PPI_PPI_Report_Form.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-G229

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.)

Attachment 1