Attachment_3_-_Past_Performance_Report_Form.doc

H92240-15-R-5007

Attachment III

PAST PERFORMANCE REPORT FORM

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO NAVAL SPECIAL WARFARE COMMAND

(PLEASE DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST)

The completion of this questionnaire is requested from (enter name of Contractor being assessed) in order for the Naval Special Warfare Command to evaluate the aforementioned contractor’s past performance on previous contracts as it relates to the probability of successful accomplishment of the work required by the Government relative to the award of the contract resulting from the solicitation.

Please enter your contact information below:

Name of Person completing questionnaire:

POC/Title/Position:

Email address:

Please provide concise comments regarding your overall assessment of the contractor’s performance on the contract identified below. Please respond to each question in a narrative format. Please mail, fax, or e-mail your completed questionnaire directly to the address below:

Naval Special Warfare Command Contracting Department

Attn: Lisa King 3632 Guadalcanal Road San Diego, CA 92155 Phone: (619) 537-3353 Email: lisa.king@navsoc.socom.mil Company Info Name of Company being assessed/evaluated: _________________________________

POC at Company: ________________________________

Email Address: ___________________________________

Contract/Purchase Order No._______________________

Contract Amount: _________________________________

Contract Type: ___________________________________

Period of Performance: ____________________________

Business Address____________________________________________________

Phone Number __________________

1. Quality:

(i) Describe satisfaction with the Offeror

(ii) Describe instances of rework and/or deficiency reports

(iii) Describe effective and/or innovative work applications that were beneficial to you

2. Timeliness:

(i) Describe offorors demonstrated ability to comply with: delivery and/or performance schedules. What were the causes of any delay?

(ii) Describe timeliness of submission of requested information, reports, and invoicing

3. Responsiveness:

(i) Describe Offeror’s demonstrated ability to respond to your concerns.

(ii) Describe Offeror’s efforts to isolate and resolve problems and take systemic improvement action.

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

E. Given the choice, would you award to this contractor again?

F. 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.

G. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.