Attachment S - Past Performance Questionnaire.pdf

80GRC018R0023 Attachment S

Past Performance Questionnaire

Attachment S

80GRC018R0023 Attachment S

ATTACHMENT S

PAST PERFORMANCE QUESTIONNAIRE

NASA Glenn Research Center’s Request for Proposals (RFP) 80GRC018R0023 for Procurement of Janitorial Services.

ONCE COMPLETED, THIS DOCUMENT WILL BE CONSIDERED SOURCE SENSITIVE IN

ACCORDANCE WITH FAR 3.104

The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency.

The NASA Glenn Research Center is considering this Contractor for Janitorial Services at this Center in Cleveland, Ohio. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.

Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. security specialist, COR, COTR, etc.) respond to this questionnaire. At least one copy but not more than three copies of the questionnaire may be submitted.

Upon completion of the survey, please email to: sarah.a.deroche@nasa.gov on or before June 14, 2019 at 4:30 EST. If you have any questions, please email Sarah DeRoche at sarah.a.deroche@nasa.gov. We appreciate your efforts on our behalf.

1. The survey should be completed by the individual most knowledgeable of the contractor's day-to-day operations and overall condition of services being rendered. However, that individual is encouraged to supplement their own knowledge of the contractor's performance with the judgment of others in the organization, as applicable.

2. Handwritten responses are sufficient, but request they be legible.

3. The following descriptions should be used as guidance in providing ratings.

CODE RATING DESCRIPTION

E EXCELLENT Consistent record of exceptional past performance by the offeror and any proposed major subcontractors on work identical or very similar to the work requirements of the proposed contract. Many strengths and no weaknesses.

VG VERY GOOD Consistent record of successful past performance by the offeror and any proposed major subcontracts on work identical or very similar to the work requirements of the proposed contract.

Strengths far outweigh any weaknesses.

G GOOD Successful past performance by the offeror and any proposed major subcontracts on work identical or very similar to the work requirements of the proposed contract. Strengths outweigh any weaknesses.

P POOR Weaknesses far outweigh strengths.

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F FAILS Significant weaknesses with no strengths.

N NEUTRAL Neutral score. Assigned to Offerors with no relevant past performance.

4. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just detailed. Space for narrative comments is included with the questions. If more space is needed, use the back of the survey or attach additional pages.

5. This survey relates to an on-going source selection for the services identified above. All information provided within the survey will be safeguarded against unauthorized disclosure.

6. We appreciate your time and effort in providing this vitally important information.

Offeror:

Contract No.:

Period of Performance:

Total Contract Value (including option periods):

Type of Contract: [ ] Fixed price [ ] CPFF [ ] CPIF [ ] CPAF [ ] Award term

[ ] Competitive [ ] Noncompetitive

[ ] Small Business Set Aside [ ] 8(a) Set Aside

If the contract involved fee:

Percentage of fixed fee and/or award fee earned

Length of evaluation period for the earned fee

Mark the appropriate box: Yes No Was the contractor a prime contractor

Was the contractor a subcontractor

80GRC018R0023 Attachment S

Nature of contractual effort/Project Description/Technical Requirements:

Rate the contractor in the following areas, please provide comments:

1. Rate the Contractor’s organizational support structure. Did it provide an adequate span of control and supervision?

E VG G P F N

Mark appropriate box Comments

2. Rate the Contractor’s ability to react quickly and effectively to changing requirements, or contract problems.

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3. Rate the Contractor’s record in providing qualified personnel:

4. Did the key personnel that where offered in the original proposal remain with the contract after award? If not were the replacements equally qualified?

5. Rate the Contractor’s ability to keep the customer fully informed of work status, problems, and/or issues as well as their cooperation to resolve such problems/issues:

6. Rate the Contractor’s record in complying with safety, health and environmental procedures:

80GRC018R0023 Attachment S

7. Rate the Contractor’s record in completing tasks/milestones/deliverables within established time schedules:

8. Rate the Contractor’s record in the coordination and management of its subcontractors:

9. Did the contractor provide effective quality control and/or inspection procedures to meet contract requirements?

10. Rate the Contractor’s record for submitting administrative requirements (reports, correspondence, etc.) on time:

80GRC018R0023 Attachment S

11. Rate the Contractor’s ability to implement a phase-in program that provided continuous workflow:

12. Any cost overruns or underruns? If so, please state the amount and explain reasons for them:

13. Particular strong/weak points of contractor’s performance:

14. Would you do business with the contractor again? Would you have any reservations about recommending a future contract award to this company? Please elaborate.

15. As a unit, how would you rate the complete contract performance?

E VG G P F

16. Please provide any other information you feel is pertinent but was not covered by this questionnaire:

80GRC018R0023 Attachment S

Respondent Information:

Signature Date

Printed name

Organization:

Telephone No.:

Position/Title:

Length of Involvement:

It is stressed that the questionnaire must be filled out by the addressee and not by the Offeror, and that the information is forwarded directly to the individual identified below. The addressee is requested to sign the questionnaire as a validation of your assessment. DO NOT RETURN YOUR RESPONSE TO THE CONTRACTOR THAT FORWARDED THIS QUESTIONANAIRE TO YOU. You may submit the completed questionnaire by email or mail it directly to the address shown below by June 14, 2019 4:30pm EST.

NASA Glenn Research Center Attn: Sarah DeRoche Mail Stop 60-1 21000 Brookpark Road Cleveland, OH 44135 Sarah.a.deroche@nasa.gov

Your time and effort in providing this vitally important information are greatly appreciated. Thank you.

ONCE COMPLETED, THIS DOCUMENT WILL BE CONSIDERED SOURCE SENSITIVE IN

ACCORDANCE WITH FAR 3.104