Exhibit 11 Draft Past Performance Questionnaire 4-8-26.pdf
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- Attached to
- Draft RFP - Mars Telecommunications Network (MTN) Federal contract opportunity
- Solicitation number
- 80GSFC26R0011
About this file
This document is a Past Performance Questionnaire template for federal contract evaluation (DRFP 80GSFC26R0011) issued by NASA Goddard Space Flight Center.
The questionnaire is designed to collect past performance information from references regarding contractor performance on previous contracts. It comprises six main sections: contract information (including contractor name, contract number, period of performance, and total contract value), contract description and the contractor's role (prime, subcontractor, or team member), evaluator identification and involvement details, relevance ratings for specific Statement of Work (SOW) elements, general performance survey ratings, and cost/fee analysis with overall performance assessment. The SOW elements evaluated include project management, risk management, systems engineering, spacecraft design/fabrication, spacecraft integration and test, trajectory planning and navigation, launch vehicle interface design, launch site planning, launch vehicle integration, launch operations, post-launch vehicle checkout, mission operations, and spacecraft safety and mission assurance. Section 5 employs a five-point rating scale (Very High, High, Moderate, Low, Very Low, or Not Rated) to assess quality, schedule, cost, and business/management factors across thirteen performance questions. Section 6 requests detailed cost analysis including initial and current contract values, total expenditures to date, annual average costs, cost overruns, award fee history if applicable, and an overall contract performance rating with explanatory comments. Completed questionnaires must be returned to Alisha M. Mercadante at NASA Goddard Space Flight Center, Code 176.2, by a deadline to be determined (TBD).
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Text version
Exhibit 11
DRFP: 80GSFC26R0011
Exhibit 11: PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS 3/19/2026
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 TBD. Attn: Alisha M. Mercadante , Code 176.2 e-mail: alisha.m.mercadante@nasa.gov
Exhibit 11
DRFP: 80GSFC26R0011
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: ____________________________________________ 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. 4
PAST PERFORMANCE QUESTIONNAIRE
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.
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
PAST PERFORMANCE QUESTIONNAIRE
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.
Overall Contract Performance Rating (circle one)
Very High High Moderate Low Very Low
This form contains Source Selection Information when completed. See FAR 3.104. 6
If less than Very High Performance Rating, please explain:
Please add any other comments you may feel are pertinent.
Rater’s Signature Date
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