Attachment IX PAST PERFORMANCE REPORT FORM.docx
DOCX document 46 KB Posted
- Attached to
- SATCOM O&M LAGO PATRIA
- Solicitation number
- N6817126RN004
About this file
This file is a Past Performance Report Form template designed for the U.S. Naval Supply System (NAVSUP) Fleet Logistics Center (FLCSI) to evaluate contractor past performance on previous contracts relevant to solicitation N68171-##-X-####. The form is to be completed and returned to the Fleet Logistics Center Naples Contracting Department, attention Benjamin Bethel, by the solicitation due date, with completed questionnaires sent to david.a.biggs20.civ@us.navy.mil and benjamin.m.bethel.civ@us.navy.mil. The form requests information from previous government agencies or companies that have contracted with the offeror to assess the probability of successful contract performance.
The evaluation criteria encompass four primary assessment areas: Quality (including recruiting capability, workforce retention, contract requirement fulfillment, customer satisfaction, rework/deficiency instances, and innovative work applications); Timeliness (compliance with performance schedules and timely submission of reports and invoicing); Responsiveness (ability to address customer concerns, problem resolution effectiveness, and cost control); and Additional Observations (overall strengths/weaknesses, satisfaction with prior award, likelihood of future engagement, and awareness of similar contracted efforts). The form is structured as a template with fill-in sections for the responding organization's point of contact, the contractor being evaluated, and detailed narrative responses to support the Government's source selection decision.
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Text version
Solicitation N68171-##-X-####
PAST PERFORMANCE REPORT FORM
Complete and return NLT the due date of the solicitation to:
Fleet Logistics Center Naples (FLCSI) Contracting Department Attn: Benjamin Bethel, Code 200 Phone: 3146264103 Email: david.a.biggs20.civ@us.navy.mil & benjamin.m.bethel.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 Naples (FLCSI) 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:
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.
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.
Click or tap here to enter text.
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.
Click or tap here to enter text.
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?
Click or tap here to enter text.
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.
Click or tap here to enter text.
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.)
Source Selection Information – See FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .