Attachment I - Past Performance Report Form.docx
DOCX document 42 KB Posted
- Attached to
- MARRIAGE ENRICHMENT RETREAT (New England)
- Solicitation number
- N0018926QW0173
About this file
This is a Past Performance Report Form template designed for evaluating contractor performance on previous contracts. The form is to be completed and returned to the Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Marvin Branch (757-443-1295, marvin.t.branch2.civ@us.navy.mil), no later than the solicitation due date. The form requests information from government agencies or companies that have previously contracted with an offeror to assess the contractor's capability to successfully execute work on a new contract.
The form evaluates performance across four primary categories: Quality (recruiting ability, workforce retention, contract requirement delivery, customer satisfaction, rework/deficiency instances, and innovative work applications); Timeliness (schedule compliance and submission timeliness); Responsiveness (ability to address customer concerns, problem resolution, and cost control); and Additional Observations (contractor strengths/weaknesses, overall satisfaction with prior performance, awareness of similar contracted efforts, and additional references). Respondents provide narrative assessments and ratings on each criterion, with space for detailed comments and supporting documentation. The form explicitly notes that responses constitute Source Selection Information and should not be returned to the contractor who originated the request.
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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: Marvin Branch, Code 233.1 Phone: 757-443-1295 Email: marvin.t.branch2.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 .