Attachment_L-3_Past_Performance_Questionnaire.docx

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Attached to
Rendezvous, Proximity Operations, and Capture (RPOC IV) Federal contract opportunity
Solicitation number
NNJ16582596R
Issued by
National Aeronautics and Space Administration Johnson Space Center

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Draft Attachment L-3

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ATTACHMENT L-3 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). 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 via email by _______________________ directly to:

Rendezvous Proximity Operations and Capture (RPOC IV) Attn: Colleen Wells, Contract Specialist /Mail Code BH4 Email: colleen.l.wells@nasa.gov 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 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 perform and what is the Total Contract Value?

Percentage of work performed by Contractor ___________ 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 technical, schedule, cost, and general areas. Please give a short narrative as to why you chose the adjective you did, especially for those answers that are other than “satisfactory.”

Excellent (E) – Of exceptional merit, exemplary performance in a timely, efficient and economical manner, very minor (if any) deficiencies with no adverse effect on overall performance.

Very Good (VG) – Very effective performance, fully responsive to contract requirements; contract requirements accomplished in a timely, efficient, and economical manner for the most part, only minor deficiencies.

Good (G) – Effective performance, fully responsive to contract requirements; reportable deficiencies, but with little identifiable effect on overall performance.

Satisfactory (S) – Meets or slightly exceeds minimum acceptable standards, adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.

Poor/Unsatisfactory (P) – Does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas; deficiencies in one or more areas which adversely affect overall performance.

Not Applicable – Contractor not required to provide the service or product indicated.

TECHNICAL PERFORMANCE

1. Overall quality of technical services and support:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

2. Insight in understanding customer requirements and priorities:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

3. Initiative in identifying and resolving unforeseen technical and schedule problems (causes, impacts, and resolutions):

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

4. Ability to work across and integrate all aspects of the statement of work and within existing Govt. processes and tools:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

5. Contractor’s ability to surveil, manage, and integrate the functions of major/critical subContractors:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

6. Contractor’s ability to correct performance deficiencies:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

7. The Contractor’s record in reacting quickly and adjusting staffing levels and make-up to meet changing requirements:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

8. Demonstrated effectiveness of company ability to hire, train, and retain qualified personnel:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

9. Ability to use metrics and other tools to accurately measure and track the program/project:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

10. Record in managing multiple and diverse projects/tasks from planning through execution phases:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

11. Did Contractor propose and implement innovative technical approaches and if so, were there any measurable efficiencies?

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

12. Other particular strong/weak points of Contractor’s technical performance?

SCHEDULE PERFORMANCE

1. Record in completing Phase-In Plan schedule:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

2. Record in completing technical tasks/milestones, deliverables within established schedules:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

3. Timeliness and accuracy of technical, cost and business reports:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

CONTRACT MANAGEMENT AND COST PERFORMANCE

1. Contract Value:

Initial ValueCurrent/Final Value
Estimated Cost$______________$______________
Fee/Fee$______________$______________
Total Value$______________$______________

If an award/incentive fee type contract, percent of available fee earned? _____% Briefly describe any change(s) from original contract value and if it included a cost overrun/underrun:

2. Adherence to estimated costs and contract cost targets:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

3. Ability to effectively plan efforts, provide realistic cost and schedule estimates, etc:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: _______________________________________________________________________

4. Ability to forecast and control costs including future resource requirements:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: ______________________________________________________________________

5. Contract change order management (discuss Contractor commitment to negotiate and implement contract changes in a timely manner):

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: ______________________________________________________________________

6. Rate the Contractor’s history of reasonable and cooperative behavior and commitment to customer satisfaction?

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: ______________________________________________________________________

7. Overall effectiveness in communications, including lines of authority and reporting relationships |_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: ______________________________________________________________________

GENERAL

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

2. Rate the Contractor’s record in identifying key positions, filling these positions with individuals with required skills, and providing back-ups:

|_| Excellent |_| Very Good |_| Good |_| Satisfactory |_| Unsatisfactory/Poor |_| N/A

Comments: ______________________________________________________________________

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

4. Would you select this Contractor again? |_| No |_| Yes Comments: ___________________________________________________________________________

5. In what areas below do you feel the Contractor is strong?

|_| Program/Project Management
|_| Risk Identification and Mitigation
|_| Attracting and Retaining Qualified Personnel
|_| Communication
|_| Technical Performance
|_| Technical Innovation and Application
|_| Safety and Environmental Performance
|_| Cost Performance
|_| Response to Change

6. In what areas below do you feel the Contractor is weak?

|_| Program/Project Management
|_| Risk Identification and Mitigation
|_| Attracting and Retaining Qualified Personnel
|_| Communication
|_| Technical Performance
|_| Technical Innovation
|_| Safety and Environmental Performance
|_| Cost Performance
|_| Response to Change

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: _______________________

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