Enclosure 3-Past Performance Questionaire.pdf

ENCLOSURE 3

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

RFP #: 80HQTR23HGEWA

AGREEMENT #: TBD

MARCH 2023

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

(Updated May 2018)

Sections 1-3 provide for contract-related descriptive information and identification of the evaluator.

Section 4 lists the major work elements within our Statement of Work (SOW). Please provide your assessment of the “relevant experience” and “performance” associated with our SOW evidenced within the contract for which you are a reference. “Experience” means a contractor who has performed work in the specific SOW Element. “Did not Perform” means that the specific SOW element was not performed under the contract.

Section 5 evaluates the contractor’s technical, schedule, and cost performance and management.

(Additional pages may be used for comments if desired). If you cannot answer any questions, please circle “N/R” for Not Rated.

The following definitions are offered for your use in assigning a performance rating for each of the factors in Sections 5 and 6:

Very High

(VH)

The Offeror’s relevant past performance is of exceptional merit; indicating exemplary performance in a timely, efficient, and economical manner; very minor (if any) problems with no adverse effect on overall performance.

High

(H)

The Offeror’s relevant past performance demonstrates very effective performance that would be fully responsive to contract requirements with contract requirements accomplished in a timely, efficient, and economical manner for the most part with only minor problems with little identifiable effect on overall performance.

Moderate

(M)

The Offeror’s relevant past performance demonstrates effective performance; fully responsive to contract requirements; reportable problems, but with little identifiable effect on overall performance.

Low

(L)

The Offeror’s relevant past performance meets or slightly exceeds minimum acceptable standards; adequate results;

reportable problems with identifiable, but not substantial, effects on overall performance.

Very Low

(VL)

The Offeror’s relevant past performance does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas; problems in one or more areas which, adversely affect overall performance.

N/R Not Rated

Section 6 provides for evaluation of the contractor’s management of cost and award/incentive fee history.

RETURN THIS QUESTIONNAIRE TO NASA Goddard Space Flight Center PRIOR TO THE PROPOSAL DUE DATE. Attn: Chanda Cannon, Code 173 Greenbelt, MD 20771 e-mail: Chanda.M.Cannon@nasa.gov

1. Contract Information

A. Name of Company/Division Being Evaluated: ____________________

B. Address: _________________________________________________

C. Contractor Cage Code and/or DUNS number: ____________________

D. Contract Number: __________________________________________

E. Contract Type: _____________________________________________

F. Period of Performance (including options): From: _______ To: _______

H. Award Information: Competitive: Yes___ No___ Basis of Selection: Technical___ Past Performance___ Other (specify)_________________________

2. Description of Contract

Briefly describe the services provided under this contract:

During the contract performance being evaluated, this firm was the:

Prime Contractor____ Significant Subcontractor ____ Team Member ____ Other (describe)____________________________________________

Does a corporate or business relationship exist between the firm being evaluated and your organization?

Yes ___ No ___. If yes, please describe: ___________________________

3. Evaluator Information

Name: _____________________________________________________

Title: _______________________________________________________ Agency/Company: ____________________________________________ E-mail Address: _______________________________________________ Phone: ______________ Date Questionnaire Completed: _____________ Role in Program/Contract: ______________________________________ Length of Involvement in this Program/ Contract: _____________________

This form contains Source Selection Information when completed. See FAR 3.104. 6

4. SOW Survey Relevance Ratings: Please check the appropriate blocks for Relevance (Performed or Did Not Perform)

SOW ELEMENT

PERFORMED

DID NOT

PERFORM

Provided ready-made offerings for grab & go scan with pay option

Provide special diet offerings, e.g. gluten free, dairy free, and vegan selections

Provided branded concepts e.g. Starbucks, Subway and Dunkin Donuts

Provided cashless pay options or contactless ordering, e.g. online ordering

Provided catering options

Provided the advertisement of menus, specials, and themed meals

Managed cafeteria

Vending machine services

This form contains Source Selection Information when completed. See FAR 3.104. 7

This form contains Source Selection Information when completed. See FAR 3.104. 8

5. General Performance Survey

NO PERFORMANCE QUESTIONS

PERFORMANCE RATING

(Please Circle)

QUALITY

1. Quality of services and support provided VH H M L VL N/R

2. Timely identification and mitigation of risks VH H M L VL N/R

3.

Ability to identify and correct performance deficiencies in a timely manner

VH H M L VL N/R

4.

Demonstrated understanding and compliance with mission safety requirements

VH H M L VL N/R

Comment:

SCHEDULE

5. Ability to meet/exceed schedule milestones VH H M L VL N/R

PRICE/COST

6. Ability to establish realistic prices VH H M L VL N/R

7.

Ability to anticipate, identify and control cost growth.

BUSINESS/MANAGEMENT

8.

Communicating/interfacing with Government and overall responsiveness to Government requests

VH H M L VL N/R

9.

Ability to effectively manage the contract including subcontractor performance, if applicable

This form contains Source Selection Information when completed. See FAR 3.104. 9

10.

Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner.

This form contains Source Selection Information when completed. See FAR 3.104. 10

Section 6:

Please comment on particularly strong/weak points of Contractor’s performance (technical, schedule, and/or cost/price). If the Overall Contract Performance Rating below is less than Very High, please provide some explanation in this section on why a higher rating was not provided.

Overall Contract Performance Rating (circle one)

Very High High Moderate Low Very Low

If less than Very High-Performance Rating, please explain:

Please add any other comments you may feel are pertinent.

Rater’s Signature Date