Exhibits 12 - PastPerfQues.pdf

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 BY TBD. Attn: James H. Kim, Code 178.

Greenbelt, MD 20771 Phone: 301-286-3026 e-mail: james.h.kim@nasa.gov

PAST PERFORMANCE QUESTIONNAIRE

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:_______

G. Total Contract Value:_____________________________________

H. Award Information: Competitive: Yes___ No___ Basis of Selection: Technical___ Cost/Price___ 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. 5

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

SOW ELEMENT

PERFORM

ED

DID NOT

PERFORM

Development of Earth system model (ESM) components (atmosphere, ocean, land, sea-ice, constituent, biogeochemical, and/or other ESM components) and performs ESM experimentation

Development of large-scale data assimilation (DA) systems for the Earth’s atmosphere and performs atmospheric model and DA experimentation

Development of atmospheric constituent DA and performs constituent modeling and DA

Development of large-scale land surface DA and performs land modeling and land DA

Development of large-scale ocean and ice DA systems and performs ocean and ice model and DA experimentation.

Development of coupled DA systems and performs coupled model and DA

Development of observing system simulation experiments (OSSE) techniques and performs OSSEs

Performs systems integration within the context of Earth system modeling. Integration of assimilation and model elements into an operational configuration, developing diagnostics, validation, and documentation.

Development of coupled climate models, performs analysis, and experimental forecasts and subseasonal-to-seasonal or decadal climate prediction systems

Development of visualization and scientific analysis of observed, Earth system model-generated fields, and data assimilation products and the publication of scientific results.

Support for the communication of research objectives and results to the scientific community and to the general public

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

Performs production systems development and maintenance for all components of Earth system (atmospheric, ocean, land, ice, constituent, biogeochemical, etc. components) for modeling, data assimilation, and reanalysis products

Performs production operation for all aspects of Earth system models (atmospheric, ocean, land, ice, constituent, biogeochemical, etc.) for modeling, data assimilation and reanalysis products

Performs support for ESM projects including high-level project management, scientific, technical, and staffing coordination

Performs scientific, analysis, and programming support for limited-term research projects Comments:

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

5. General Performance Survey

N

O 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. Timeliness, quality, and accuracy of schedule estimates and reporting VH H M L VL N/R

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

COST

7. Ability to establish realistic cost estimates and adhere to estimated costs VH H M L VL N/R

8. Ability to anticipate, identify and control cost growth. VH H M L VL N/R

BUSINESS/MANAGEMENT

9.

Communicating/interfacing with Government and overall responsiveness to Government requests

VH H M L VL N/R

10.

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

VH H M L VL N/R

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

11.

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

VH H M L VL N/R

12. Adequacy of Contractor’s system(s) for processing task orders and/or changes. VH H M L VL N/R

Section 6:

What is the Contract Value:

Initial Value Current Value Estimated Cost: $___________ $____________

Fee: $___________ $____________

Total Value: $___________ $_____________

What are the total contract expenditures to date (cost/fees to date based on invoices, reports, etc)?

What is the Annual Contract Value to Date (The current contract expenditures to date divided by the number of years of performance to date)?

For example (note, these example numbers may not relate to this specific procurement):

Assume your contract is a current five year contract, is still ongoing, and the latest cost report reflects a cost/fee of $43,500,000 through the first 2 years and 4 months (to date). In this example, current/total Contract Expenditures incurred to Date are $43,500,000 and associated period of performance for those expenditures, expressed in years, is 2.33 years.

Therefore, the Average Annual Cost/Fee Incurred to Date: $18,669,528 ($43,500,000/2.33 years)

Was there a cost overrun? ( ) Yes ( ) No If yes, please explain:

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

If this was an award fee contract, what are the individual and/or average ratings of performance by your organization? Please attach any available award fee letters or database entries.

Please comment on particularly strong/weak points of Contractor’s performance (technical, schedule, and/or cost). 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

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