24) Enclosure 1 - Past Performance Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

Sections 1 - 3 provide for contract-related descriptive information and identification of the evaluator.

Section 4 lists the major work elements within our Statement of Work (SOW). Please provide your assessment of the “relevant experience” and “performance” associated with our SOW evidenced within the contract for which you are a reference. “Experience” means a contractor who has performed work in the specific SOW Element.

“Did not Perform” means that the specific SOW element was not performed under the contract.

Section 5 evaluates the contractor’s technical, schedule, and cost performance and management. (Additional pages may be used for comments if desired). If you cannot answer any questions, please circle “N/R” for Not Rated.

The following definitions are offered for your use in assigning a performance rating for each of the factors in Sections 5 and 6:

Very High

(VH)

The Offeror’s relevant past performance is of exceptional merit; indicating exemplary performance in a timely, efficient, and economical manner; very minor (if any) problems with no adverse effect on overall performance.

High (H)

The Offeror’s relevant past performance demonstrates very effective performance that would be fully responsive to contract requirements with contract requirements accomplished in a timely, efficient, and economical manner for the most part with only minor problems with little identifiable effect on overall performance.

Moderate (M)

The Offeror’s relevant past performance demonstrates effective performance;

fully responsive to contract requirements; reportable problems, but with little identifiable effect on overall performance.

Low (L)

The Offeror’s relevant past performance meets or slightly exceeds minimum acceptable standards; adequate results; reportable problems with identifiable, but not substantial, effects on overall performance.

Very Low

(VL)

The Offeror’s relevant past performance does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas;

problems in one or more areas which, adversely affect overall performance.

Not Rated (N/R)

Not Rated

Section 6 provides for evaluation of the contractor’s management of cost and award/incentive fee history.

RETURN THIS QUESTIONNAIRE TO NASA Goddard Space Flight Center BY July 6, 2026 at 5:00 pm EDT Attn: Suzanne Sierra, Code 171 Greenbelt, MD 20771 e-mail: suzanne.k.sierra@nasa.gov

PAST PERFORMANCE QUESTIONNAIRE

1. Contract Information

A. Name of Company/Division Being Evaluated:_____________________

B. Address:_____________________________________________

C. Contractor Cage Code and/or Unique Entity ID (UEI) number: _______________

D. Contract Number:_______________________________________

E. Contract Type:_________________________________________

F. Period of Performance (including options): From:______ To:_______

G. Total Contract Value:_____________________________________

H. Award Information: Competitive: Yes ___ No___ Basis of Selection: Technical___ Cost/Price___ Other (specify)_________________________

2. Description of Contract

Briefly describe the services provided under this contract:

During the contract performance being evaluated, this firm was the:

Prime Contractor____ Significant Subcontractor ____ Team Member ____ Other (describe) _______________________________________________

Does a corporate or business relationship exist between the firm being evaluated and your organization?

Yes ___ No ___. If yes, please describe: ___________________________

3. Evaluator Information

Name: _____________________________________________________ Title: _______________________________________________________ Agency/Company: ____________________________________________ E-mail Address: _______________________________________________ Phone: ______________ Date Questionnaire Completed: _____________ Role in Program/Contract: ______________________________________ Length of Involvement in this Program/ Contract: _____________________

This form contains Source Selection Information when completed. See FAR 3.104. 3

4. SOW Survey Relevance Ratings: Please check the appropriate blocks for Relevance (Performed or Did Not Perform)

SOW ELEMENT PERFORMED

DID NOT

PERFORM

Flight instrument design meeting performance and interface requirements of all contract documents.

Flight instrument analysis, including defining and implementing a comprehensive flight instrument science data calibration program for the life of the mission.

Parts and material procurement (including supply chain issue management and long lead parts procurement planning and execution), fabrication and subassembly testing for flight instruments.

Systems Management and Engineering, including:

• System studies, trades and risk assessments necessary to develop an instrument system design that meets the system performance specifications

• Flow-down of system/instrument performance requirements into engineering functional o requirements, detailed equipment and end item design requirements

• Establishment and maintenance of a system performance and environmental verification program that demonstrates that the system/instrument meets all mandated and derived performance requirements

• Establishment and implementation of a calibration program

Flight and Ground Test Software Development and Maintenance, including:

Establishment, maintenance, and implementation of a Software Management Program to execute software development processes and procedures, software tools, reviews, resources, schedules and deliverables required for support of flight instrument integration, the test and verification program, and on-orbit operations

Contamination Control and Analysis, including establishment of a contamination control program and providing the resources necessary to assure that appropriate contamination control is exercised through all phases of instrument manufacture, build-up/assembly, integration and test, and observatory integration and test, launch site processing, and on-orbit operation

Program Management

• Establishment and Implementation of Schedule Management and Control

• Establishment and Implementation of Configuration Management Program

• Establishment and Implementation of Risk Management Program

Post-delivery support, including, post-delivery GSE and instrument checkout, observatory integration and test support, launch site support, post-launch test support, and mission operations support (including post-launch anomaly support, continuous performance trending, and calibration updates

Subcontract Management and Control System, providing technical direction and effective subcontract management utilizing schedule milestone controls

Resources Management

• Staffing and retention of key personnel, and Cost Control

This form contains Source Selection Information when completed. See FAR 3.104. 4

5. General Performance Survey

NO PERFORMANCE QUESTIONS

PERFORMANCE RATING

(Please Highlight in Yellow)

QUALITY

1. Quality of services and support provided VH H M L VL N/R

2. Timely identification and mitigation of risks VH H M L VL N/R

3.

Ability to identify and correct performance deficiencies in a timely manner

VH H M L VL N/R

4.

Demonstrated understanding and compliance with mission safety requirements

VH H M L VL N/R

Comment:

SCHEDULE

5.

Timeliness, quality, and accuracy of schedule estimates and reporting

6. Ability to meet/exceed schedule milestones VH H M L VL N/R

COST

7.

Ability to establish realistic cost estimates and adhere to estimated costs

VH H M L VL N/R

8.

Ability to anticipate, identify and control cost growth.

BUSINESS/MANAGEMENT

9.

Communicating/interfacing with Government and overall responsiveness to Government requests

VH H M L VL N/R

10.

Ability to effectively manage the contract including subcontractor performance, if applicable

VH H M L VL N/R

11.

Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner.

VH H M L VL N/R

12.

Adequacy of Contractor’s system(s) for processing task orders and/or changes.

VH H M L VL N/R

13.

Ability to meet Small Business Subcontracting Plan Goals

This form contains Source Selection Information when completed. See FAR 3.104. 5

Section 6:

What is the Contract Value:

Initial Value Current Value

Estimated Cost/Price: $___________ $___________

Fee: $___________ $___________

Total Value: $___________ $___________

What are the total contract expenditures to date (cost/fees to date based on invoices, reports, etc)?

What is the Annual Contract Value to Date (The current contract expenditures to date divided by the number of years of performance to date)?

For example (note, these example numbers may not relate to this specific procurement):

Assume your contract is a current five-year contract, is still ongoing, and the latest cost report reflects a cost/fee of $43,500,000 through the first 2 years and 4 months (to date). In this example, current/total Contract Expenditures incurred to Date are $43,500,000 and associated period of performance for those expenditures, expressed in years, is 2.33 years.

Therefore, the Average Annual Cost/Fee Incurred to Date: $18,669,528 ($43,500,000/2.33 years)

Was there a cost overrun? ( ) Yes ( ) No If yes, please explain:

If this was an award fee contract, what are the individual and/or average ratings of performance by your organization? Please attach any available award fee letters or database entries.

Please comment on particularly strong/weak points of Contractor’s performance (technical, schedule, and/or cost). If the Overall Contract Performance Rating below is less than Very High, please provide some explanation in this section on why a higher rating was not provided.

This form contains Source Selection Information when completed. See FAR 3.104. 6

Overall Contract Performance Rating (highlight one in yellow)

Very High High Moderate Low Very Low

If less than Very High Performance Rating, please explain:

Please add any other comments you may feel are pertinent.

Rater’s Signature Date