Attachment I - Past Performance Report Form.docx

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Attached to
United States Naval Observatory- Precise Time and Astronomy Functional Area Workflow Manager
Solicitation number
N0018927RL002
Issued by

About this file

This is a Past Performance Report Form used to evaluate contractor performance on previous contracts relevant to the solicitation N00189267RL002 issued by NAVSUP Fleet Logistics Center Norfolk. The form is completed by organizations or companies that have previously contracted with or received services from the offeror being evaluated, with responses submitted to the contracting officers Cody Witz or Dr. Antonio Smith no later than the solicitation due date. Contractors must provide information about the company being evaluated, including contract/purchase order number, contract amount, contract type, period of performance, and business address, along with contact information for the person completing the form.

The questionnaire assesses six primary performance areas: recruiting capabilities for personnel with required skill sets and security clearances; workforce retention and stability; quality of delivered products and services relative to contract requirements, customer satisfaction, and instances of rework or deficiencies; timeliness in meeting performance schedules and submitting reports and invoicing; contractor responsiveness to customer concerns and problem resolution; and cost control performance against agreed-upon pricing. Respondents are also asked to identify the contractor's overall strengths and weaknesses, provide overall satisfaction with the contract award, assess willingness for future engagement, identify similar contracted efforts, and recommend other points of contact for evaluation. The form constitutes source selection information subject to FAR 2.101 and 3.104 and should not be returned to the originating contractor.

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Text version

PAST PERFORMANCE REPORT FORM

Solicitation: N00189267RL002

Complete and return NLT DUE DATE OF SOLICITATION to:

NAVSUP Fleet Logistics Center Norfolk (FLCN) Norfolk Fleet Directorate Contracting Department Cody Witz: cody.s.witz.civ@us.navy.mil / Phone: (757)-443-1334 Dr. Antonio Smith: antonio.o.smith2.civ@us.navy.mil / Phone (564) 230-2884

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 .