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LABORATORY SUPPORT SERVICES AND OPERATIONS (LASSO) II
SOLICITATION
Attachment L-03
Past Performance Questionnaire
PAST PERFORMANCE QUESTIONNAIRE
LABORATORY SUPPORT SERVICES AND OPERATIONS II (LASSO) SOLICITATION
John F. Kennedy Space Center, Florida
This questionnaire is to be submitted for evaluation of a company that has intentions to compete for the LASSO II contract as a prime or subcontractor. The following terms, “customer reference” and “evaluator,” are used to refer to the person performing the evaluation. For the LASSO II Request for Proposal (RFP), NASA requires the company to provide this questionnaire to customer references for which it has had an active or completed contract within the past three (3) years. Please complete this questionnaire and return to NASA per the following instructions. Your assistance in this effort is greatly appreciated.
The scope of the LASSO II contract provides support services including laboratory equipment maintenance; operational laboratory services for Component Cleaning and Refurbishment, Chemical Sampling and Analysis, Calibration and Standards, and Nondestructive Evaluation; and research and technology (R&T) scientific support and engineering support within various laboratories located at John F. Kennedy Space Center (KSC). The LASSO II laboratories support the KSC Institution, NASA’s programs and projects, Cape Canaveral Space Force Station, and a growing base of spaceport customers.
Instructions for completing the Past Performance questionnaire and a sample cover letter to send to your customer reference for performance assessment are included in the following pages. Please request that the customer reference complete the attached questionnaire and email a PDF file, to Michael Wheeler, Contracting Officer, at ksc-lassoII-team@mail.nasa.gov. The completed questionnaire will become a part of the official source selection records. To be appropriately considered, the Past Performance Questionnaire shall be returned to the Contracting Officer in its entirety no later than: January 19, 2022. If there are any questions, please contact the Contracting Officer at (321) 867-1341.
PAST PERFORMANCE QUESTIONNAIRE
TO REFERENCE: Michael Wheeler, Contracting Officer DATE __________
REFERENCE’S ADDRESS: Mail Code: SEB-LASSO II Kennedy Space Center, FL 32899
REFERENCE’S EMAIL: KSC-LASSOII-team@mail.nasa.gov.
INFORMATION REQUEST
PAST PERFORMANCE
The National Aeronautics and Space Administration (NASA) Kennedy Space Center (KSC) is in the process of soliciting offers from companies for the Laboratory Support Services and Operations (LASSO) II contract. ______________________ has provided your name and organization as a reference regarding our record of past performance under Contract Number: _______________________.
Our company is competing for Solicitation # 80KSC021R0038 as a:
Prime Contractor _______________________ or Subcontractor ____________________ or Joint Venture _______________________ or Other (explain)______________________.
In order for NASA KSC to conduct its evaluation of our company’s past performance record, we request that you complete the attached questionnaire and email a PDF file, to Mr. Michael Wheeler, Contracting Officer, at ksc-lassoii-team@mail.nasa.gov.
Your completed questionnaire will become a part of the official source selection records. To be appropriately considered, the Past Performance Questionnaire shall be returned to the Contracting Officer in its entirety no later than 3:00 p.m. KSC local time, on January 19, 2022.
QUESTIONNAIRE INSTRUCTIONS
Sections I - Company and Contract Information: To be completed by the Offeror.
Section II - Evaluator Information: To be completed by the evaluator.
Sections III: Performance Assessment: To be completed by the evaluator. Provide your assessment of the company’s performance by marking the appropriate rating for the contract for which you are a customer reference. It is very important to keep in mind that only performance on active or completed contracts in the last three years is relevant.
For each item in the Performance Assessment, respond by placing an “x” in the appropriate block with the rating that best describes the company’s performance for the referenced contract or order.
The LASSO II Contract Source Evaluation Board may contact you regarding the information you provide.
The rating scale is defined as:
| Exceptional (E) |
| 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. |
| Very Good (VG) |
| 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 was effective. |
| Satisfactory (S) |
| 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 (M) |
| 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. |
| Unsatisfactory (U) |
| 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. |
| Not Applicable (N/A) |
| No information or does not apply to this contract |
SECTION I. COMPANY AND CONTRACT INFORMATION:
Company Name/Division/Cage Code
Contract No./Title
Contract Type (FFP, CPAF, CPIF, etc.)
