Past_Performance_-_D.2.docx

January 6, 2015

TO: WHOM IT MAY CONCERN

SUBJECT: PAST PERFORMANCE QUESTIONNAIRE IN RESPONSE TO NRC REQUEST FOR QUOTATION NO. NRC-HQ-60-15-R-0001, ENTITLED, “TECHNICAL SUPPORT FOR THE RADIOLOGICAL ASSESSMENT SYSTEM FOR CONSEQUENCE ANALYSIS (RASCAL) COMPUTER CODE AND EMERGENCY RESPONSE ASSESSMENT TOOLS FOR THE NRC OPERATIONS CENTER”

The U.S. Nuclear Regulatory Commission (NRC) is currently conducting an evaluation for award of a task order to provide the NRC with the subject services.

The NRC’s primary source of information for evaluation of past performance will come from the past performance references that the Offeror has provided to us. The NRC evaluation panel must ensure that the Offeror has both relevant and successful past performance in performing work of a comparable nature and complexity to the NRC’s requirement.

Accordingly, I ask that you complete the attached Past Performance Questionnaire and return it directly to me via email at richard.robinsonii@nrc.gov no later than 5:00 PM, DC local time, on Wednesday February 6, 2015.

If you have any questions, or require additional information regarding the attached, please feel free to contact me on (301)287-0905 or by email at richard.robinsonii@nrc.gov.

Attachment: Past Performance Questionnaire Attachment D.2

NRC-HQ-60-15-R-0001

PAST PERFORMANCE REFERENCE CHECK SURVEY FORM

[The Contract Performance Information and summary Reference Information sections are to be completed by the Offeror or Quoter prior to giving it to the reference for completion of the survey.]

CONTRACTOR PAST PERFORMANCE REFERENCE CHECK FORM

CONTRACT PERFORMANCE INFORMATION

Contract/Order Number:

Project Title:

Brief Item/Service Description:

Estimated Dollar Value:

Contract Type: (FFP, FP, CR, T&M, LH)

Period of Performance:

Project Location:

Contractor Name:

Address:

Contractor’s POC:

Telephone, Email Address, and Fax:

REFERENCE INFORMATION

Customer Name:

Customer POC or Government COR:

Telephone/Email/FAX:

Instructions: Click each box on the right hand column below and select one of the following ratings for each question regarding the contractor’s performance.

Excellent – The contractor’s performance exceeded many contract requirements.

Very Good – The contractor’s performance exceeded some contract requirements.

Satisfactory – The contractor’s performance met contract requirements.

Marginal – The contractor’s performance did not meet some contract requirements.

Unsatisfactory – The contractor’s performance did not meet most contract requirements.

Not Applicable – The question does not apply or the person conducting the reference check has no knowledge of the contractor’s work in that area.

TECHNICAL

(Quality of Product or Service)

Choose an item.

COST CONTROL

(Not applicable to firm-fixed-price or fixed-price with economic price adjustment arrangements)

SCHEDULE/TIMELINESS

MANAGEMENT OR BUSINESS RELATIONS

CUSTOMER SATISFACTION

TERMINATION / DEFAULT

Overall Contractor Performance Rating:

Please provide an overall rating for the contractor’s performance in the box to the right which you believe best represents the contractor’s overall performance level under the aforementioned contract/order, as supported by your above ratings to individual questions.

OVERALL

RATING

Choose an item.

Source Selection Information – See FAR 2.101 and 3.104