PAST PERFORMANCE REPORT FORM.docx
DOCX document 21 KB Posted
- Solicitation number
- N0018926R3103
About this file
This is a Past Performance Report Form template issued by NAVSUP Fleet Logistics Center Norfolk (FLCN) for evaluating contractor performance on previous contracts. The form must be completed and returned no later than 10:00 AM ET on May 26, 2026, to Bridgette Walton at the FLCN Contracting Department (phone: 564-264-3061; email: bridgette.d.walton.civ@us.navy.mil or Amber.m.geusic.civ@us.navy.mil). The form is designed to assess a contractor's probability of successfully accomplishing work on a follow-on contract related to NCTAMS LANT Telecommunication Support Services, which involves corrective and preventive maintenance for Navy-owned Avaya and Nortel telephone switching platforms and related equipment at NCTAMS LANT and DET Cutler Base Communication Office locations.
The form requests detailed information from previous customers or contracting officers regarding four primary evaluation areas: (1) Quality/Meeting Contract Requirements, including customer satisfaction, rework instances, and innovative work applications; (2) Quality/Timeliness, covering schedule adherence and timeliness of submissions and invoicing; (3) Quality/Contractor Responsiveness, assessing the contractor's ability to address customer concerns, resolve problems, and control costs; and (4) Additional Observations, which solicits overall strengths and weaknesses, customer satisfaction with award decisions, awareness of similar contracted efforts, and referrals to other relevant points of contact. The form emphasizes that responses should not be returned to the contractor originating the request, ensuring the integrity of the evaluation process.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE REPORT FORM
Complete and return NLT 10:00 AM ET on 26 May 2026 to:
NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting Department, Attn: Bridgette Walton, Code 213.1 Phone: 564-264-3061 Email: bridgette.d.walton.civ@us.navy.mil Amber.m.geusic.civ@us.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 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?
2. Quality/Timeliness.
a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?
b. Describe the timeliness of submission of requested information, reports and invoicing.
3. 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.)
4. 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.
(If more comment space needed, please attach additional pages.)
File details come from the government source that posted it. Updated .