Attachment 14 - Past Performance Questionnaire 11_03_2021.pdf

80NSSC22R0001 NSTEM Services Attachment 14

NASA Shared Services Center (NSSC) Stennis Space Center, MS 39529

NASA SCIENCE, TECHNOLOGY, ENGINEERING AND

MATHEMATHICS (NSTEM) SERVICES

SOLICITATION No. 80NSSC22R0001

PAST PEFORMANCE QUESTIONNAIRE

November 5, 2021

80NSSC22R0001 Attachment 14 – Past Performance Questionnaire

ATTACHMENT 14│ Page 1

PAST PERFORMANCE QUESTIONNAIRE

This evaluation should be completed by the Contracting Officer (CO) and Contracting Officer Representative (COR), Task Monitor (TM), or other person identified in the contract by the appropriate CO or business manager with monitoring 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 Contractor being evaluated Section II Government /Industry Customer Evaluator identifying information Government /Industry Customer Evaluator

Section III Contractor Performance Report Government/Industry Customer Evaluator

For each contract selected, one assessment is required by the appropriate CO or COR.

In addition, the Offeror is responsible for completing Section I before forwarding the questionnaire to the appropriate CO for the evaluations required. The Offeror shall request the CO to complete the remainder of the questionnaire, seal their submittals, and mail them directly to the Source Evaluation Board (SEB) at the email address specified below on or before TO BE

DETERMINED

NASA Shared Services Center ATTN: Shan Black

Solicitation Number 80NSSC22R0001

Any questions you might have concerning completion of this form should be addressed to Shan Black at Shanjaril.L.Black@nasa.gov.

ATTACHMENT 14│ Page 2

CONTRACTOR PERFORMANCE REPORT

Section I

To be completed by Contractor requesting evaluation

1. Contractor Name and Address:

2. Name of Prime Contractor/Joint Venture/Teaming arrangement submitting proposal on this effort:

3. This past performance questionnaire is relevant to the following NSTEM PWS Scope (select all that apply):

____ Internships and Fellowships ____ Awards and Grants ____ STEM Content and Products ____ STEM Engagement Recruitment ____ Workforce and Career Learning Experiences ____ K-12 STEM Engagement ____ K-16 Educators Professional Development ____ Collegiate Competitions and Challenges ____ Institutional Support for Research and

Development Opportunities ____ Performance Assessment and Evaluation

Services ____ Contract Management and Administration

4. Contractor DUNS Number: 5. Contractor Cage Code:

6. During the contract performance being evaluated, this firm was a:

_____ Prime or Team Lead _____ Team Member _____ Subcontractor ____Other (explain)

If the firm performed work under this contract as a team member or subcontractor, information about the subcontract, in addition to the prime information, shall be provided in the following blocks:

7a. Prime Contract Number:

7b. If the prime contract number is a BPA or IDIQ, list the TO(s) the team member or subcontracted effort was performed under:

7c. Prime Contract Period of Performance:

7d. Team Member or Subcontract Period of Performance:

8a. Prime Contract Type:

8b. Team Member or Subcontract contract type:

8c. Contract Value (with options):

8d. Team Member or Subcontract contract value:

ATTACHMENT 14│ Page 3

9. Contract name and description of contract or subcontract requirements.

ATTACHMENT 14│ Page 4

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:

ATTACHMENT 14│ Page 5

Section III

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

Rating Guidelines

Each criterion should be assigned a rating from the chart below of “Acceptable” or “Unacceptable”. 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.

Also, please ensure that this assessment is consistent with any other assessments that have been done for the same Contractor for the same work.

Adjectival Rating Description

Acceptable The Contractor successfully performed the required effort.

Unacceptable The Contractor did not perform the required effort.

ATTACHMENT 14│ Page 6

PAST PERFORMANCE QUESTIONNAIRE FORM

Section III (Cont’d)

It em

FACTORS

A cc ep ta bl e

U na cc ep ta bl e

1 Timeliness in providing additional staff for surge support.

Timeliness and adequacy of responses to emergency incidents to include adequate staffing and equipment consistent with the incident/threat.

3 Timeliness and accuracy of reports and deliverable documentation.

4 Effectiveness at directing, controlling, and completing all assigned tasks.

5 Effectiveness at directing, controlling, and managing team members and processes.

6 Effectiveness in cooperating, communicating and working with Government customers and others in a team environment.

7 Effectiveness at solving contract performance problems quickly and without guidance from the Government.

8 Effectiveness in staffing vacant positions.

9 Effectiveness in recruiting and retaining qualified personnel to minimize employee turnover.

10 Program/project manager’s authority to make the necessary decisions to support specific task requirements.

11 How would you rate the Contractor’s overall technical performance on this contract?

12 How would you rate the Contractor’s overall timeliness of performance on this contract?

13 How would you rate the Contractor’s overall management performance on this contract?

14 Would you use this Contractor again? (If “No”, please comment in the Narrative Summary)

ATTACHMENT 14│ Page 7

NARRATIVE SUMMARY (Use this section to explain additional information not included above)

Item Comments

ATTACHMENT 14│ Page 8

PAST PERFORMANCE FORM LETTER EXAMPLE

This form letter is provided for Offerors to use in transmitting the Past Performance Questionnaire to customers.

RFP 80NSSC22R0001 NSTEM Services

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 Shared Services Center Request for Proposal (RFP) 80NSSC22R0001. NASA is requesting that clients of entities responding to their RFP 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 [Name and Phone Number of Offeror’s Point-of-Contact].

We have included our work for your agency as a past performance reference. A Past Performance Questionnaire is enclosed. Please complete Sections II and III of the enclosed evaluation and return the completed document to the address specified below or via email to Shan Black at Shanjaril.L.Black@nasa.gov.

NASA Shared Services Center ATTN: Shan Black Solicitation Number 80NSSC22R0001

Please forward the completed evaluation to NASA at the above address to ensure it is received prior to TO BE DETERMINED.

In order to maintain the integrity of this process, please DO NOT return the questionnaire to us.

Return it to NASA Shared Services Center at the email address listed above.

Sincerely, [Name of Signer] [Designation of Signer

Attachment 14 - Past Performance Questionnaire