Attachment_L-3__Past_Performance_Questionnaire.pdf

80MSFC18R0027

L-3-1

Attachment L-3

PAST PERFORMANCE INTERVIEW/QUESTIONNAIRE FORM

This evaluation should be completed by the Contracting Officer (CO) or Contracting Officer’s Representative

(COR), Task Monitor (TM), or other person identified to monitor the Contractor’s compliance with the requirements of the contract.

In compliance with the direction in the FAR, the information contained in this evaluation is not subject to view by anyone other than the designated source selection evaluation personnel.

INSTRUCTIONS, DEFINITIONS, AND RATING GUIDELINES

Instructions

This evaluation is to be completed as indicated below. For purposes of these evaluations, the term “project” is intended to mean “contract.” This package consists of the following:

Section Description Who completes

Section I Basic contract information Offeror being evaluated

Section II Contractor Performance Report Customer Evaluator

For each contract selected an assessment should be done by the appropriate CO, COR or other Customer designee.

In addition, the Offeror is responsible for completing Section I of this form before forwarding the questionnaire to the appropriate CO, COR or other Customer designee for the evaluations required. The Offeror shall request the CO, COR or other Customer designee to complete the remainder of the questionnaire and email directly to sabrina.m.pearson@nasa.gov. If hard copy submission is utilized, seal the submittals and mail them directly to the

Source Evaluation Team (SET) at the address specified below.

NASA/George C. Marshall Space Flight Center

ATTN: PS32/Sabrina M. Pearson

Building 4203, Basement/SEB

Marshall Space Flight Center, AL 35812

Any questions concerning completion of this form should be addressed to sabrina.m.pearson@nasa.gov.

mailto:sabrina.m.pearson@nasa.gov mailto:sabrina.m.pearson@nasa.gov

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BASIC CONTRACT INFORMATION

Section I

To be completed by Offeror requesting evaluation

1. Offeror Name and Address:

4. Offeror DUNS Number:

5. Offeror CAGE Code:

6. Project Title:______________________________________________________________________

Award Date: ___________ Completion Date:______________ Project is ___________% complete

7. During the contract performance being evaluated, the offeror was a: _____ Prime _____ Subcontractor

_____ Other (explain):____________________________________________

8. Prime Contract Number:______________________

Prime/Subcontract Period of Performance:______________________________

Customer Company:__________________________ Point of Contact (POC):_______________________

POC Contact Number:________________________ POC e-mail address:__________________________

9. Prime/Subcontract Type:

10. Final Contract Price:

11. Provide brief description of project. (Include what type of work such as new construction, repair or renovation).

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CONTRACTOR PERFORMANCE REPORT

Section II

To be completed by Government and/or Industry Customer performing the evaluation

1. Evaluator’s Name:

2. Evaluator’s Title:

3. Evaluator’s Email Address:

4. Evaluator’s Phone Number:

5. Evaluator’s Role in Program/Contract:

6. Evaluator’s Length of Involvement in this Contract:

7. Date:

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CONTRACTOR PERFORMANCE REPORT

To be completed by CO, COR or Customer Evaluator performing the evaluation

Definitions and Rating Guidelines

The Factors/Ratings tables on the next page summarize Contractor performance in each of the following rating areas. Each criterion should be assigned a rating, from highest to lowest, of Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. If a particular criterion is not applicable, it should be rated in the far right column as

N/A. However, the evaluator is encouraged to provide comments on any rating to further support a particular rating.

The following definitions and instructions should be used as guidance to aid in evaluating the criteria in the

Factors/Ratings tables. Please read the definitions and instructions before rating any criteria to be sure that each criterion is graded in the context of the definitions. Also, please ensure that this assessment is consistent with any other assessments that have been done for the same Contractor for the same work, such as for payment of fee purposes, exercise of option, other past performance requests, etc.

Quality Timeliness of Performance Management Effectiveness

- Compliance with drawing requirements

- Appropriate skilled personnel

- Responsive to technical direction

- Met schedule milestones

- Contract administrative activities performed timely

- On-time completion of projects

- Timely contract close-out

- Reliable

- Effective subcontractor management

- Reasonable and cooperative

- Prompt notification of problems

The three headings above relate to the actual ratings defined on the following pages.

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Quality Timeliness of Performance Management Effectiveness

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor was highly effective.

Very Good

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor was effective.

Satisfactory

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

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

Unsatisfactory

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.

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PAST PERFORMANCE INTERVIEW/QUESTIONNAIRE FORM

Item

Factors/Ratings

E x cep tio n al

V ery

G o o d

S atisfacto ry

M arg in al

U n satisfacto ry

N o t A p p licab le

How do you rate the contractor’s overall quality of the work performed?

Comments:

adherence to the contract schedule?

management effectiveness?

Would you award this contractor another contract?

__ I would __ I would not

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PAST PERFORMANCE FORM LETTER EXAMPLE

(This form letter is provided for use in transmitting the Past Performance questionnaire to customers)

Minor Construction Contract MCC-IV

RFP 80MSFC18R0027

CLIENT AUTHORIZATION LETTER: FORMAT

[Date of Letter]

[Name and Address of proposed Offeror's customer]

Attention: [Name and Designation of Customer’s Contract Manager or Appropriate Contact]

Dear [Contact Name]:

We are currently responding to the NASA, Marshall Space Flight Center, Request for Proposal

(RFP) entitled Minor Construction Contract MCC-IV. NASA is requesting that clients of entities responding to its solicitation be identified and their participation in the evaluation process requested. In the event you are contacted for information on work we have performed, you are hereby authorized to respond to those inquiries. Your cooperation with this effort is greatly appreciated. Please direct any questions to Sabrina.M.Pearson@nasa.gov.

(a) We have included our work for your agency as a past performance reference. A Past

Performance Questionnaire is enclosed. Please complete Section II of the enclosed evaluation and return the completed document to:

NASA/Marshall Space Flight Center

Attention: PS32/ Sabrina M. Pearson

Procurement Office Bldg. 4203, Basement SEB

Email: sabrina.m.pearson@nasa.gov

MSFC, Alabama 35812

(b) Please forward the completed evaluation to NASA at the above address to ensure it is received no later than October 22, 2018. In order to maintain the integrity of this process, please DO NOT return the questionnaire to us. Return it to NASA/MSFC at the address listed above.

Sincerely, [Name of Signer]

[Designation of Signer]