall assessment of the vendor’s performance on the contract identified below. PLEASE RESPOND TO EACH QUESTION IN A NARRATIVE FORMAT. Please e-mail your completed questionnaire directly to the point of contact listed below:

Victoria Bergstrom

Email: victoria.e.bergstrom.civ@us.navy.mil Contracting Department

NAVSUP Fleet Logistics Center Norfolk Company's Name:

POC/Title/Position: ________________________________

Email Address: ___________________________________

Contract/Purchase Order No:

Contract Amount: _________________________________ Contract Type: ___________________________________

Period of Performance: ____________________________

Business Address: ____________________________________________________

Phone Number: __________________

1. Quality:

(i) Describe satisfaction with the vendor.

(ii) Describe instances of rework and/or deficiency reports.

(iii) Describe effective and/or innovative work applications that were beneficial to you.

2. Timeliness:

(i) Describe vendor demonstrated ability to comply with: delivery and/or performance schedules. What were the causes of any delay?

(ii) Describe timeliness of submission of requested information, reports, and invoicing.

3. Responsiveness:

(i) Describe the vendor’s demonstrated ability to respond to your concerns.

(ii) Describe vendor’s efforts to isolate and resolve problems and take systemic improvement action.

D. Identify the vendor's overall strengths and weaknesses.

E. Given the choice, would you award to this vendor again?

F. Are you aware of any other contracted efforts performed by this vendor similar in nature to this contract? Please identify contract/program and point of contact.

G. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.