Attachment 5 - Past Performance Report Form.docx
DOCX document 20 KB Posted
- Solicitation number
- N0018923R0009
About this file
This document contains a past performance evaluation form for a federal contractor supporting the Naval Supply Systems Command. The form requests information on the contractor's performance on a previous contract or purchase order, including quality of meeting requirements, timeliness of delivery and responsiveness, cost control, and overall strengths and weaknesses. Evaluators are asked to provide their level of customer satisfaction, instances of rework or deficiencies, timeliness of response to changes and information requests, and reasons for any contract value changes. Additional questions cover overall assessment of the contractor and whether the evaluator would be willing to award them future work.
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Other files
| File | Type | Posted |
|---|---|---|
| N0018923R0009 0004 Modified Copy.pdf | ||
| N0018923R0009 0004 Conformed Copy.pdf | ||
| N0018923R0009 0003 Modified Copy.pdf | ||
| Questions and Answers_Revised 16.pdf | ||
| N0018923R0009 0003 Conformed Copy.pdf | ||
| Attachment I - Pricing Spreadsheet_Revised.xlsx | XLSX spreadsheet | |
| N0018923R0009 0002 Conformed Copy.pdf | ||
| Attachment 3 - Draft DD254_Revised.pdf | ||
| Questions and Answers.pdf | ||
| Attachment 2 - Wage Determinations_Revised.docx | DOCX document | |
| N0018923R0009 0002 Modified Copy.pdf | ||
| Attachment 6 - Acronym List.xlsx | XLSX spreadsheet | |
| Attachment 4 - Past Performance Information Form_Revised.docx | DOCX document | |
| N0018923R0009 Amendment 0001.pdf | ||
| Attachment 4 - Past Performance Information Form.docx | DOCX document | |
| Attachment 3 - Draft DD254.pdf | ||
| N0018923R0009.pdf | ||
| Attachment 1- Pricing Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment 2 - Wage Determinations.docx | DOCX document |
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Text version
PAST PERFORMANCE REPORT FORM
SOLICITATION N0018923R0009
Complete and return to:
NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Amy Barnes, Code 240.2 Phone: (757) 443-1343 Email: amy.m.barnes14.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 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: | _________________________________ |
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. Was the contractor required to adjust level of effort requirements based on changing customer demands throughout contract performance? If so, what turnaround times were required? How well did the contractor respond to the change requests and were they timely?
b. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?
c. 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.)
Source Selection Information – See FAR 2.101 and 3.104
Enclosure (6)
File details come from the government source that posted it. Updated .