PAST PERFORMANCE INFORMATION REPORT FORM.docx

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HOGAN INSIGHT REPORT BUNDLE ASSESSMENTS
Solicitation number
N0018927QW011
Issued by

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This is a Past Performance Information Report Form used by the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk (FLCN) to evaluate contractor performance on previous contracts as part of the evaluation process for Solicitation N0018927QW011.

The form is to be completed by customers and government agencies who have worked with the contractor being evaluated and returned directly to the Contract Specialist, Kelly Polson (kelly.l.polson.civ@us.navy.mil), no later than the solicitation closing date. The form requests information about a specific contract or purchase order, including the contractor's name, point of contact, contract number, contract amount, contract type, period of performance, and business address. The questionnaire assesses past performance across multiple quality dimensions: meeting contract requirements and customer satisfaction, timeliness of performance schedules and submission of reports, contractor responsiveness to concerns and problem resolution, cost control and adherence to agreed pricing, and overall strengths and weaknesses. Respondents are asked to provide narrative comments addressing rework instances, innovative applications, schedule compliance, corrective actions, cost overruns or underruns, and whether they would recommend the contractor for future work. The form also requests information about similar contracted efforts performed by the contractor and identifies other points of contact who should receive the questionnaire. Responses inform the Government's evaluation of the contractor's probability of successfully accomplishing the work required under the award of the contract.

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PAST PERFORMANCE INFORMATION REPORT FORM (To be filled by customers and sent directly to the Contract Specialist) Solicitation N0018927QW011

Complete and return NLT the solicitation closing date to:

Fleet Logistics Center Norfolk (FLCN) Regional Directorate, Attn: Kelly Polson, Code 231.2 Email kelly.l.polson.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 RATING TABLE

Quality:

1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

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

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

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

1. Quality/Timeliness.

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

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

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

1. respond to customer concerns

1. isolate and resolve problems

· the number and severity of problems

· the effectiveness of corrective actions taken.

1. 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.)

1. Additional Observations/Information

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

1. 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?

1. 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.

1. 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 .