PPI_Forms_and_TDL_Templates.docx

PAST PERFORMANCE INFORMATION FORM

Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address (PLEASE VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed) (Show the period of performance and dollars for that period) (*At least 1 year of performance must have been completed prior to the closing date of the solicitation):

Number of personnel (FTE) performing per year (avg.):

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Scope:

Magnitude:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

PAST PERFORMANCE INFORMATION REPORT FORM

Solicitation N00189-18-Q-G118

Complete and return NLT the solicitation closing date to:

Fleet Logistics Center Norfolk (FLCN) Groton Office Contracting Department, Attn: Larissa Benoit, Code 245.2 Email: larissa.benoit@navy.mil

On behalf of :

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.

Completed by :

PAST PERFORMANCE QUALITY RATING TABLE

Quality:

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 the Government?

1. Quality/Timeliness.

1. Did the Contractor meet/comply with performance schedules?

1. Rate 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 we should send this questionnaire to? Please identify by name, organization, and phone number.

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

Contract No. N00189-18-P-XXXX

PM TDL #

Mr./Ms. <Insert Contractor Point of Contact> <Insert Contractor Name> <Insert Contractor Street Address> <Insert Contractor City, State, Zip Code>

Dear Mr./Ms. <Insert Name>:

Pursuant to Contract N00189-18-P-XXXX, NAVSUP Clause SUPTXT 5252.242-9402, entitled Technical Direction (Jan 1992), NAVSUPINST 4205.3E, Naval Station Newport, Port Operations hereby issues the following:

Preventative Maintenance Technical Direction Letter<Insert No.>, Contract Task Order No. <Insert No.> for preventative maintenance of Oil Spill Response (OSR) boats and trailers. Each PM TDL issued hereunder is subject to the terms and conditions of this contract. The boat identification numbers for boats covered by this contract and PM TDL are:

a. This technical PM TDL shall become effective upon acceptance by <Insert Contractor Name> as set forth on the final page of this document. The product shall be delivered by the Days After TDL listed in the contract. Transportation cost that was established at time of award shall be included in the PM TDL total cost.

b. The contractor shall perform the following task issued under the following Performance Work Statement (PWS) paragraph(s): <Insert applicable CLIN, PWS paragraph(s), description, and Days After TDL in accordance with the contract.

c. The period of performance for this technical direction letter shall be from the effective date of this technical direction through <Insert date>. Only efforts to accomplish this technical direction and incurred during this period of performance shall be reimbursed hereunder.

d. Location of performance for this PM TDL shall be at <Insert location>.

e. Estimated Cost/Level of Effort: <Note: Insert applicable information from the following tables, depending on contract type:

CLIN 0001

CLIN 0002

Total

f. The cost of performance of this technical direction shall not exceed $<Insert amount>, including all labor, material and support.

g. The following line of accounting data is applicable to this technical direction:

<Insert line of accounting>

Should the contractor believe that (i) this technical direction is outside the contractual requirements set forth in the PWS of subject contract and/or (ii) it will be unable to perform the technical direction within the above cited not-to-exceed amount and/or period of performance, it shall not proceed with this technical direction but shall, not later than <Insert no.> days from the date of this letter, notify the undersigned in writing. Such written notification shall specify reason(s) for such belief.

If during the course of performance of this technical direction, the contractor becomes aware that complete performance of this technical direction will not be accomplished within the above cited not-to-exceed amount and/or period of performance, the contractor shall immediately notify the undersigned in writing. This notification shall include an estimate of the revised total amount to complete the technical direction and/or the revised period of performance. In any event, the Government shall not be liable to reimburse the contractor for any amount over the above cited not-to-exceed amount unless and until <Insert contracting officer name has authorized, in writing, the additional expenditure.

The contractor is required to indicate his acceptance of this technical direction as set forth above by having an authorized company official sign in the space provided below and returning a duly executed copy to the Contracting Officer’s Representative, with a copy to the Contracting Officer at the following addresses:

Contracting Officer Representative (COR)

Clifford Unruh CNRMA Port Ops SUBASE New London 860-694-3756

Contracting Officer

Joel Dimaapi NAVSUP Fleet Logistics Center Norfolk Groton Office Code 245.2 Box 500, Bldg 84/2 Groton, CT 06349 860-694-2805

ACCEPTED

Contract No. N00189-18-P-XXXX

Repair TDL #

Mr./Ms. <Insert Contractor Point of Contact> <Insert Contractor Name> <Insert Contractor Street Address> <Insert Contractor City, State, Zip Code>

Dear Mr./Ms. <Insert Name>:

