Attachment J.2(N) Past Performance Questionnaire (PPQ).pdf

NASA Safety Center (NSC) Safety & Mission Assurance, Audits, Assessments and

Analysis (SA3) Services

Attachment J.2 (N) - Past Performance Questionnaire (PPQ)

80GRC022R0029 – SA3 Services Attachment J.2 (N)

PAST PERFORMANCE OUESTIONNAIRE

[This form contains Source Selection Information when completed (See FAR 3.104)]

OFFEROR’S HISTORICAL DATA:

Company Name Contract Number Contract Title Contract Type Contract Description

Period of Performance (basic and any options)

Total Contract Value Location of Services Approximate number of employees

1. During this contract period of performance, this firm was the:

[ ] Prime Contractor [ ] Significant Subcontractor [ ] Team Member [ ] Other (please describe)

2. What percentage of the total contract value did this firm perform? ___________

3. Does a corporate relationship exist between the company being evaluated and your organization?

[ ] No [ ] Yes (please describe)

4. Unusual contract features or conditions, if any:

RESPONDENT INFORMATION:

Name Phone, Commercial Fax Number Position/Title Relationship to Program Length of Involvement

RATINGS AND QUESTIONS:

Based on your knowledge of the contract identified, above, please provide your assessment of how well the Contractor performed on each of the following questions. Please rate the Contractor as described below in the following technical, schedule, cost, and business capabilities areas.

80GRC022R0029 – SA3 Services Attachment J.2 (N)

ADJECTIVAL

RATING

DEFINITION

Excellent Consistent record of exceptional past performance by the Contractor on work identical or very similar to the work requirements of the proposed contract.

Very Good Consistent record of successful past performance by the Contractor on work identical or very similar to the work requirements of the proposed contract.

Good Record of effective past performance by the Contractor on work identical, very similar, or relevant to the work requirements of the proposed contract.

Fair Record of past performance by the Contractor which meets of slightly exceeds minimally acceptable standards on work identical, very similar, or relevant to the work requirements of the proposed contract.

Poor Record of past performance by the Contractor which does not meet minimum acceptable standards on work identical, very similar, or relevant to the work requirements of the proposed contract.

Not Applicable Question does not apply to the contract being rated.

TECHNICAL PERFORMANCE:

1. Overall performance in planning and controlling the program:

[ ] Excellent [ ] Very Good [ ] Good [ ] Fair [ ] Poor [ ] N/A

2. Overall quality of technical services and support:

3. Compliance with technical requirements and performance standards relevant to Safety and Mission Assurance:

4. Insight in understanding customer requirements and priorities:

5. Initiative in identifying and resolving unforeseen technical and schedule problems (causes, impacts, and resolutions):

6. Identification, surveillance, and management of major/critical subcontractors:

7. Contractor's ability to correct performance deficiencies:

8. Ability to use metrics and other tools to accurately measure and track program:

80GRC022R0029 – SA3 Services Attachment J.2 (N)

9. Record in demonstrating a thorough understanding of the nature of the work required and the disciplines required to accomplish it:

10. Record in identifying and mitigating risks:

11. Ability to provide a qualified workforce to fulfill contractual requirements:

12. Any other comments about Contractor's technical performance:

SCHEDULE PERFORMANCE:

1. Content, accuracy, and timeliness of technical reports:

2. Adherence to task schedules:

3. Timeliness and accuracy of cost and business reports:

4. Record in completing technical tasks/milestones, providing deliverables within the established schedules:

5. Any other comments about Contractor's schedule performance:

COST PERFORMANCE:

1. Adherence to estimated costs and contract cost targets:

2. Was there a cost overrun/underrun?

[ ] No [ ] Yes. If yes, please explain.

3. Did/does the contract have ceiling rates?

80GRC022R0029 – SA3 Services Attachment J.2 (N)

[ ] No [ ] Yes. If yes, were these for direct or indirect costs, or both?

4. If the contract has had ceiling rates, has the Contractor exceeded the rates?

5. Ability to effectively forecast and control costs:

6. Accuracy of financial reports and credibility of forecasts of future resource requirements:

7. If this was/is and award/incentive fee contract, what was/is the average percentage of available fee earned?

8. Any other comments about Contractor's cost performance:

BUSINESS CAPABILITIES:

1. Approximately how many people were/are employed under this contract?

2. Record in identifying key positions, filling these positions with people with the required skills, and providing back-ups:

3. Turnover rate for key personnel under this contract? _____%

4. Record in recruiting, maintaining, and managing a workforce with the required skill mix:

5. Did any accidents or industrial illnesses resulting in lost time occur under this contract?

[ ] No [ ] Yes. If yes, please explain. If yes, please provide details.

6. Compliance with export control requirements:

7. Record in complying with safety, health, and environmental procedure requirements:

8. Record in establishing and maintaining an effective quality assurance program and meeting quality

80GRC022R0029 – SA3 Services Attachment J.2 (N) improvement requirements:

9. Record in business management performance (degree of monitoring/guidance required in contract administration):

10. Record in contract change order management (commitment to negotiate and implement contract changes in a timely manner):

11. Record in effectively selecting and managing subcontractors:

12. History of reasonable and cooperative behavior and commitment to customer satisfaction:

13. Record of reacting quickly in adjusting staffing levels and make-up to meet changing requirements:

14. Performance in managing problems and implementing corrective actions

15. Record in managing multiple and diverse projects/tasks from planning through execution phases:

16. Record in managing complex projects at multiple, graphically dispersed sites:

17. Record in meeting goals for Small Business Subcontracting:

18. Has this contract been partially or completely terminated for convenience or default or subject to litigation?

19. In which of the following areas, if any, do you feel the Contractor is strong?

80GRC022R0029 – SA3 Services Attachment J.2 (N)

[ ] Program/Project Management [ ] Risk Identification and Mitigation [ ] Attracting and Retaining Qualified Personnel [ ] Communication [ ] Technical Performance [ ] Technical Innovation [ ] Small Business Utilization [ ] Safety and Environmental Performance [ ] Cost Performance [ ] Response to Change

20. In which of the following areas, if any, do you feel the Contractor is weak?

[ ] Program/Project Management [ ] Risk Identification and Mitigation [ ] Attracting and Retaining Qualified Personnel [ ] Communication [ ] Technical Performance [ ] Technical Innovation [ ] Small Business Utilization [ ] Safety and Environmental Performance [ ] Cost Performance [ ] Response to Change

21. Any other comments about Contractor's Business Capabilities:

22. Would you select this Contractor again?

[ ] No [ ] Yes

23. Any other comments.