Attachment L-5 - CNSSD Past Performance Questionnaire (PPQ) 5.15.23__Rev1.doc

ATTACHMENT L-5

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Offerors are responsible for sending copies of the PPQ (Sections A - C) to references.

Instructions to Offeror

1. For each reference submitted in your proposal, enter the required information in Section A.

2. Transmit the entire questionnaire to the identified Points of Contract (POCs) and place one copy of each Section A in your proposal submittal.

NOTES:

OFFERORS MUST TRANSMIT THE QUESTIONNAIRES TO THE POC FOR EACH REFERENCE.

ONCE COMPLETED BY THE POC, QUESTIONNAIRES MUST BE DIRECTLY TRANSMITTED TO THE GOVERNMENT AS DESCRIBED ON THE FOLLOWING PAGE.

PAST PERFORMANCE QUESTIONNAIRE

Instructions to Evaluator The National Nuclear Security Administration (NNSA) is procuring counter nuclear smuggling system deployment (CNSSD) services to deploy integrated sustainable counter nuclear smuggling systems in cooperation with international partners around the world, in order to strengthen the overall capability of partner countries to detect, disrupt, and investigate smuggling of nuclear and radiological materials that could be used in acts of terrorism. The scope includes tasks associated with design, integration, construction, communications, logistics, training, and equipment procurement to support the deployment of counter nuclear smuggling systems. Examples of counter nuclear smuggling system components include but are not limited to: radiation detection systems, security systems, passive barriers, non-structural modifications of existing buildings, new supporting infrastructure, communications equipment and systems, vehicles, and other items and systems that enable, and are complimentary to, the radiation detection mission. Evaluation of past performance is integral to our source selection process. Accordingly, we request your candid assessment of past performance. Please see Section A below for the identity of the contractor whose performance you are requested to assess as well as the contract of interest.

Once completed, this questionnaire and any appended information becomes Source Selection Information, as defined by Federal Acquisition Regulation (FAR) Part 2.101 and 3.104, and must be protected from disclosure. Access to this information shall be limited to Government procurement officials.

Please forward the completed questionnaire no later than June 02, 2023, to:

Contracting Officer: Sean Merritt Via email: CNSSD@nnsa.doe.gov Hand-written evaluations are acceptable however NNSA prefers typed or computer-generated responses. All evaluations must relate solely to the contractor and the contract, task, or order identified in SECTION A. To the extent feasible, the evaluation should be limited to performance that occurred after May 01, 2017. Please answer each question in SECTION B by circling one of the ratings:

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

VG = Very Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S = 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.

M = Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.

U = 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.

N = Neutral - If the offeror lacks a record of relevant past performance history, or for whom past performance information is not available, the offeror will not be evaluated either favorably or unfavorably on past performance.

In addition, please provide supporting comments for each rating. Please use your supporting comments to highlight the contractor’s specific strengths and weaknesses. You may use additional sheets if required. Your ratings and comments should reflect only performance for which the contractor was responsible. You may supplement your knowledge with the knowledge and judgment of others in your organization. Areas not relevant to contractor scope performed can be marked as N, or left blank.

Please type or print clearly the requested information in SECTION C for the person primarily responsible for completing the questionnaire, then transmit the completed questionnaire to the point of contact identified above via email. Thank you for your assistance in this matter.

PLEASE DO NOT PROVIDE COMPLETED QUESTIONNAIRES TO THE OFFEROR

SECTION A (To Be Completed by the Offeror) Contractor being evaluated under this PPQ:

Contract Number and Task or Order No. if applicable:

Offeror Name and Team Member or Subcontractor Submitting Reference, if applicable:

Name of Prime Contractor (if prime contractor is comprised of multiple companies, list the name of the prime contractor AND all member companies):

Period of Performance:

Dollar Value:

Description of Work/Scope of Effort:

Point of Contact (POC) Name:

POC Title:

POC Email:

POC Phone Number:

SECTION B (To Be Completed by Evaluator) E-Exceptional; VG-Good; S-Satisfactory; M-Marginal; U-Unsatisfactory; N-Neutral

A. QUALITY OF PRODUCT OR SERVICES

1. Quality of product delivered including materials, construction, software or other products. Rating:

2. Quality of services and support provided including content and accuracy of technical, cost, or other reports. Rating:

B. TIMELINESS OF PERFORMANCE

1. Timely completion of deliverables and/or milestones on tasks. Rating:

C. COST CONTROL

1. Adherence to target costs on the contract level and at the task level. Rating:

2. Cost overrun and change proposals submitted were reasonably priced and contained all appropriate supporting documentation.

Rating:

3. Estimates and proposals were accurate. Rating:

D. BUSINESS PRACTICES

1. Contractor’s skills in efficiently and effectively allocating and directing personnel and resources to meet project needs.

Rating:

2. Contractor’s ability in developing, managing, and overseeing subcontractors. Rating:

3. Contractor’s reasonable and cooperative behavior, flexibility, as well as their responsiveness to inquiries from your organization’s technical and contract representatives.

Rating:

4. Contractor’s ability to work closely with outside stakeholders. Rating: _____________

E. SAFETY AND HEALTH COMPLIANCE

1. Contractor demonstrates conformance with contract safety and health requirements. Rating:

2. Contractor’s ability in developing, implementing and overseeing safety plans for foreign subcontractors Rating:

F. CUSTOMER SATISFACTION

1. Were there any significant problems encountered by the Contractor?

Yes No

If yes, state the problem(s), what corrective actions were taken by the Contractor, and indicate whether you consider these corrective actions to be effective and why.

2. Please comment on the overall satisfaction of your organization with the contractor’s performance.

3. Additional comments both positive and negative (please address the reasons for any unfavorable ratings identified from Part II, above).

SECTION C (To Be Completed by Evaluator)

1. Name of Evaluator:

2. Position and Title:

3. Administrating Authority/Agency:

4. Email:

5. Telephone No:

6. Signature:

Date: