Tab_050_-_Attachment_1_-_PPQ.docx

ATTACHMENT 1

SYNOPSIS NUMBER: NNK17615783R

ARCHITECT-ENGINEERING PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS AND RATING GUIDELINES

Instructions

This evaluation is to be completed as indicated below. The Architect-Engineering (A-E) firm must provide one evaluation for project identified in section F of SF 330. For purposes of these evaluations, the term “contract” is synonymous with “project”. This package consists of the following:

Questionnaires will not be accepted directly from the A-E firm. Customer Evaluators must send evaluations directly to the Contracting Officer. The Customer Evaluator must submit their completed questionnaires via e-mail to both addresses listed below to arrive no later than 2:00 pm Eastern Daylight Time (EDT) on April 14, 2017.

And to:

Section I: Basic Contract Information

To be completed by the A-E firm submitting a submission for evaluation.

A-E Firm Name:

Contract Title:

Contract Number:

Contract Award Date:

Contract Completion Date:

Point of Contact (Customer Evaluator) Name/Address/Office Phone Number:

Brief Description of Work Performed:

Section II: Evaluator identification information To be completed by Customer Evaluator.

NASA will NOT divulge the names of the individuals providing reference information about an A-E firm’s past performance.

Name of A-E Contractor Being Evaluated:

A-E Contractor’s Status (Prime or Sub-Consultant):

A-E Contract Number:

Description of A-E Services Provided:

A-E Contract Period of Performance:

Evaluator’s Company/Agency Name:

Evaluator’s Name (Typed/Printed):

Evaluator’s Signature:

Phone Number:

Facsimile Number:

E-mail address:

Dates of Involvement in Contract:

Date Questionnaire Completed:

Section III: A-E Past Performance Report

RATING DEFINITIONS

For each question below, please rate the contractor from Unsatisfactory to Excellent (as defined below) and please elaborate on the specifics of your rating in the Narrative Summary. A rating of Not Applicable should be used if either the question is not applicable or the answer is unknown. The Not Applicable rating is neutral and will have no impact on the assessment of Past Performance. The Contracting Officer may contact the respondent for additional information, if needed.

& Estimating

Excellent

Good

Fair

Poor

Unsatisfactory

Section III (Cont’d): A-E Past Performance Report Item

FACTORS/RATINGS

Quality of Work

Cost Control

Compliance with Performance Schedules

Management Effectiveness

Customer Satisfaction

Section III (Cont’d): A-E Past Performance Report NARRATIVE SUMMARY (Use this section to elaborate on the specifics of the rating and to explain additional information not included above)

PAST PERFORMANCE TRANSMITTAL LETTER - SAMPLE

This acquisition is for the Architect-Engineer (A-E) Professional Environmental Remediation Services to Investigate, Design, and Implement Remedial Actions at Kennedy Space Center (KSC), Florida and Cape Canaveral Air Force Station (CCAFS), Florida. This requirement may occasionally include work for other NASA Centers. Synopsis number NNK17615783R.

A-E CONTRACTOR LETTER: FORMAT

[Date of Letter] [Name and Address of A-E’s Customer] Attention: [Name and Designation of Customer Evaluator]

Dear [Customer Contact Name]:

We are currently responding to the NASA, Kennedy Space Center Request synopsis NNK17615783R. NASA is requesting that customers of entities responding to the synopsis participate in the evaluation process. We have included our project for your company/agency as a past performance reference. An A-E Past Performance Report is enclosed. We respectfully request that you complete Sections II and III of the enclosed evaluation and return the signed, completed questionnaire to both addresses listed below. Your completed questionnaire must arrive no later than 2:00 pm Eastern Daylight Time (EDT) on April 14, 2017.

And to:

In order to maintain the integrity of this process, DO NOT return the Past Performance Report to us. Return it to the email or mailing address listed above.

Please direct any questions to the Contracting Officer, Sharon White at (321) 867-7230.

Sincerely, [Name of Signer] [Designation of Signer]