Exhibit_13 _Past_Performance_Questionnaire.pdf

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 acquire multidiscipline engineering support services and related services for both in-house and out-of-house instrument and spacecraft programs (mainly Joint Polar Satellite System (JPSS) and the Satellite Servicing Capabilities Office (SSCO)) to fulfill the responsibilities of the Applied Engineering and Technology Directorate (AETD). The contractor shall provide support for the study, design, systems engineering, development, fabrication, integration, testing, verification, and operations of spaceflight, airborne, and ground system hardware and software, including development and validation of new technologies to enable future space and science missions.

“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 TO NASA Goddard Space Flight Center BY TBD. Attn: Julie Janus, Code 448 Greenbelt, MD 20771 Phone: 301-286-4931 e-mail: Julie.A.Janus@nasa.gov

PAST PERFORMANCE QUESTIONNAIRE

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

PERFORMANCE RATING

(Please circle)

FUNCTION 1 – Technology Development Services

Solid State Device Research and Development VH H M L VL N/R

Instrument Systems Technology Services VH H M L VL N/R

Photonics Technology Services VH H M L VL N/R

Microwave and Millimeter Wave Technology Services VH H M L VL N/R

Instrument Electronics Systems Technology Services VH H M L VL N/R

Thermal Control Systems Technology Services VH H M L VL N/R

Power Systems Technology Services VH H M L VL N/R

Guidance, Navigation and Control (GN&C) Technology

Services

VH H M L VL N/R

Cryogenic and Fluids Systems Technology Services VH H M L VL N/R

Advanced Coating and Film Technology Services VH H M L VL N/R

Science Data Processing Applications & Processing

Technology Services

VH H M L VL N/R

Robotic Technology Services VH H M L VL N/R

Autonomous Rendezvous and Docking Services VH H M L VL N/R

FUNCTION 2 – Pre-Formulation and Formulation

Studies

Candidate Study Services VH H M L VL N/R

Preliminary Analysis Study Services VH H M L VL N/R

System Definition Study Services VH H M L VL N/R

FUNCTION 3 – Implementation Phase Services

Mission Systems Engineering VH H M L VL N/R

Instrument Systems Engineering VH H M L VL N/R

SOW ELEMENT

SIGNIFICANT

MODERATE

MINIMAL/

DID NOT

PERFORM

(Please circle)

FUNCTION 3 – Implementation Phase Services

(cont’d)

Software Systems Engineering, Studies, Analysis and Support

VH H M L VL N/R

Fabrication, Assembly and Testing Services VH H M L VL N/R

Integration, Test, and Verification Services VH H M L VL N/R

Laboratory and Test Instrumentation Services VH H M L VL N/R

Mission Assurance and Systems Safety Services VH H M L VL N/R

EEE Parts Program Services VH H M L VL N/R

Materials Engineering VH H M L VL N/R

FUNCTION 4 Operational Phase Services

Data System Management Services VH H M L VL N/R

Launch and Post-Launch Operations Services VH H M L VL N/R

V. General Performance Survey

NO PERFORMANCE QUESTIONS

(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.

Compliance with technical requirements and performance standards

VH H M L VL N/R

4.

Content, accuracy, quality, and timeliness of technical reports and deliverables

VH H M L VL N/R

5.

Ability to design and/or deliver a product that meets or exceeds performance requirements within costs and schedule

VH H M L VL N/R

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

7.

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

VH H M L VL N/R

8.

Compliance with technical process and control requirements (quality assurance, configuration management, etc.)

VH H M L VL N/R

9.

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

10. Ability to handle fluctuating workloads VH H M L VL N/R

11. Adherence to safety and health procedures VH H M L VL N/R

12.

Demonstrated understanding and compliance with mission safety requirements

VH H M L VL N/R

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

14.

Ability to effectively manage subcontractor performance

VH H M L VL N/R

15.

Ability to build effective working relationships with associate contractors, subcontractors and the Government in a team environment.

VH H M L VL N/R

16.

Timeliness, quality, and accuracy of schedule reporting

VH H M L VL N/R

17.

Adequacy of Contractor’s performance in processing task orders and/or changes

VH H M L VL N/R

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

19. Ability to establish realistic cost estimates VH H M L VL N/R

20. Ability to establish realistic schedule estimates VH H M L VL N/R

21.

If performance based, how successful was the Contractor in meeting the contract metrics?

VH H M L VL N/R

22.

Adherence to estimated costs and contract cost targets

VH H M L VL N/R

23.

Ability to anticipate, identify and control cost growth.

VH H M L VL N/R

24.

Ability to meet Small Business Subcontracting Plan Goals

VH H M L VL N/R

25.

Timeliness, quality, and accuracy of financial reporting

VH H M L VL N/R

26. 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