Tab_04_Vendor_Past-Present_Performance_Questionnaire.pdf

NASA Shared Services Center RFQ Number: 80NSSC18Q1185

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 & 3.104

SOURCE SELECTION SENSITIVE

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

RFQ Number: 80NSSC18Q1185

804 Wing Attach Corrosion Repair 575720 + CMP Tasks

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _______________________________________________________________________ B. Cage Code of contractor contract was awarded to: ________________________________________ C. Contract number: __________________________________________________________________ D. Contract type: _____________________________________________________________________ E. Was this a competitive contract? Yes _____ No _____ F. Period of performance: ______________________________________________________________ G. Initial contract cost: $____________________________ H. Current/final contract cost: $_______________________________ I. Reasons for differences between initial contract cost and final contract costs: ___________________ J. Description of service provided: ______________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:__________________________________________________________ B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other

Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number: _______________________________________________________

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 & 3.104

SOURCE SELECTION SENSITIVE

NASA Shared Services Center RFQ Number: 80NSSC18Q1185

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. This scale is defined as follows:

CODE PERFORMANCE LEVEL

5 EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

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

N/A NOT APPLICABLE - Unable to provide a score.

A. TECHNICAL PERFORMANCE

5 4 3 2 1 N/A T1. Contractor’s ability to understand technical requirements

T2. Contractor’s quality of reports

T3. Contractor’s ability to adhere to schedules

T4. Contractor’s cooperation and flexibility

T5. Contractor’s technical expertise to produce aircraft structural design

T6. Contractor’s technical expertise to produce design substantiation

T7. Contractor’s technical expertise with aircraft part fabrication

T8. Contractor’s technical expertise to perform aircraft modification

T9. Contractor’s ability to identify, troubleshoot and correct problems.

T10. Contractor’s communication and cooperation with DER and efficient resolution of resolving any identified issues

NASA Shared Services Center RFQ Number: 80NSSC18Q1185

Please discuss response for which you scored with a 1 or 2 in response to the questions above (use additional sheets, if necessary).

B. PROGRAM MANAGEMENT

5 4 3 2 1 N/A P1. Contract problems are effectively resolved in a timely manner without extensive guidance

P2. Contractor is reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes) and is responsive to contract changes.

P3. Overall compliance with contract terms and conditions

P4. Contractor’s ability to adhere to schedules.

P5. Commitment to customer service.

Please discuss response for which you scored 2 or 1in response to the questions above (use additional sheets, if necessary).

C. SAFETY / QUALITY ASSURANCE

5 4 3 2 1 N/A S1. Adherence to all safety regulations

S2. Contractor’s overall quality regarding safety

S3. Effectiveness in quality control and/or inspection procedures to meet contract requirements

S4. Have there been any health or safety violations? (If YES, please explain) YES NO

Please discuss response for which you scored 2 or 1in response to the questions above (use additional sheets, if necessary).

NASA Shared Services Center RFQ Number: 80NSSC18Q1185

ADDITIONAL QUESTIONS:

1. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, based on default, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

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

3. List the type(s) of aircraft subject to the contract.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire no later than 07 September 2018 5PM CST to:

E-Mail: Philip.M.Pearson@nasa.gov mailto:ryan.c.lyau@nasa.gov