2.02 d Attachment 4_Past_Performance_Report_Form_Amend 03.docx
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- Solicitation number
- N0018926RL004
About this file
This is a Past Performance Report Form for Navy contract N0018926RL004 related to Data-encrypted Autonomous In-situ Subsurface Profiling Systems. The form must be completed and returned to NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Borui Tang, Code 240.1, no later than 11:00 AM EST on 4 March 2026. The form is sent to references or previous customers of a contractor being evaluated for past performance to assess the probability of successful accomplishment of work on future contracts.
The form requests detailed information about the contractor's performance in four primary areas: (1) Quality and Meeting Contract Requirements, including customer satisfaction, rework/deficiency reports, and innovative applications; (2) Quality and Timeliness, addressing schedule adherence and timely submission of reports and invoicing; (3) Contractor Responsiveness, evaluating the contractor's ability to address customer concerns, resolve problems, and control costs; and (4) Additional Observations, requesting assessment of strengths and weaknesses, overall satisfaction with the contract award, awareness of similar contractor efforts, and identification of other relevant points of contact. Respondents must provide information on the specific contract or purchase order being evaluated, including contract amount, type, period of performance, and business address of the requester, as well as complete contact information for the entity completing the questionnaire. The form emphasizes that responses should not be returned to the originating contractor.
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N0018926RL004 - PAST PERFORMANCE REPORT FORM
Complete and return NLT 11:00 AM EST on 4 March 2026 to:
NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Borui Tang, Code 240.1 Phone: (757) 219-2859 Email: borui.z.tang.civ@us.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: | _________________________________ | |
| 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: | _________________________________ |
1. 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?
2. Quality/Timeliness.
a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?
b. Describe the timeliness of submission of requested information, reports and invoicing.
3. 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.)
4. 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.
(If more comment space needed, please attach additional pages.)
File details come from the government source that posted it. Updated .