PAST PERFORMANCE REPORT FORM.docx
DOCX document 24 KB Posted
- Attached to
- NECC/Medical Force Training Federal contract opportunity
- Solicitation number
- N0018923Q0098
About this file
This document is a past performance evaluation form for a contractor providing medical force training services to the Department of the Navy Naval Supply Systems Command. The form requests information on the contractor's ability to recruit and retain qualified personnel, history of meeting contract requirements on time and within budget, responsiveness in addressing customer concerns, and overall performance on the contracted effort. Respondents are asked to provide comments on areas including customer satisfaction, instances of rework, innovative work applications, timeliness in meeting schedules and submitting reports/invoicing, problem resolution efforts, and cost control. Additional fields seek information on the contractor's strengths and weaknesses, overall satisfaction with contract performance, awareness of any similar efforts, and suggestions for additional parties to receive the evaluation form.
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| File | Type | Posted |
|---|---|---|
| PAST PERFORMANCE INFORMATION FORM.docx | DOCX document | |
| X Solicitation N0018923Q0098.pdf |
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Text version
PAST PERFORMANCE REPORT FORM
Solicitation N0018921R0038
Complete and return no later than the closing date of the solicitation to:
Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Renee Turner and Sherell Brown, Code 230.1 Email: renee.turner2@navy.mil and sherell.brown@navy.mil
On behalf of (Requester Information):
Company’s Name:
POC, Title/Position:
Email Address:
Contract/Purchase Order No.:
| Contract Amount: |
| $ |
Contract Type:
| Period of Performance: |
| Click or tap to enter a date. – Click or tap to enter a date. |
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 resulting from the solicitation.
Completed by:
Command/Company’s Name:
POC, Title/Position:
Email Address
Business Address:
Phone Number:
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. Provide additional comments if necessary.
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2. Retention: The offeror’s demonstrated ability to maintain a stable workforce.
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3. Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.
a. How would you describe your level of customer satisfaction?
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b. Were there instances of rework and/or deficiency reports? (If yes, explain)
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c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?
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Timeliness:
1. Did the Contractor meet/comply with performance schedules?
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a. Rate the timeliness of submission of requested information, reports and invoicing.
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Responsiveness:
1. Describe the offeror’s demonstrated ability to respond to customer concerns
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2. Describe the offeror’s efforts to isolate and resolve problems and take systematic improvement action. Please include:
· the number and severity of problems
· the effectiveness of corrective actions taken.
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3. 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.)
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Additional Observations/Information:
a. Identify the contractor's overall strengths and weaknesses.
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b. 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?
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c. 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.
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d. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.
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(If more comment space needed, please attach additional pages.)
Source Selection Information—See FAR 2.101 and FAR 3.104
File details come from the government source that posted it. Updated .