Past Performance Report Form.pdf

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Attached to
Enterprise Cloud Support Services
Solicitation number
N0018926RL011
Issued by

About this file

This is a Past Performance Report Form used by NAVSUP Fleet Logistics Center Norfolk (FLCN) to evaluate contractor performance on previous contracts for the purpose of assessing the likelihood of successful performance on prospective federal contract awards.

The form is to be completed by previous customers or government agencies that have worked with the contractor and returned to NAVSUP FLCN Contracting Department by the solicitation due date. The form collects requester information identifying the contractor being evaluated, including company name, point of contact, contract/purchase order number, contract amount, contract type, period of performance, and business address. The evaluation is conducted by an agency or company representative who provides their own contact information. The form evaluates contractor performance across four main categories: (1) Quality/Meeting Contract Requirements, assessing customer satisfaction, instances of rework or deficiency reports, and innovative work applications; (2) Quality/Timeliness, covering the contractor's ability to meet agreed-to schedules and timeliness of submissions of information, reports, and invoicing; (3) Quality/Contractor Responsiveness, evaluating responsiveness to customer concerns, problem isolation and resolution, problem severity, and effectiveness of corrective actions; and (4) Additional Observations/Information, requesting identification of contractor strengths and weaknesses, overall satisfaction with the contract award, awareness of similar contracted efforts, and referral of other relevant points of contact. The form provides space for detailed narrative responses and allows for attached additional pages if needed. Responses are to be directed to Alexandria McCune, Ethan Othersen, or Amy Barnes at the contact information provided, with explicit instruction not to return the form to the contractor who originated the request.

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Text version

PAST PERFORMANCE REPORT FORM

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

NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting

Department, Attn: Alexandria McCune and Ethan Othersen Phone: (771) 229-3585 and (771) 229-3607 Email: alexandria.e.mccune.civ@us.navy.mil and ethan.t.othersen.civ@us.navy.mil

NAVSUP Fleet Logistics Center Norfolk (FLCN) Contracting

Department, Attn: Amy Barnes

Phone: (564) 226-1893

Email: amy.m.barnes14.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?

mailto:alexandria.e.mccune.civ@us.navy.mil

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 .