ATTACHMENT_2_Past_Performance_Questionnaire_and_Cover_Letter.docx

NNJ16571636R

ATTACHMENT 2 – PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

ATTACHMENT 2 PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER

Complete one set of letters and forms for each project identified in the respondent’s SF 330 Section F, Example Projects Which Best Illustrate Proposed Team’s Qualifications for This Contract. Additional space or blank sheets may be added to answer any question.

Transmittal Letter to Accompany Past Performance Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to NASA Johnson Space Center’s (JSC’s) Request for SF 330, Architect-Engineer Qualifications for the “Architect-Engineering Services”. This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to NASA/JSC relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire and submit it by no later than 2:00 p.m. Central Standard Time on March 23, 2016,directly to the JSC Contracting Officer. The requested data shall be submitted by email to the Contracting Officer identified below and must cite the following: “Subject: Architect-Engineer Services Solicitation No. NNJ16571636R Past Performance Questionnaire.”

Contracting Officer: Diana DeNardo Email: diana.denardo-1@nasa.gov

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the JSC point of contact identified above.

Thank you, [Insert Company Official Name and Title]

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name: ________________________ Telephone: ___________________________ Address: __________________________ Email address: ________________________ __________________________ Point of Contact: ______________________

Firm Cage Code: ____________________ Firm Tax ID Number: ________________ Firm DUNS Number: ________________

Project Title: _____________________________________

Complexity of Work: High Medium Routine

Description of Project: __________________________________________________________

Description of A-E Firms’ Responsibilities:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Contract Number: __________________ Delivery/Task Order Number (if applicable):

Contract/Task Order Type: Firm Fixed Price Cost Reimbursement Other (Please Specify):

Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract and/or Task Order Price (Award Amount):

Final Contract and/or Task Order Price (to include all modifications, if applicable):

Explain Differences:

The A-E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member

Percent of work performed by A-E Firm: Other (Please describe) __________________

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency Name: ____________________________ Evaluator’s Name: _____________________ Address: __________________________ Title of Evaluator: _____________________ __________________________ Telephone: __________________________

C. SEND COMPLETED QUESTIONAIRE (SECTIONS B through D) TO:

Contracting Officer: Diana DeNardo Email: diana.denardo-1@nasa.gov Subject: Architect-Engineer Services Solicitation No. NNJ16571636R Past Performance Questionnaire

D. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory on page 8 under Narrative Summary.

A-E FIRM’S NAME: _______________ PROJECT NAME: _______________

Contract Period of Performance: _______________________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix on page 5.

Item

FACTORS TO BE RATED

Design Services:

Follow-On Construction Support Services:

LEED (If Applicable):

BIM (If Applicable):

GIS (If Applicable):

Owner’s Representative on Design/Build Projects (If Applicable):

Safety / Security

Overall:

YES

NO

Number of A/E Design Errors & Omissions on Project: _______________

Increased Project Cost Due to A/E Design Errors & Omissions: _______________

CONTRACTOR’S NAME: ___________________ PROJECT NAME __________

Contract Period of Performance: _______________________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

NARRATIVE SUMMARY (Use this section to explain any rating from the previous page)