Contract Award Date
Period of Performance (start and end date)
Was this a competitive contract? (Yes/No)
Work Performed as: (Prime Contractor, Subcontractor, Joint Venture, Other (explain)?
| Value of Subcontractor Share |
| $ |
Description of Contract Content: Briefly describe the nature of the effort (i.e., scope of the effort, type(s) of tasks involved, and products/support delivered).
| LASSO II SOLICITATION | ATTACHMENT L-03 | 80KSC021R0038 |
| 80KSC021R0038 | Attachment L-03 | |
| LASSO II Solicitation | Past Performance Questionnaire | |
SECTION II. EVALUATOR INFORMATION
Name
Title
Work Phone
Email
Agency/Company Name
Address1
Address 2
City, State, Zip
Role in Program/Contract
Length of Involvement with Program/Contract
SECTION III. PERFORMANCE ASSESSMENT
PERFORMANCE RATINGS
| A. |
| MANAGEMENT |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1 |
| Ability to develop and implement management functions to ensure all contracted activities were accomplished in accordance with contract terms and conditions |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 2 |
| Ability to identify problems and propose acceptable solutions in a timely manner |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 3 |
| Ability to communicate and interface with Government and primary customers |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 4 |
| Responsiveness to Government requests |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 5 |
| Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 6 |
| Ability to manage critical skill needs |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 7 |
| Ability to fully meet contract requirements at contract start |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 8 |
| Ability to handle fluctuating workloads |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 9 |
| Ability to effectively coordinate, integrate, and manage subcontractors |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 10 |
| Ability to build effective working relationships with associate contractors, subcontractors and the Government in a team environment |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 11 |
| Compliance with technical requirements and performance standards |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 12 |
| Ability to understand, support and comply with institutional safety and health processes and procedures (e.g., OSHA compliance, facility inspections, identification and effective mitigation of hazards, mishap reporting, investigations and corrective actions) |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 13 |
| Ability to establish and implement safety and health procedures or practices associated with laboratory operations and maintenance activities |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 14 |
| Ability to understand and comply with environmental requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 15 |
| Ability to understand and comply with health physics and radiation safety requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 16 |
| Ability to understand and perform hazardous and controlled waste management functions |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 17 |
| Ability to understand and comply with laboratory quality assurance requirements (e.g., ISO9000 or SAE AS9100 or ISO 17025) |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 18 |
| Overall performance in planning and controlling the program or project |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 19 |
| Overall content, accuracy, quality, and timeliness of technical, management and deliverables |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 20 |
| Adequacy of Contractor’s system(s) for processing activity requests and/or changes |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 21 |
| Ability to implement work control systems and provide configuration management for laboratory information management systems or equipment maintenance management |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 22 |
| Ability to provide information technology system(s) and tools supporting multiple customers, with capabilities to plan, author, control, schedule, integrate, approve, document, track or monitor contract activities |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 23 |
| Adherence to information technology security requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| B. |
| LABORATORY MAINTENANCE AND SUPPORT |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1 |
| Ability to ensure operational readiness of laboratory equipment, systems and assets to perform services or investigations |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 2 |
| Ability to plan for and perform maintenance of complex, scientific laboratory equipment |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 3 |
| Ability to implement a comprehensive equipment maintenance program which includes tracking and scheduling maintenance activities, preventive maintenance plans, equipment status and repair history information, and associated parts or spares |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 4 |
| Ability to perform maintenance of pressure vessels or pressurized systems |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| C. |
| LABORATORY OPERATIONS AND SUPPORT |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1 |
| Ability to perform precision component cleaning and refurbishment on critical equipment and to meet stringent requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 2 |
| Ability to perform calibrations on critical equipment to meet stringent requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 3 |
| Ability to perform sampling and analysis of fluids, gases and other critical substances to meet stringent requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 4 |
| Ability to perform non-destructive evaluations on critical components, equipment and systems |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 5 |
| Ability to plan and perform electromagnetic effects testing to meet customer requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 6 |
| Ability to perform corrosion testing including environmental testing and substrate preparation to meet customer requirements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 7 |
| Ability to plan and perform testing for systems and components using full-scale physical hardware to simulate operations |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 8 |
| Ability to plan, provide and implement laboratory work control process(es) or system(s) for receipt, prioritization, performance and reporting associated with the above operational laboratory activities |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 9 |
| Customer coordination or customer service associated with all aspects of the above operational laboratory activities |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| D. |
| PROFESSIONAL AND TECHNICAL SUPPORT SERVICES |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1 |
| Ability to perform certification and re-certification of pressure vessels or pressurized systems |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 2 |
| Ability to perform scientific investigations and technology development efforts associated with basic and applied research |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 3 |
| Ability to perform engineering analysis, test and evaluation for new technologies and improvements |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 4 |
| Ability to obtain critical and unique skills for research and technology projects |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 5 |
| Ability to perform design and fabrication for scientific research and technology development |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 6 |
| Ability to perform scientific research and technology development testing |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 7 |
| Ability to assist with the publication and dissemination of research and technology development results |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 8 |
| Ability to support proposal development for new work |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| E. |
| OVERALL EFFECTIVENESS |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1 |
| How would you rate the Contractor’s overall management performance on this contract? |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 2 |
| How would you rate the Contractor’s overall technical performance on this contract? |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| 3 |
| How would you rate the Contractor’s overall timeliness of performance on this contract? |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
| ☐ |
Evaluator’s Signature