Attachment 10 Past Performance Assessment Tool.pdf

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Attached to
NASA / John F. Kennedy Space Center_ Small Task Order Construction Contract (STOCC) II
Solicitation number
80KSC026R0012
Issued by

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This document is a Past Performance Assessment Tool template for a federal contract (Solicitation Number 80KSC026R0012) with spaces for contractors to document their previous project details. The template requires offerors to provide comprehensive information about past projects, including project name, name of the questionnaire respondent and agency, dollar amount, completion date/duration, and whether the project is recent (within 5 years) and relevant per Section M definition. Key instructions specify that projects not meeting recency or relevance criteria will not be assessed for quality or included in the Confidence Assessment, and the template is to be filled out according to Paragraph 3.b. of Section L of the Request for Proposal (RFP). The form includes columns for performance quality remarks and space for a reviewer's signature, indicating it is a standardized evaluation tool for assessing a contractor's past performance credentials.

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Attachment 1 Master Statement of Work.pdf PDF
Attachment 4 Technical Reference 003.pdf PDF
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Attachment 2 Technical Reference 001.pdf PDF
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Project

Name of Questionnaire

Respondent and Agency

Dollar Amount of

Project

Completion Date or

Duration

Recent (within 5 years)

Relevant Per Sec. M Definition

(R, NR)

Performance Quality Remarks

Yes / No of RFP.

If the project submitted is not recent or relevant than it will not be assessed for quality or included in the Confidence Assessment.

Remarks:

Reviewer Signature:

PAST PERFORMANCE ASSESSMENT TOOL

80KSC026R0012 STOCC - ATTACHMENT 10

Offerors Name:

Fill in information provided IAW Parapgraph 3.b. of Section L

Offerors Name:
undefined:
of RFP:
Fill in information provided IAW Parapgraph 3b of Section L1:
Fill in information provided IAW Parapgraph 3b of Section L1_2:
undefined_2:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment1:
Fill in information provided IAW Parapgraph 3b of Section L2:
Fill in information provided IAW Parapgraph 3b of Section L2_2:
undefined_3:
undefined_4:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment2:
Fill in information provided IAW Parapgraph 3b of Section L3:
Fill in information provided IAW Parapgraph 3b of Section L3_2:
undefined_5:
undefined_6:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment3:
Fill in information provided IAW Parapgraph 3b of Section L4:
Fill in information provided IAW Parapgraph 3b of Section L4_2:
undefined_7:
undefined_8:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment4:
Fill in information provided IAW Parapgraph 3b of Section L5:
Fill in information provided IAW Parapgraph 3b of Section L5_2:
undefined_9:
undefined_10:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment5:
Fill in information provided IAW Parapgraph 3b of Section L6:
Fill in information provided IAW Parapgraph 3b of Section L6_2:
Fill in information provided IAW Parapgraph 3b of Section L6_3:
Fill in information provided IAW Parapgraph 3b of Section L6_4:
undefined_11:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment6:
Fill in information provided IAW Parapgraph 3b of Section L7:
Fill in information provided IAW Parapgraph 3b of Section L7_2:
Fill in information provided IAW Parapgraph 3b of Section L7_3:
Fill in information provided IAW Parapgraph 3b of Section L7_4:
undefined_12:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment7:
Fill in information provided IAW Parapgraph 3b of Section L8:
Fill in information provided IAW Parapgraph 3b of Section L8_2:
undefined_13:
undefined_14:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment8:
Fill in information provided IAW Parapgraph 3b of Section L9:
Fill in information provided IAW Parapgraph 3b of Section L9_2:
undefined_15:
undefined_16:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment9:
Fill in information provided IAW Parapgraph 3b of Section L10:
Fill in information provided IAW Parapgraph 3b of Section L10_2:
undefined_17:
undefined_18:
recent or relevant than it will not be assessed for quality or included in the Confidence Assessment10:
10Row1:
RemarksRow1:
RemarksRow2:
RemarksRow3:
RemarksRow4:
Reviewer Signature:

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