ATTACHMENT_III_-_PAST_PERFORMANCE_INFORMATION_REPORT_FORM_LEAD_-_Revised_II.docx
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- Solicitation number
- N42158-19-Q-S001
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Revision II of Attachment III
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| File | Type | Posted |
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| Solicitation_N42158-19-Q-S001_-_0004_-_Amendment_4.pdf | ||
| Solicitation_N42158-19-Q-S001_-_0001_-_Amendment_3.pdf | ||
| ATTACHMENT_VII__DD254.pdf | ||
| ATTACHMENT_III_-_PAST_PERFORMANCE_INFORMATION_REPORT_FORM_LEAD_-_Revised.docx | DOCX document | |
| N42158-19-R-S001_-_0001_-_Amendment_2.docx | DOCX document | |
| N42158-19-R-S001_-_0001_-_Amendment_1.docx | DOCX document | |
| ATTACHMENT_II_-_PAST_PERFORMANCE_INFORMATION_FORM_LEAD.docx | DOCX document | |
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| Solicitation_N42158-19-Q-S001_Sol.pdf | ||
| ATTACHMENT_VI_-_SECURITY_REQUIREMENT_LETTER_-_NNPICO.docx | DOCX document | |
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ATT III
PAST PERFORMANCE REPORT FORM
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FEDERAL ACQUISITION REGULATIONS 3.104 Complete and return:
Norfolk Naval Shipyard Contracting Department, Attn: Bryan Butler, Code 451 Phone: (757) 396-0587 Email: bryan.j.butler01@gmail.com
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 Norfolk Naval Shipyard 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: | _________________________________ |
Please provide a brief description of the contract / project requirements.
1. Quality/Meeting Contract Requirements: Using the Quality / Performance Scale, please indicate the Quoter’s performance below.
Quality / Performance Scale
| Excellent |
| The contractor’s performance meets contractual requirements and exceeds many (requirements) to the customer’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| The contractor’s performance meets contractual requirements and exceeds some (requirements) to the customer’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Good |
| The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Fair |
| Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Poor |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| N/A |
| Unable to provide a rating. |
Please BOLD or HIGHLIGHT your rating of the Quoter’s performance in:
a) Overall Technical Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
b) Quality of work
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
c) Schedule Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
d) Cost Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
e) Overall Contract / Project Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
f) Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? |_|Yes |_|No
g) Would your Technical POC use your company again? |_|Yes |_|No
2. 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.)
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
Norfolk Naval Shipyard Contracting Department, Attn: Bryan Butler, Code 451 Phone: (757) 396-0587 Email: bryan.j.butler01@gmail.com
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