Exhibit_13_-_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

(Updated June, 2017)

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.

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 DUE DATE OF PROPOSAL Attn: Meredith Hart, Code 210.3 SUBMISSION Greenbelt, MD 20771 Phone: 301-286-1236 e-mail: meredith.a.hart@nasa.gov

PAST PERFORMANCE QUESTIONNAIRE

1. Contract Information

A. Name of Company/Division Being Evaluated:_____________________

B. Address:_____________________________________________

C. Contractor Cage Code and/or DUNS 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: ____________________________________________ 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

Environmental Testing Services

Spacecraft and Scientific Instrument Mechanical Integration Services

Optical Integration Services

Electrical Cable Harnesses/Thermal Blankets Fabrication Services

Facility Corrective and Preventative Maintenance Services

Cleanroom Operations and Contamination Control Services

Advanced/Precision Machine Shop Services

Facility Engineering Services

Management and Functional Support

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

5. General Performance Survey

NO PERFORMANCE QUESTIONS

PERFORMANCE RATING

(Please Circle)

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.

VH H M L VL N/R

9.

If performance based, how successful was the Contractor in meeting the contract metrics?

BUSINESS/MANAGEMENT

10.

Communicating/interfacing with Government and overall responsiveness to Government requests

VH H M L VL N/R

11.

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

VH H M L VL N/R

12.

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

13.

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

VH H M L VL N/R

14.

Ability to meet Small Business Subcontracting Plan Goals

VH H M L VL N/R

15.

Ability to build effective working relationships with associate contractors, subcontractors and the Government in a team environment.

16. Ability to comply with Equal Employment VH H M L VL N/R

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

Opportunity (EEO) hiring goals.

Section 6:

What is the Contract Value:

Initial Value Current Value Estimated Cost: $___________ $____________

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 (circle one)

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