Past Performance Report Form Rev.pdf
PDF 706 KB Posted
- Attached to
- 7 Separate Sites Phone Services
- Solicitation number
- N0018926RL014
About this file
This is a Past Performance Report Form used by the U.S. Naval Supply System Fleet Logistics Center Norfolk (FLCN) to evaluate contractor performance on previous contracts. The form is completed by past customers or contracting officers and submitted to the FLCN Contracting Department, Attn: James Keegan (james.p.keegan7.civ@us.navy.mil, 757-536-1126) no later than the solicitation due date. The form applies to two solicitations: N0018926RL014 and N0018925Q0160.
The form requests information organized into several evaluation categories: Quality (recruiting ability, workforce retention, meeting contract requirements, customer satisfaction, rework/deficiency reports, and innovative work applications); Timeliness (adherence to performance schedules and timely submission of reports and invoices); Responsiveness (ability to respond to customer concerns and resolve problems with corrective actions); and Cost Control (whether delivery occurred at agreed-to pricing and explanation of any contract value changes). Additional sections request identification of contractor strengths and weaknesses, overall satisfaction with the award decision and likelihood of future engagement, awareness of similar contracted efforts, and referrals to other points of contact. The form includes fields for contractor information, contracting officer information, contract details, and period of performance. Respondents are instructed not to return the completed form to the contractor who originated the request.
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Text version
Source Selection Information – See FAR 2.101 and 3.104
Solicitation N0018926RL014
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation to:
Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: James Keegan C215.1 Phone: (757) 536-1126 Email: james.p.keegan7.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: 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:
Solicitation N0018925Q0160
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.
Click or tap here to enter text.
2. Retention: The offeror’s demonstrated ability to maintain a stable workforce.
Click or tap here to enter text.
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?
Click or tap here to enter text.
b. Were there instances of rework and/or deficiency reports? (If yes, explain)
Click or tap here to enter text.
c. Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?
Click or tap here to enter text.
Timeliness:
1. Did the Contractor meet/comply with performance schedules?
Click or tap here to enter text.
a. Rate the timeliness of submission of requested information, reports and invoicing.
Click or tap here to enter text.
Responsiveness:
1. Describe the offeror’s demonstrated ability to respond to customer concerns
Click or tap here to enter text.
Solicitation N0018925Q0160
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.
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.)
Additional Observations/Information:
1. Identify the contractor's overall strengths and weaknesses.
2. 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?
3. 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.
4. 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.)
| Companys Name: |
| POC TitlePosition: |
| Email Address: |
| ContractPurchase Order No: |
| undefined: |
| Contract Type: |
| undefined_2: |
| Phone Number: |
| CommandCompanys Name: |
| POC TitlePosition_2: |
| Email Address_2: |
| undefined_3: |
| Phone Number_2: |
File details come from the government source that posted it. Updated .