Attachment 3 Past Performance Questionairre.docx

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Attached to
High Quality Water & Demineralized Feedwater - Amended
Solicitation number
N4215826QE007
Issued by

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This is a Past Performance Questionnaire template designed for solicitation N4215826QE007, issued by Norfolk Naval Shipyard (NNSY) Installation Support Division to evaluate contractor performance on previous relevant contracts. The questionnaire is completed by references or past customers who have worked with the prospective contractor, not by the contractor themselves, and should be returned directly to one of three designated NNSY points of contact: Chad Godwin (Code 411), Eduard C Popov (Code 411), or John "Eliot" Faircloth (Code 412).

The questionnaire assesses four primary evaluation areas: Quality and Meeting Contract Requirements, including customer satisfaction and instances of rework or deficiency reports; Quality and Timeliness, addressing schedule adherence and timely submission of reports and invoicing; Quality and Contractor Responsiveness, evaluating problem resolution, cost control, and ability to respond to customer concerns; and Additional Observations, requesting identification of contractor strengths and weaknesses, overall satisfaction with award decision, and awareness of similar contracted efforts. References are asked to provide detailed narrative responses explaining any schedule variances, cost changes, problem severity, and corrective actions taken, as well as their recommendation for future contract awards to the same contractor.

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Text version

N4215826QE007 – Attachment 3

PAST PERFORMANCE QUESTIONAIRRE

SOLICITATION N4215826QE007

Complete and return to:

Norfolk Naval Shipyard (NNSY) Installation Support Division Attn: Chad Godwin, Code 411 Phone : 1 (757) 636-1309 Email: chad.r.godwin.civ@us.navy.mil

Attn: Eduard C Popov, Code 411 Phone : 1 (757) 396-8431-8574 Email : eduardcatalin.popov.civ@us.navy.mil

Attn: John “Eliot” Faircloth, Code 412 Phone : 1 (757) 396-8673 Email: john.e.faircloth2.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 Norfolk Naval Shipyard (NNSY) Service Contracts Division 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.

Complete 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 .