Attachment 5 Past Performance Report Form.docx

DOCX document 46 KB Posted

Attached to
R425 - Aviation Warfare Analytical Operational Test and Evaluation Support Services
Solicitation number
N0018926RW014
Issued by

About this file

This is a Past Performance Report Form template used by NAVSUP Fleet Logistics Center Norfolk (FLCN) to evaluate contractor performance on previous contracts as part of the source selection process for Solicitation N0018926RW014 (R425 - Aviation Warfare Analytical Operational Test and Evaluation Support Services). The form requests completion by government agencies or companies that have previously worked with the contractor being evaluated.

The form is organized into five evaluation categories: Quality (assessing recruiting ability, workforce retention, and contract requirement fulfillment including customer satisfaction, rework instances, and innovative contributions); Timeliness (evaluating schedule compliance and submission timeliness of reports and invoicing); Responsiveness (examining responsiveness to customer concerns, problem resolution effectiveness, and cost control performance); and Additional Observations (requesting identification of contractor strengths and weaknesses, overall satisfaction with the award, likelihood of future engagement, awareness of similar contracted efforts, and referrals to other relevant points of contact). Completed forms should be returned to Nicholas Stewart, Code 233.1, at NAVSUP FLCN Contracting Department no later than the solicitation due date. The form explicitly instructs that responses should not be returned to the contractor who originated the request, as responses constitute source selection information protected under FAR 2.101 and 3.104.

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Text version

Solicitation N0018926RW014

PAST PERFORMANCE REPORT FORM

Complete and return NLT the due date of the solicitation to:

NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Nicholas Stewart, Code 233.1 Phone: (757) 443-1295 Email: nicholas.t.stewart2.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.

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)

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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?

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.

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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.

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 .