2.02 - Attachment III_Past Performance Report Form.docx

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Attached to
J059 - Shore Equipment Installation and Maintenance Management Program (SEIMMP)
Solicitation number
N0018926R0001
Issued by

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This document is a Past Performance Report Form for Solicitation N0018926R0001 issued by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk. The form is designed to evaluate a contractor's past performance for the Shore Equipment Installation and Maintenance Management Program (SEIMMP), focusing on key performance areas including recruiting, workforce retention, quality of work, timeliness, responsiveness, and cost control.

The comprehensive questionnaire requires detailed feedback from previous contracting agencies, covering aspects such as personnel recruitment, workforce stability, contract compliance, customer satisfaction, problem resolution, and overall contract performance. The form seeks to gather insights that will help assess the contractor's capability to successfully execute future work, with specific emphasis on technical competence, reliability, and effectiveness in delivering engineering, installation, and maintenance services for electronic systems and IT infrastructure supporting Fleet Cyber Command/Commander U.S. 10th Fleet.

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PAST PERFORMANCE REPORT FORM

Solicitation N0018926R0001

Complete and return NLT DUE DATE OF SOLICITATION to:

Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Mr. Ethan Othersen Phone: 771-229-3607 Email: ethan.t.othersen.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 QUALITY QUESTIONNAIRE

Quality:

1. Recruiting: How would you describe 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.

2. Retention: Describe 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.

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

b. Were there instances of rework and/or deficiency reports? (If yes, explain)

c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?

4. Quality/Timeliness.

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

b. Rate the timeliness of submission of requested information, reports and invoicing.

5. Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:

a. respond to customer concerns

b. isolate and resolve problems

· the number and severity of problems

· the effectiveness of corrective actions taken.

c. 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.)

6. Additional Observations/Information

a. Identify the contractor's overall strengths and weaknesses.

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?

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.

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

Source Selection Information – See FAR 2.101 and 3.104

File details come from the government source that posted it. Updated .