Attachment F1 Past Performance Questionnaire.docx

NPSC-SR

Attachment F1- Past Performance Questionnaire 80KSC021R0009

80KSC021R0009

NASA Protective Services Contract-South Region

(NPSC-SR)

Attachment F1

NPSC-SR

Attachment F1- Past Performance Questionnaire 80KSC021R0009-DRAFT Past Performance Questionnaire Page 1 of

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 who monitors 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:

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 and submit the completed questionnaires via email to the address below prior to June 24, 2021. Past Performance Questionnaires will not be accepted directly from the offeror.

Questionnaires shall be sent directly from the offeror’s past performance source via email to KSC-NPSC-SR-Info@mail.nasa.gov no later than June 24, 2021 to Hillary Heard, Contracting Officer.

Any questions you might have concerning completion of this form should be addressed to Hillary Heard at via email to KSC-NPSC-SR-Info@mail.nasa.gov.

SECTION I

BASIC CONTRACT INFORMATION

This section to be completed by Offeror requesting evaluation

1. Contractor Name and Address:

2. Name of prime Contractor/Joint Venture submitting proposal on this effort:

3. This past performance questionnaire is relevant to the following NPSC-SR PWS Scope (Please select all that apply to the offeror being evaluated):

[ ] Information Security and Communications Security [ ] Emergency Management (Emergency Preparedness, Emergency Operations, COOP, TT&E) [ ] PSCC Operations (Emergency Communications Center) [ ] Resource Protection (Physical Security and Locksmith) [ ] Security/Security Police Operations (Patrol, Investigations, Traffic Enforcement) [ ] ICAM (Badging Operations) [ ] Personnel Security (Background Investigations and Adjudication) [ ] Police Training

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:

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

SECTION II

EVALUATOR IDENTIFYING INFORMATION

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:

SECTION III

CONTRACTOR PERFORMANCE REPORT

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, 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.

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.

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.

SECTION III (Cont’d)

Technical Performance

Efficiency of Performance

Management Effectiveness

Transition Performance

Safety Health, IT, Quality and Environmental Performance

Overall Evaluation

No [ ]

No [ ]

SECTION III (Cont’d)

NARRATIVE SUMMARY (Use this section to explain additional information not included above or to expound upon responses provided.)