Pursuant to Contract N00189-18-P-XXXX, NAVSUP Clause SUPTXT 5252.242-9402, entitled Technical Direction (Jan 1992), NAVSUPINST 4205.3E, Naval Station Newport, Port Operations hereby issues the following:

Repair Technical Direction Letter<Insert No.>, Contract Task Order No. <Insert No.> for repairs of Oil Spill Response (OSR) boats and trailers. Each Repair TDL issued hereunder is subject to the terms and conditions of this contract. The boat identification numbers for boats covered by this contract and PM TDL are:

a. This Repair TDL shall become effective upon acceptance by <Insert Contractor Name> as set forth on the final page of this document. The product shall be delivered by the Days After TDL listed in the contract. Transportation cost that was established at time of award shall be included in the PM TDL total cost.

b. The contractor shall perform the following task issued under the following Performance Work Statement (PWS) paragraph(s): <Insert applicable CLIN, PWS paragraph(s), description, and Days After TDL in accordance with the contract.

c. The period of performance for this technical direction letter shall be from the effective date of this technical direction through <Insert date>. Only efforts to accomplish this technical direction and incurred during this period of performance shall be reimbursed hereunder.

d. Location of performance for this Repair TDL shall be at <Insert location>.

e. Estimated Cost/Level of Effort: <Note: Insert applicable information from the following tables, depending on contract type:

Total

|_| Market research was conducted resulting in the following:

In accordance with the definition presented in the Federal Acquisition Regulation (FAR) Part 2 for commercial item, it was determined that the parts/materials listed above is a type that is customarily used by non-governmental entities for purposed other than governmental, and has been offered for sale and sold to the general public.

The COR received the Repair TDL along with the required parts and materials listed for the associated repairs. The COR conducted market research of the commercial marketplace, historical data and published catalogs to determine the quoted parts and materials as fair and reasonable.

I have determined the prices to be fair and reasonable based upon:

See summary of invoice received for repairs. The PCO has determined the contractor’s total quoted price for labor, parts and material as fair and reasonable based upon the price analysis below:

|_| Commercial Catalog or Published Price List Manufacturer/vendor name:

Catalog/List title or number: Effective date(s):

Page number(s):

|_| Established Market Price or Prices Set by Law/Regulation The quoted price is the same as the established market price or the prices set by law or regulation as verified by:

|_| Historical Comparison for the same or similar items:

Prior Contractor:

Invoice Number No: Date Purchased:

Quantity and Unit of Issue:

Unit Price Previously Paid:

Basis for determining prior price reasonable:

If the item(s) are not identical, explain why the comparison is considered valid:

|_| Other Price Analysis or Comments: In an effort to further determine the total quoted price as fair and reasonable, the COR conducted market research to identify publically available pricing of the same or similar types of parts and materials. The table below shows the quoted unit price for each required part/material compared to the same or similar type parts/materilas identified during market research. See table below for results:

Based upon the price analysis techniques utilized above, the COR has determined the contractor’s total quoted price as fair and reasonable.

f. The cost of performance of this technical direction shall not exceed $<Insert amount>, including all labor, material and support.

g. The following line of accounting data is applicable to this technical direction:

<Insert line of accounting>

Should the contractor believe that (i) this technical direction is outside the contractual requirements set forth in the PWS of subject contract and/or (ii) it will be unable to perform the technical direction within the above cited not-to-exceed amount and/or period of performance, it shall not proceed with this technical direction but shall, not later than <Insert no.> days from the date of this letter, notify the undersigned in writing. Such written notification shall specify reason(s) for such belief.

If during the course of performance of this technical direction, the contractor becomes aware that complete performance of this technical direction will not be accomplished within the above cited not-to-exceed amount and/or period of performance, the contractor shall immediately notify the undersigned in writing. This notification shall include an estimate of the revised total amount to complete the technical direction and/or the revised period of performance. In any event, the Government shall not be liable to reimburse the contractor for any amount over the above cited not-to-exceed amount unless and until <Insert contracting officer name> has authorized, in writing, the additional expenditure.

The contractor is required to indicate his acceptance of this technical direction as set forth above by having an authorized company official sign in the space provided below and returning a duly executed copy to the Contracting Officer’s Representative, with a copy to the Contracting Officer at the following addresses:

Contracting Officer Representative (COR)

Clifford Unruh CNRMA Port Ops SUBASE New London 860-694-3756

Contracting Officer

Joel Dimaapi NAVSUP Fleet Logistics Center Norfolk Groton Office Code 245.2 Box 500, Bldg 84/2 Groton, CT 06349 860-694-2805

ACCEPTED

For repairs greater than $2500.00

Attachment 1