ATTACHMENT_III_-_PAST_PERFORMANCE_INFORMATION_REPORT_FORM_LEAD.docx
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N00189-17-T-0027
ATT III
PAST PERFORMANCE REPORT FORM
Complete and return NLT 5PM ET on 03 February 2017 to:
NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Thomas Armstrong, Code 240.1 Phone: (757) 443-3115 Email: thomas.armstrong@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 Quoter’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.
a. Were instructors well-prepared and engaging?
b. Did the students learn what management expected them to learn?
c. Were course materials professional and logically presented?
2. Support.
a. Was course/were courses updated as needed?
b. Were reports, if required, accurate and provided on time?
3. Additional Observations/Information
a. Identify any strengths and/or weaknesses noted.
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?
c. 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.)
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