EXHIBIT_10_Past_Performance_Questionnaire_20160314.pdf

Solicitation No. NNG16557109R Facilities Construction, Engineering and Technical Services (FaCETS)

EXHIBIT NO. 10 – PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

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 all of the following:

Construction services including the management, planning, execution and quality control of a broad variety of Design-Bid-Build and Design-Build new construction, modification, and rehabilitation projects for facilities;

Architect and Engineering design services;

Architect and Engineering technical services including engineering studies, surveys and investigations;

Information Resources services including management of servers, systems analysis, programming support, technical consulting and training for various applications, Computer Aided Drafting and Design, Building Information Modeling, and Geographical Information System services to maintain building and site drawings, technical library management, and work intake control and;

Planning services including Directorate Planning and space surveying.

“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 design within budget history.

RETURN THIS QUESTIONNAIRE TO NASA Goddard Space Flight Center BY TBD. Attn: Andrea A. Davis, Code 210.I Greenbelt, MD 20771 Phone: 301-286-0058 email: Andrea.A.Davis@nasa.gov

I. Contract Information

A. Name of Company/Division Being Evaluated:_____________________

B. Address:_____________________________________________

C. Contract Number:_______________________________________

D. Contract Type:_________________________________________

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

F. Total Contract Value:_____________________________________

G. 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: _____________________

Solicitation No. NNG16557109R Facilities Construction, Engineering and Technical Services (FaCETS) EXHIBIT NO. 10 – PAST

PERFORMANCE QUESTIONNAIRE

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

IV. SOW Survey: Relevant Experience and Performance Level of Confidence Rating

SOW ELEMENT

SIGNIFICANT

MODERATE

MINIMAL/

DID NOT

PERFORM

LEVEL OF CONFIDENCE RATING

(Please circle)

Information Resources services - Management of servers, systems analysis, programming support, technical consulting, and training for various applications

VH H M L VL N/R

Information Resources services - Computer Aided Drafting and Design and Geographical Information System services to maintain building and site drawings, technical library management, and work intake control

VH H M L VL N/R

Information Resources services - Building Information Modeling (BIM) services including and licensing, installation and building support and customization and training

VH H M L VL N/R

Architect and Engineering services – Full design projects

VH H M L VL N/R

Architect and Engineering services - Engineering and technical services including engineering studies, surveys and investigations

VH H M L VL N/R

Construction services - Management, planning, execution and quality control of a broad variety of new construction, modification, and rehabilitation projects for facilities.

VH H M L VL N/R

Construction services - Design-Bid-Build projects VH H M L VL N/R

Construction services – Design-Build projects VH H M L VL N/R

V. General Performance Survey

NO PERFORMANCE QUESTIONS

LEVEL OF CONFIDENCE RATING

(Please Circle)

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

2.

Compliance with technical requirements and performance standards

VH H M L VL N/R

3.

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

VH H M L VL N/R

4.

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

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

6.

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

VH H M L VL N/R

7.

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

VH H M L VL N/R

8.

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

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

10.

Adherence to Safety and Health procedures/overall Safety and Health injury/illness record

VH H M L VL N/R

11. Communicating and interfacing with owner VH H M L VL N/R

12.

Ability to effectively manage subcontractor performance

VH H M L VL N/R

13.

Timeliness, quality, and accuracy of schedule reporting

VH H M L VL N/R

14.

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

VH H M L VL N/R

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

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

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

18.

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

VH H M L VL N/R

19.

Adherence to estimated costs and contract cost targets

VH H M L VL N/R

20. Ability to stay within budget for Scopes of Work VH H M L VL N/R

21.

Ability to meet Small Business Subcontracting Plan Goals and Small Disadvantaged Business Participation targets

VH H M L VL N/R

22.

Timeliness, quality, and accuracy of Small Business Subcontracting Plan reporting

VH H M L VL N/R

23.

Ability to meet HBCU Small Business Subcontracting Goals Business Participation targets

VH H M L VL N/R

PAST PERFORMANCE QUESTIONNAIRE

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 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