ATTACH_3_Past_Perform_Report_Form.docx

Attachment 3

PAST PERFORMANCE REPORT FORM

United States Naval Academy, Annapolis, MD Solicitation N0018918Q0129

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO NAVSUP FLC NORFOLK

(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 (FLC) Norfolk to evaluate the below mentioned 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 above-mentioned solicitation.

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 or e-mail your completed questionnaire directly to the address below:

NAVSUP FLC Norfolk Contracting Department, Attn: Elysia Allen, Code 245.1 1968 Gilbert Street Suite 600 Norfolk, VA 23511-3392 Phone: (757) 443-1386 Email: elysia.allen@navy.mil

Completed by:

On behalf of:

1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

0. How would you describe your level of customer satisfaction?

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

0. Did the contractor engage in effective and/or innovative work applications that were beneficial to your organization?

1. Quality/Timeliness.

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

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

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

1. respond to customer concerns

1. isolate and resolve problems

· the number and severity of problems

· the effectiveness of corrective actions taken.

1. 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.).

1. Additional Observations/Information

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

1. 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?

1. 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.

1. Is there anyone else to whom we should send this questionnaire? Please identify by name, organization, e-mail address, and phone number.

(If more comment space needed, please attach additional pages.)

Source Selection Information—See FAR 2.101 and FAR 3.104