Attachment 5.1 Past Performance Questionaire.docx

Attachment 4.6 Past Performance Questionnaire

Complete one set of letters and forms for each Past Performance reference. Additional space or blank sheets may be added to answer any question.

Transmittal Letter to Accompany Present/Past Performance Questionnaire

FROM:

SUBJECT: Present/Past Performance Questionnaire for Just-in-Time Office Supplies, RFQ 80JSC020R0017

We are currently responding to NASA Johnson Space Center’s (JSC’s) Request for Quotation (RFQ) 80JSC020R0017. This RFQ requires Offerors to identify customers and solicit their response regarding our performance.

We are providing present and past performance data to NASA JSC relating to our performance/ identified on contract ___________________ (contract name/number). The RFQ instructs that we provide our customers with the attached questionnaire and requests that you provide requested data and submit it by _______________________ directly to:

You are also encouraged to email the questionnaire(s).

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to us, the Offeror. If you have any questions about the acquisition or the attached questionnaire, your questions must be directed back to the JSC point of contact identified above. Thank you for your timely assistance.

Sincerely, (Company Official)

Offeror Identification

Please provide the following information:

1. Contractor Information

2. Contract Number:

3. Contract Type:

4. Product/Service Description:

5. Contract Award Date:

6. Period of Performance (basic and any options):

7. During this contract period of performance, this firm was the: |_| Prime Contractor |_| Significant Subcontractor |_| Team Member |_| Other (please describe): ___________________________ What percentage of the Total Contract Value for this contract did the firm perform, and what is the Total Contract Value? Percentage of work performed by contractor ___________; total contract value __________

8. Does a corporate or ownership relationship exist between the contractor being evaluated and your organization? |_| No |_| Yes – If yes, please describe the relationship:_______________________

9. Unusual contract features or conditions:

Past Performance Evaluation

Based on your knowledge of the contract identified above, please provide your assessment of how well the contractor performed on each of the following questions. It is very important to keep in mind that only performance in the past 5 years is relevant. Please rate the contractor as described below in the following technical, schedule, contract management and cost performance, and general areas.

Exceptional (E) – Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG) – Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory (S) – Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal (M) – Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Poor/Unsatisfactory (P) – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Not Applicable – Contractor not required to provide the service or product indicated.

Overall quality of technical services and support

Insight in understanding customer requirements and priorities

Initiative in identifying and resolving unforeseen technical and schedule problems (causes, impacts, and resolutions)

Contractor’s ability to correct performance deficiencies

Ability to use metrics and other tools to accurately measure and track program

Please give a narrative as to why you chose the adjective you did for the 5 areas above, especially for those answers that are other than “satisfactory.”

Other particular strong/weak points of contractor’s technical performance.

Content, accuracy, and timeliness of technical reports

Adherence to delivery schedules

Has the contract been partially or completely terminated for default or convenience? |_| No |_| Yes – If yes, please explain the reason for termination (i.e., inability to meet cost or delivery schedules, performance, etc:

Rate the contractor’s record in complying with safety, health, and environmental procedures/requirements:

Did any accidents or industrial illnesses resulting in lost time occur under this contract? |_| No |_| Yes – If yes, please provide details:

In what areas below do you feel the contractor is strong?

In what areas below do you feel the contractor is weak?

RESPONDENT INFORMATION

1. Name of evaluator:

2. Position title:

3. Agency/Company

4. Your role in the program/contract:

5. Length of involvement in this program/contract:

6. Date questionnaire completed: