Attachment IX PAST PERFORMANCE REPORT FORM.docx
DOCX document 46 KB Posted
- Attached to
- Niscemi MUOS SATCOM
- Solicitation number
- N6817126QN044
About this file
This is a Past Performance Report Form template used by Fleet Logistics Center Singapore (FLCSI) to evaluate contractor performance on previous contracts relevant to the Niscemi MUOS SATCOM solicitation (N6817126QN044). The form is completed by government agencies or companies that have previously contracted with a vendor and should be returned to the FLCSI Contracting Department, Attn: Benjamin Bethel (Code 200), no later than the solicitation due date. Responses should be submitted to david.a.biggs20.civ@us.navy.mil and benjamin.m.bethel.civ@us.navy.mil.
The form evaluates contractor performance across four primary categories: Quality (recruiting ability, workforce retention, and contract requirements delivery); Timeliness (performance schedule compliance and submission timeliness); Responsiveness (customer concern response, problem resolution, and cost control); and Additional Observations (overall strengths/weaknesses, contract award satisfaction, similar contracted efforts, and referrals for additional references). Each section includes specific questions requiring narrative responses regarding customer satisfaction, rework instances, innovative applications, schedule adherence, cost management, and corrective actions taken. The form is intended to support source selection decisions and assess the probability of successful contract performance. This is a template document without specific solicitation details, pricing information, or response deadlines beyond the standard solicitation due date.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachement 2 CAP FFP.doc | DOC document | |
| Solicitation - N6817126QN044.pdf | ||
| Quality Assurance Surveillance PlanV1.docx | DOCX document | |
| dd0254_Niscemi_ MUOS_Recompete_FY27 Draft Signed by N00SM.pdf | ||
| Attachment 3 Past Performance Information Form.docx | DOCX document | |
| CDRL package for Aguada PWSV2.docx | DOCX document | |
| ContractorDiscrepancyReport.pdf | ||
| Attachement 8 NDA template.docx | DOCX document |
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Text version
Solicitation N68171-##-X-####
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation to:
Fleet Logistics Center Naples (FLCSI) Contracting Department Attn: Benjamin Bethel, Code 200 Phone: 3146264103 Email: david.a.biggs20.civ@us.navy.mil & benjamin.m.bethel.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 Naples (FLCSI) 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 .