Attachment IX Past Performance Report Form.pdf
PDF 503 KB Posted
- Attached to
- Reasonable Accommodation Support Services
- Solicitation number
- N0018926QW012
About this file
This is a Past Performance Report Form for solicitation N0018925RR019 issued by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk (FLCN) Regional Directorate Contracting Department. The form is a template designed to solicit feedback from past customers or contracting officers regarding a contractor's performance on previous contracts. Responses must be completed and returned to Jessica Thompson and Aaron Martin (jessica.a.thompson58.civ@us.navy.mil; aaron.b.martin12.civ@us.navy.mil) no later than the solicitation closing date.
The form evaluates contractor performance across four primary categories: Quality (including recruiting ability, workforce retention, contract requirement fulfillment, customer satisfaction, rework/deficiency instances, and innovative applications), Timeliness (schedule compliance and submission timeliness), Responsiveness (customer concern response, problem isolation and resolution, and cost control), and Additional Observations (overall strengths and weaknesses, contract award satisfaction, awareness of similar contracted efforts, and referrals to other relevant contacts). Respondents provide information about the contractor being evaluated, their organization, and detailed narrative responses addressing each performance criterion. The form explicitly instructs recipients not to return the completed questionnaire to the originating contractor and permits attachment of additional pages if needed for expanded comments.
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Text version
Source Selection Information – See FAR 2.101 and 3.104
PAST PERFORMANCE REPORT FORM
Solicitation N0018925RR019
Complete and return no later than the closing date of the solicitation to:
Fleet Logistics Center Norfolk (FLCN) Regional Directorate Contracting Department Attn.: Jessica Thompson and Aaron Martin
Email: jessica.a.thompson58.civ@us.navy.mil; aaron.b.martin12.civ@us.navy.mil
Completed on behalf of:
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 Naval Supply Systems Command (NAVSUP) 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 or certifications, experience, and security clearance required of the contract. Provide additional comments if necessary.
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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.)
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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 to whom we should send this questionnaire? Please identify by name, organization, and phone number.
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(If more comment space needed, please attach additional pages.)
File details come from the government source that posted it. Updated .