PAST_PERFORMANCE_REPORT_FORM.docx

DOCX document 33 KB Posted

Attached to
R425 - Admiral Gooding Center Events and Information Technology Support Services
Solicitation number
N0018926R3102
Issued by

About this file

This is a Past Performance Report Form template used by NAVSUP Fleet Logistics Center Norfolk (FLCN) to evaluate contractor past performance for solicitation N0018926R3102, Admiral Gooding Center Events and Information Technology Support Services. The form is to be completed by government agencies or companies who have previously worked with a contractor under evaluation and returned to Tierra Watson, Code 233 at FLCN no later than the solicitation due date. The form requests information on the contractor being evaluated, including company name, contract number, contract amount, contract type, period of performance, and business address.

The evaluation criteria are organized into four assessment categories: Quality (recruiting ability, workforce retention, and meeting contract requirements including customer satisfaction, rework instances, and innovative 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 contractor strengths and weaknesses, satisfaction with contract award, awareness of similar contracted efforts, and recommendations for additional references). Respondents are instructed to complete the form on behalf of the company being evaluated and to provide additional pages if more comment space is needed. The form serves as source selection information and is not to be returned to the originating contractor.

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Text version

Solicitation N0018926R3102

PAST PERFORMANCE REPORT FORM

Complete and return NLT the due date of the solicitation to:

NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department Attn: Tierra Watson, Code 233 Phone: (757) 443-1395 Email: tierra.k.watson.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 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 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.

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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)

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

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Timeliness:

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

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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

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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.

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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.

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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?

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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 .