PAST PERFORMANCE REPORT FORM.docx

PAST PERFORMANCE REPORT FORM

Complete and return by closing date of SOLICITATION to:

Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Caitlin King, Code 220 Phone: (757) 443-1324 Email: caitlin.d.king2.civ@us.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.

Completed by :

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

PAST PERFORMANCE QUESTIONAIRRE:

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

2. Did the Contractor successfully manage schedules and requirements?

3. Was Contractor management responsive when issues/concerns were raised?

4. Can you identify any noteworthy strengths and/or weaknesses?

5. Given hindsight, are you satisfied that the contract was awarded to this contractor?

6. Would you be pleased to have this contractor perform work for you again?

7. Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.