Appendix A Past Performance Questionnaire.docx

APPENDIX A: 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) 80KSC021R0034 for the Venture-Class Acquisition of Dedicated and Rideshare (VADR) Launch Services Contract. This solicitation includes requirements for launch services capable of delivering payloads to a variety of orbits with a minimum of a 200 km circular orbit, including escape trajectories, via FAA licensed commercial launches. This RFP requires Offerors to identify customers and solicit their response regarding [Insert Company Name] contract performance within the past three years relevant to VADR.

[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 [TBD] directly to the KSC Contracting Officer via e-mail to ksc-vadr@mail.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, at ksc-vadr@mail.nasa.gov.

Thank You, [Insert Company Official Name and Title]

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Contractor Cage Code: _ C. Contractor DUNS Number:

D. Contract Number:

E. Contract Name:

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.

corrective action to resolve them and still satisfy the technical requirements

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

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

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

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