EXHIBIT_14_PAST_PERFORMANCE_QUESTIONNAIRE.pdf

EXHIBIT 14

PAST PERFORMANCE QUESTIONNAIRE

RFP NNG15543215R

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

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

(Updated September, 2010)

Sections I through III provide for contract-related descriptive information and identification of the evaluator.

Section IV 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. Your assessment of the relevancy should reflect the fact that the principal purpose of our contract is to provide scientific support services at NASA Goddard Space Flight Center for (i) our comprehensive program of atmospheric science research and technology development directed towards observing, monitoring, characterizing, modeling, understanding and advancing knowledge of the Earth’s atmosphere, and (ii) our development and routine operation of comprehensive and increasingly coupled models and data assimilation systems for the Earth’s atmosphere, ocean, land surface and cryosphere.

“Significant Experience” means that a full range of services was routinely performed by the contractor under the associated SOW element. “Moderate Experience” describes a contractor who has experience in several aspects of a work element even though the experience may not have been on a continuous basis or directly related to the purpose of our contract. “Minimal Experience/Did not Perform” means that, although at least some aspects of the work may have been performed, such performance was limited in scope or frequency, or the work element was not performed under the contract.

Section V evaluates the contractor’s technical, schedule, and cost performance and management. (Additional pages may be used for comments if desired). It is very important to keep in mind that only performance in the past 5 years is relevant. 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 IV and V:

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

RETURN THIS QUESTIONNAIRE BY TBD TO: NASA Goddard Space Flight Center, Attn: Russellyn Hart, Code 210.5, Greenbelt, MD 20771. Phone: 301-286-5081, FAX: 301-286-5373, e-mail: Russellyn.Hart-1 @nasa.gov

I. 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)_________________________

II. 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: ___________________________

III. Evaluator Information

Name: ____________________________________________________ Title: ____________________________________________________ Agency/Company: ____________________________________________ Address: __________________________________________________ Phone: ______________ Date Questionnaire Completed: _______________ Role in Program/Contract: _____________________________________ Length of Involvement in this Program/ Contract: _____________________

IV. SOW Survey: Relevant Experience and Performance Ratings: Please check the appropriate blocks for both Relevance (Significant, Moderate, Minimal/Did Not Perform) and the Performance (VH, H, M, L, VL, N/R) for each SOW Element Listed below (see page 1 definitions and instructions).

SOW ELEMENT

SIGNIFICANT

MODERATE

MINIMAL/

DID NOT

PERFORM

PERFORMANCERATING

(Please circle)

Data assimilation system software development, maintenance and production operation

VH H M L VL N/R

High-level scientific and technical project management VH H M L VL N/R

Design, development, testing, maintenance, calibration and operation of instruments for atmospheric and solar observations

VH H M L VL N/R

Management of instrument development laboratories VH H M L VL N/R

Development, application and advancement of numerical models of the chemistry and physics of the Earth’s atmosphere

VH H M L VL N/R

Processing and scientific analysis of data collected from Earth-observing satellite instruments

VH H M L VL N/R

Support for the preparation of refereed journal publications and presentations at scientific conferences

VH H M L VL N/R

Support for project scientists and principal investigators in the formulation, implementation and operation of satellite missions

VH H M L VL N/R

Development and use of atmospheric, ocean, land surface, atmospheric constituent and ocean biology data assimilation systems

VH H M L VL N/R

Development and use of coupled climate models and subseasonal-to-decadal climate forecast systems

VH H M L VL N/R

Scientific analysis and visualization of model simulations, data assimilation products, and satellite and in-situ data

VH H M L VL N/R

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

VH H M L VL N/R

Support for the preparation of research and development proposals

VH H M L VL N/R

V. General Performance Survey

NO PERFORMANCE QUESTIONS

PERFORMANCERATING

(Please Circle)

1.

Overall performance in planning and controlling the program

VH H M L VL N/R

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

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

4.

Contractor’s ability to identify and correct performance deficiencies in a timely manner

VH H M L VL N/R

5.

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

6. Communicating and interfacing with Government VH H M L VL N/R

7.

Ability to effectively manage subcontractor performance

VH H M L VL N/R

8.

Adequacy of Contractor’s system(s) for processing task orders and/or changes.

VH H M L VL N/R

9. Overall responsiveness to Government requests VH H M L VL N/R

10.

Timeliness, quality, and accuracy of financial reporting

VH H M L VL N/R

11. Overall evaluation of cost performance VH H M L VL N/R

Section VI:

What is the Contract Value:

Initial Value Current Value Estimated Cost: $___________ $____________

Fee: $___________ $____________

Total Value: $___________ $_____________

Briefly describe any change(s) from original contract 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)?

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

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).

Overall Contract Performance Rating (circle one)

Very High High Moderate Low Very Low

Would you select this Contractor Again? ( ) Yes ( ) No

Please add any other comments you may feel are pertinent.

Rater’s Signature Date