L-4 Past Performance Questionnaire.pdf

Attachment L-4 Past Performance Questionnaire

Complete one set of letters and forms for each Past Performance reference. Additional space or blank sheets may be added to answer any question.

Transmittal Letter to Accompany Present/Past Performance Questionnaire

FROM:

SUBJECT: Present/Past Performance Questionnaire for Contract(s):

We are currently responding to NASA Johnson Space Center’s (JSC’s) Request for Proposal (RFP) for services for the Human Health and Performance Contract 2 (HHPC2). This RFP requires Offerors to identify customers and solicit their response regarding our performance.

We are providing present and past performance data to NASA JSC relating to our performance on contract ___________________ (contract name/number). The RFP instructs that we provide our customers with the attached questionnaire and requests that you provide requested data and submit it by _______________________ directly to:

Contract Name: HHPC2 Attn: Yaranet Marquez NASA Johnson Space Center 2101 NASA Parkway Houston, TX 77058 Email address: yaranet.marquez-1@nasa.gov

You are also encouraged to email the questionnaire(s).

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to us, the Offeror. If you have any questions about the acquisition or the attached questionnaire, your questions must be directed back to the JSC point of contact identified above. Thank you for your timely assistance.

Sincerely, (Company Official)

Offeror Identification

Please provide the following information:

1. Contractor Name Information Company:

Division:

Mailing Address:

2. Contract Number:

3. Contract Type:

4. Product/Service Description:

5. Contract Award Date:

6. Period of Performance (basic and any options):

7. During this contract period of performance, this firm was the: Prime Contractor Significant Subcontractor Team Member Other (please describe): _____________________________

What percentage of the Total Contract Value for this contract did the firm manage/perform, and what is the Total Contract Value? Percentage of work performed by contractor XX% ____; total contract value ___________.

8. Does a corporate or ownership relationship exist between the contractor being evaluated and your organization? No Yes – If yes, please describe the relationship:

9. Unusual contract features or conditions:

Past Performance Evaluation

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. It is very important to keep in mind that only performance in the past 5 years is relevant.

Please rate the contractor as described below in the following areas: quality, schedule, cost control, management and regulatory compliance.

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 were 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.

Poor/Unsatisfactory (P) – 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 (NA) – Contractor not required to provide the service or product indicated.

Quality NA P M S VG E

1. How well did the contractor meet the technical requirements and performance standards?

2. How well did the contractor survey and manage the quality of subcontractors?

3. How adequate was the Systems Engineering Process?

4. How well did the contractor correct technical performance deficiencies?

5. How well did the contractor understand the nature of the work required and the discipline(s) required to accomplish them?

6. How would you assess the contractor’s operational support?

7. Please provide a narrative as to why you chose the adjective you did for the areas above, especially for those answers that are other than “satisfactory.”

8. Please provide other strong/weak points of contractor’s quality performance.

Schedule NA P M S VG E

9. How would you assess the contractor’s ability to complete health, medical, science, research, and engineering services in a timely manner?

10. How well did the contractor adapt and respond to multiple program/project demands?

11. How well did the contractor identify and resolve unforeseen schedule problems?

12. How would you assess the contractor’s ability to furnish all required deliverables on or ahead of schedule?

13. Please provide a narrative as to why you chose the adjective you did for the areas

14. Please provide other strong/weak points of contractor’s schedule performance.

Cost Control NA P M S VG E

15. How well did the contractor forecast, control and adhere to estimated costs and cost targets?

16. How would you assess the contractor’s ability to submit accurate and timely financial reports and forecasts of future resource requirements?

17. Contract Value:

Initial Value Current/Final Value

Estimated Cost $______________ $______________

Fee/Fee $______________ $______________

Total Value $______________ $______________

Describe any change(s) from original contract value:

18. Was there a cost overrun/under-run? No Yes – If yes, what was the magnitude? Please explain:

19. Does the contract have ceilings rates? No Yes – If yes, what are the rates?

20. Has the contractor exceeded the rates? No Yes – If yes, please explain:

21. If an award/incentive fee type contract, percent of available fee earned? _____%.

Management NA P M S VG E

22. How effective was overall contract (program) management (including ability to effectively lead, manage, control and deliver on-time)?

23. How well did the contractor match the qualifications of key positions, as described in the contract/order, with the persons who filled the key positions?

24. How effective was the contractor’s stakeholder engagement?

25. How well did the contractor recognize, evaluate and respond to dynamic circumstances?

26. How effective was the contractor’s Quality Management System?

27. How well did the contractor manage programmatic and technical change?

28. How well did the contractor evaluate and manage programmatic and technical risk?

29. How would you rate the contractor’s record in recruiting, maintaining and managing a workforce with the required skill mix?

30. How would you assess the contractor’s ability to identify and implement innovative approaches?

31. How would you assess the contractor’s commitment to customer satisfaction?

32. How would you assess the contractor’s effectiveness in communication, including lines of authority and reporting relationships?

33. Please provide a narrative as to why you chose the adjective you did for the areas

34. Please provide other strong/weak points of contractor’s management capability.

Regulatory Compliance NA P M S VG E

35. How would you rate the contractor’s compliance with export control requirements?

36. How would you assess the contractor’s performance with safety and health requirements?

37. How would you rate the contractor’s compliance with environmental requirements?

38. How would you assess the contractor’s compliance with reporting requirements of the contract?

39. Please provide a narrative as to why you chose the adjective you did for the areas

40. Please provide other strong/weak points of contractor’s regulatory compliance.

41. Has the contract been partially or completely terminated for default or convenience? No Yes – If yes, please explain the reason for termination (i.e., inability to meet cost or delivery schedules, performance, etc.:

42. What has been the key personnel turnover rate for this contract?

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

44. Did any accidents or industrial illnesses resulting in lost time occur under this contract? No Yes – If yes, please provide details:

45. Provide an example of an OCI issue that arose during contract performance, if any. No Explain how the Contractor mitigated the OCI issue:

RESPONDENT INFORMATION

1. Name of evaluator:

2. Position title:

3. Agency/Company Name:

Mailing Address:

Telephone Number:

Facsimile Number:

E-Mail Address:

4. Your role in the program/contract:

5. Length of involvement in this program/contract:

6. Date questionnaire completed: