Attachment VI - Past Performance Report Form.docx

DOCX document 19 KB Posted

Attached to
J019 - SMALL CRAFT MAINTENANCE AND UPGRADE SUPPORT SERVICES
Solicitation number
N0018925R0011
Issued by

About this file

The document is a Past Performance Report Form used by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center (FLC) Norfolk Contracting Department to evaluate a contractor's performance history. The form is designed to comprehensively assess a contractor's performance across four key dimensions: quality of contract requirements, timeliness, responsiveness, and overall performance.

The form requires detailed feedback from the government agency or client, requesting information on customer satisfaction, instances of rework, schedule adherence, problem resolution, cost control, and the contractor's strengths and weaknesses. Specific areas of evaluation include the contractor's ability to meet contract requirements, deliver on schedule, respond to concerns, resolve problems effectively, and maintain cost control. The form also seeks a recommendation on whether the agency would be willing to work with the contractor again and asks for additional contextual information about the contractor's performance.

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Other files

File Type Posted
RFP N0018925R00110001.pdf PDF
Attachment II (Specification Sheet).docx DOCX document
Request for Proposal (RFP) N0018925R0011.docx DOCX document
Attachment I (List of Equipment).docx DOCX document
Attachment III - Price List.xlsx XLSX spreadsheet
Attachment V - Past Performance Information Form.docx DOCX document

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PAST PERFORMANCE REPORT FORM

On behalf of (Requester Information):

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 System (NAVSUP) Fleet Logistics Center (FLC) Norfolk Contracting Department, Fleet Directorate 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.

Completed by : ____________________________

Command/Company’s Name:_________________________________
POC/Title/Position:_________________________________
Email Address:_________________________________
Address:_________________________________
_________________________________
_________________________________
Phone Number:_________________________________

1. Quality/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?

b. Were there instances of rework and/or deficiency reports? (If yes, explain)

c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?

2. Quality/Timeliness.

a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

b. Describe the timeliness of submission of requested information, reports and invoicing.

3. Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:

a. respond to customer concerns

b. isolate and resolve problems

· The number and severity of problems

· The effectiveness of corrective actions taken.

c. 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.)

4. Additional Observations/Information

a. Identify the contractor's overall strengths and weaknesses.

b. 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?

c. 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.

d. 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.)

File details come from the government source that posted it. Updated .