Appendix_C,_Past_Performance_Questionnaire.pdf

Appendix C - Past Performance Questionnaire RFP 80KSC019R0002

APPENDIX C: PAST PERFORMANCE QUESTIONNAIRE

Complete one set of letters and forms for each Past Performance reference in which performance occurred within the three years of initial solicitation release. Additional space or blank sheets may be added to answer any questions.

PAST PERFORMANCE – COVER LETTER

Transmittal letter to accompany Present/Past Performance Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past/Present Performance Questionnaire for Contract:

[Insert Company Name] is currently responding to NASA Request for Proposal (RFP)

80KSC019R0002 for the Gateway Logistics Services (GLS) Contract. This solicitation includes requirements for a commercial end-to-end logistics services to deliver pressurized and unpressurized cargo/payloads. Delivery will be to cis-lunar space in a Near Rectilinear Halo

Orbit to support Gateway buildout and utilization. This RFP requires Offerors to identify customers and solicit their response regarding [Insert Company Name] contract performance within the past three years relevant to GLS.

[Insert Company Name] is providing present and past performance data to NASA/KSC relating to our performance on contract [Insert Contract Name/Number] and have identified [Insert name of reference] as the point of contact for this contract.

The RFP instructs that Offerors provide customers with an electronic version of the attached questionnaire. Please complete and sign the questionnaire, and submit by September 13, 2019 directly to the KSC Contracting Officer via e-mail to scott.g.syring@nasa.gov.

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the KSC Contracting Officer, Scott Syring at 321-

867-5024.

Thank You, [Insert Company Official Name and Title] mailto:scott.g.syring@nasa.gov

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _______________________________________

B. Contractor Cage Code: __________________

C. Contractor DUNS Number: ___________________

D. Contract Number: ______________________

E. Contract Name: ___________________________________________

F. Contract Type (Circle): FFP CPFF CPAF CPIF T&M OTHER: _______________

G. Competitive Award? Yes _____ No _____

H. Period of Performance: ___________________________________

I. Role (Circle): Prime Subcontractor Team Member Other (specify): ______________

J. Initial Contract Value (including all options): $________________

K. Current/Final Contract Value (including all options): $_________________

L. Reason for difference between Initial Contract Value and Current/Final Contract Value:

M. Description of Service:

N. Orbit Parameters (if applicable): _____________________________________________

O. Launch Vehicle (if applicable): ______________________________________________

SECTION 2: CUSTOMER or AGENCY IDENTIFICATION

A. Customer/Agency Name: __________________________________________________

B. Procuring Contracting Officer (or equivalent) Name, E-mail, and Phone Number:

Name: ____________________ Email: ___________________ Phone: ______________

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator’s Name: _________________________________

B. Evaluator’s Title: ____________________________________

C. Evaluator’s E-mail Address: _____________________________

D. Evaluator’s Phone Number: _____________________________

E. Length of Time (Years/Months) Evaluator Worked on Subject Contract: _______

F. Does a corporate or ownership relationship exist between the contractor or partner being evaluated and your organization?

____ Yes ____ No If yes, please describe the relationship:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question as defined below.

PERFORMANCE RATING

EXCEPTIONAL (E): Performance meets contractual requirements and exceeds many to the customer’s benefit. The element being assessed 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 customer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY (S): Performance meets contractual requirements. The element being assessed 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 element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

UNSATISFACTORY (U): Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

TECHNICAL E VG S M U N/A

T1 Compliance with technical requirements and performance standards in providing space transportation systems and/or services.

T2 How well did the contractor identify and mitigate risks?

T3 Record in demonstrating a thorough understanding of the tasks and disciplines required to accomplish the work.

T4 Effective process for managing review board actions, including the tracking and resolution/closure of open items.

T5 Effectiveness of the systems engineering and integration required to reliably incorporate the unique requirements associated with a large, complex system and processes.

T6 Identification of problems and taking the necessary corrective action to resolve them and still satisfy the technical requirements

T7 Granting access to the contractor’s data and data systems at the request of the customer.

T8 Granting physical access to the contractor’s work sites for customer insight/oversight activities.

Please discuss each response for which a rating other than satisfactory was received. Additional sheets may be used if necessary.

SCHEDULE E VG S M U N/A

S1 How well did the contractor perform against the contract, delivery schedule, and/or milestones?

S2 How accurately did the contractor forecast the schedule?

S3 How successfully did the contractor alert the customer of schedule impacts (accelerations and/or slips) before they occurred?

S4 Success in providing on time launch and payload delivery.

MANAGEMENT E VG S M U N/A

M1 How effectively did the contractor manage costs within the initial awarded amount of the contract?

M2 How efficient was the contractor in negotiating and implementing contract changes in a timely manner?

M3 Rate the contractor's ability to provide a qualified workforce to meet the schedule and technical requirements of the contract.

M4 Rate the contractor's compliance with safety, health, and environmental procedures and requirements.

M5 Rate the contractor's ability to deliver quality reports, documentation, and deliverables in a timely manner.

M6 If applicable, achievement of subcontract goals for small business.

M7 Rate the contractor’s management of subcontracts.

Additional Questions

1. Please provide any specific strengths that provided value to the customer in the contractor’s execution of their responsibilities.

2. Please provide an overall assessment of the technical performance under the contract.

3. Please provide any specific examples of when the contractor went above and beyond the requirements of the contract to add value or reduce costs to the customer.

4. Was the contract partially or completely terminated for default or convenience, or are there any pending terminations?

No___

Yes___ (Circle) Default Convenience Pending Termination/Notices

If Yes, please explain:________________________________________________________

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding projects?

Please provide any additional comments concerning this contractor’s performance.

Evaluator’s Signature Date