Past_Performance_Report_Form.docx

PAST PERFORMANCE REPORT FORM

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO THE NAVSUP FLEET LOGISTICS CENTER NORFOLK; NORFOLK, VA

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

A. The completion of this questionnaire is requested from your agency/company in order for the NAVSUP Fleet Logistics Center Norfolk to evaluate the aforementioned Offeror’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 provide detailed comments regarding your overall assessment of the Offeror’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:

NAVSUP Fleet Logistics Center Norfolk Contracting Department, Attn: Michelle Amore, 245.1 Mail and Material Processing Center 9550 Decatur Ave.

Norfolk, VA 23511-3328 Phone: (757) 443-1384 Fax: (757) 443-1333/443-1376 Email: michelle.amore@navy.mil

Company's Name: ____________________________________________________ POC/Title/Position: ___________________________________________________ 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 Offeror 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 the 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 Offeror's overall strengths and weaknesses.

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

F. Are you aware of any other contracted efforts performed by this Offeror 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.