Attachment 4 - Past Performance Report Form.docx

DOCX document 43 KB Posted

Attached to
NAVSUP HQ Furniture-Related Services IDIQ
Solicitation number
N0018926QW243
Issued by

About this file

This is a Past Performance Report Form used by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk to evaluate contractor performance on previous contracts relevant to solicitation N0018926QW243, a furniture-related services IDIQ contract. The form is completed by government agencies or companies that have previously engaged with the contractor and submitted to the contracting officer by the solicitation due date. Responses should be directed to Joseph Mulherin and Kaitlin N. O'Brien at FLCN's Contracting Department.

The form requests evaluation across four primary performance categories: Quality (recruiting ability, workforce retention, and meeting contract requirements including customer satisfaction, rework/deficiency reports, and innovative contributions); Timeliness (adherence to performance schedules and timely submission of reports and invoices); Responsiveness (ability to address customer concerns, problem resolution effectiveness, and cost control); and Additional Observations (overall strengths/weaknesses, satisfaction with award decision, knowledge of similar contracted efforts, and referrals to other relevant points of contact). Respondents are instructed not to return the form to the originating contractor and should provide detailed explanations for any performance issues, including the number and severity of problems and effectiveness of corrective actions taken. The form template includes space for the contractor's company information, contract details, and the completing respondent's organization and contact information.

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Other files

File Type Posted
Questions and Answers.docx DOCX document
Attachment 1 -Pricing Spreadsheet.xlsx XLSX spreadsheet
Solicitation N0018926QW243.pdf PDF
Attachment 5 - QASP.docx DOCX document
Attachment 3 - WD 2015-4233 Rev 36.pdf PDF
Attachment 2 - WD 2015-4225 Rev 34.pdf PDF

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Text version

Solicitation N0018926QW243

PAST PERFORMANCE REPORT FORM

Complete and return no later than the due date of the solicitation to:

Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Joseph Mulherin Phone: (757) 229-3519 Email: joseph.p.mulherin.civ@us.navy.mil and kaitlin.n.obrien.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 offeror’s demonstrated ability to recruit personnel with the skill sets, qualifications/certifications, and experience 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.

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.)

Additional Observations/Information:

1. Identify the contractor's overall strengths and weaknesses.

Click or tap here to enter text.

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?

Click or tap here to enter text.

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.

Click or tap here to enter text.

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 .