Attach 1, Civil A&E PPQ 1.docx

ATTACHMENT 1

SYNOPSIS NUMBER: 80KSC019R0026

ARCHITECT-ENGINEER PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS AND RATING GUIDELINES

Instructions

This evaluation is to be completed as indicated below. The A-E team must provide one evaluation for each past performance customer contact identified in section F of SF 330. This package consists of the following:

Past Performance Questionnaires will not be accepted directly from the A-E team. Customer Evaluators must send evaluations directly to the Contracting Officer. The Customer Evaluator must submit their completed questionnaires to the address listed below, to arrive no later than 2:00 pm Eastern Standard Time (EST) on January 7, 2020.

Kennedy Space Center, Florida 32899

Or

Section I To be completed by the A-E team submitting a submission for evaluation.

A-E Team Name:

Contract Title:

Contract Number:

Contract Award Date:

Contract Completion Date:

Point of Contact (Customer Evaluator) Name/Address/Office Phone Number:

Brief Description of Work Performed:

Section II To be completed by Customer Evaluator.

NASA will NOT divulge the names of the individuals providing reference information about an A-E team’s past performance.

Name of A-E Contractor Being Evaluated:

A-E Contractor’s Status (Prime or Sub-Consultant):

A-E Contract Number:

Description of A-E Services Provided:

A-E Contract Period of Performance:

For design contracts which were completed by the A-E team and awarded for construction

1) The final estimated construction contract award price

2) The actual construction award price

1) $

2) $

Evaluator’s Company/Agency Name:

Evaluator’s Name (Typed/Printed):

Evaluator’s Signature:

Phone Number:

Facsimile Number:

E-mail address:

Dates of Involvement in Contract:

Date Questionnaire Completed:

Section III

ARCHITECT-ENGINEER PAST PERFORMANCE REPORT

RATING DEFINITIONS

For each question below, please rate the contractor from Unsatisfactory to Excellent (as defined below) and please elaborate on the specifics of your rating in the Narrative Summary. A rating of Not Applicable should be used if either the question is not applicable or the answer is unknown. The Not Applicable rating is neutral and will have no impact on the assessment of Past Performance. The Contracting Officer may contact the respondent for additional information, if needed.

& Estimating

Excellent

Good

Fair

Poor

Unsatisfactory

Section III (Cont’d)

Item

FACTORS/RATINGS

Quality of Work

Cost Control

Compliance with Performance Schedules

Management Effectiveness

Customer Satisfaction

Section III (Cont’d)

NARRATIVE SUMMARY (Use this section to elaborate on the specifics of the rating and to explain additional information not included above)

PAST PERFORMANCE TRANSMITTAL LETTER - SAMPLE

This acquisition is for the Architect-Engineer (A-E) Services for the Design and Other Professional Services Necessary to Rehabilitate, Modernize, and Develop New or Existing civil infrastructure and facilities at Kennedy Space Center (KSC), including Vandenberg Air Force Base (VAFB) and Cape Canaveral Air Force Station (CCAFS); John C. Stennis Space Center (SSC); Langley Research Center (LaRC); Johnson Space Center (JSC), including White Sands Test Facility (WSTF); Marshall Space Flight Center (MSFC), including Michoud Assembly Facility (MAF); Glenn Research Center, Goddard Space Flight Center (GSFC); Wallops Flight Facility (WFF), and other NASA assets; and launch or landing sites worldwide. This regional multiple award contract will provide a highly flexible contracting vehicle for participating Centers. Combined Synopsis number 80KSC019R0026

A-E CONTRACTOR LETTER: FORMAT

[Date of Letter] [Name and Address of A-E’s Customer] Attention: [Name and Designation of Customer Evaluator]

Dear [Customer Contact Name]:

We are currently responding to the NASA, Kennedy Space Center Request synopsis 80KSC019R0026. NASA is requesting that customers of entities responding to the synopsis participate in the evaluation process. We have included our project for your company/agency as a past performance reference. An Architect-Engineer Past Performance Report is enclosed. We respectfully request that you complete Sections II and III of the enclosed evaluation and return the signed, completed questionnaire to the Contracting Officer at either address listed below. Your completed questionnaire must arrive no later than 2:00 pm Eastern Standard Time (EST) on January 7, 2020.

Kennedy Space Center, Florida 32899

Or

In order to maintain the integrity of this process, DO NOT return the Past Performance Report to us. Return it to the email or mailing address listed above.

Please direct any questions to the Contracting Officer, Derrick A. Wade at (321) 867-8701.

Sincerely, [Name of Signer] [Designation of Signer]