PAST_PERFORMANCE_REPORT_FORM.docx

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Attached to
Human Resources Management Training Federal contract opportunity
Solicitation number
N0018918Q0569
Issued by
Department of the Navy Naval Supply Systems Command

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PAST PERFORMANCE REPORT FORM

Solicitation N0018918Q0569

Complete and return NLT DUE DATE OF SOLICITATION to:

Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Chelsey Crawford, Code 240.1 Phone: (757) 443-1416 Email: chelsey.crawford@navy.mil

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 U.S. Naval Supply System (NAVSUP) Fleet Logistics Center Norfolk (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. Please provide narrative descriptions of quality of the vendor’s performance in the areas described in the areas described.

Completed by :

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

PAST PERFORMANCE QUALITY RATING TABLE

Quality:

1. Recruiting: The offeror’s demonstrated ability to recruit personnel with the skill sets, qualifications/certifications, experience and security clearance required of the contract.

2. Retention: The offeror’s demonstrated ability to maintain a stable workforce.

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

4. Quality/Contractor Responsiveness.

a. Did contractor effectively and efficiently manage the contract? Did contractor provide appropriate level of customer service?

5. Additional Observations/Information

a. Identify significant contractor strengths and/or weaknesses.

b. Given hindsight, would you be pleased to have this contractor perform work for you again?

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

Source Selection Information – See FAR 2.101 and 3.104

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