Attachment I - Past Performance Report Form

PAST PERFORMANCE REPORT FORM

Solicitation: N00189267RL002

Complete and return NLT DUE DATE OF SOLICITATION to:

NAVSUP Fleet Logistics Center Norfolk (FLCN)
Norfolk Fleet Directorate Contracting Department
Cody Witz: [email protected] / Phone: (757)-443-1334 Dr. Antonio Smith: [email protected] / Phone (564) 230-2884

On behalf of:

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 :

PAST PERFORMANCE QUALITY QUESTIONNAIRE

Quality:

Recruiting: How would you describe 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.

Retention: Describe the offeror’s demonstrated ability to maintain a stable workforce.

Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

How would you describe your level of customer satisfaction?

Were there instances of rework and/or deficiency reports? (If yes, explain)

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

Quality/Timeliness.

Did the Contractor meet/comply with performance schedules?

Rate the timeliness of submission of requested information, reports and invoicing:

Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:

Respond to Customer Concerns

Isolate and Resolve Problems
The Number and Severity of Problems
The Effectiveness of Corrective Actions Taken

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

Identify the contractor's overall strengths and weaknesses:

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?

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.