Attachment 5 - Past Performance Report Form.docx
DOCX document 32 KB Posted
- Solicitation number
- N0018926RW008
About this file
This is a Past Performance Report Form template designed for use by the Fleet Logistics Center Norfolk (FLCN) Contracting Department to evaluate contractor performance on previous contracts. The form is to be completed by Government representatives or customer organizations who have direct experience with the contractor's work and returned to FLCN Contracting via email to amber.v.bradley.civ@us.navy.mil no later than the solicitation due date. The form is used to assess the contractor's probability of successfully accomplishing work on the solicitation for Undersea Warfare Analytical Operational Test and Evaluation Support Services (Solicitation N0018926RW008).
The questionnaire evaluates contractor performance across multiple dimensions: recruitment and retention capabilities, meeting contract requirements including customer satisfaction and rework history, timeliness in meeting schedules and submitting deliverables, responsiveness to customer concerns and problem resolution, and cost control. Respondents provide narrative comments on the contractor's strengths and weaknesses, overall satisfaction with the contractor's performance, likelihood of future engagement, awareness of similar contracted efforts, and recommendations for additional references. The form requests basic contract information including contract number, amount, type, and period of performance from both the contractor being evaluated and the organization completing the assessment.
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Text version
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation to:
Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Amber Bradley, Code 233 Phone: 1 771-229-3567 Email: amber.v.bradley.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, experience and security clearance 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.
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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?
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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 offeror’s demonstrated ability to respond to customer concerns
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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.
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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 .