NNG07170222R

PAST PERFORMANCE QUESTIONNAIRE

EXHIBIT B 

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 extent of relevant experience and performance rating 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 scientific support services
 in the areas of remote sensing research and data analysis, modeling and simulation, remote sensing instrument development, calibration and instrument characterization, and operational product generation, archiving and distribution. The procurement encompasses research projects studying terrestrial ecosystems, hydrology, physical oceanography,  ocean biology and  the cryosphere and also includes the development and maintenance of operational data product generation and distribution systems.

 “Significant Experience” means that a full range of scientific 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.  “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 3 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 level for each of the factors in Sections IV and V:

Excellent	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	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	Effective performance; fully responsive to contract requirements; reportable deficiencies, but with little identifiable effect on overall performance.	
Fair	Meets or only slightly exceeds minimum acceptable standards; adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.	
Poor	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.	
N/R	Not Rated	

Section VI provides for evaluation of the contractor’s management of cost and award/incentive fee history.

RETURN THIS QUESTIONNAIRE TO			NASA Goddard Space Flight Center
BY THE PROPOSAL DUE DATE.			Attn:  Gail Zois, Code 210.5
							8800 Greenbelt Road
							Greenbelt, MD  20771
							Phone:  301-614-5591   FAX:  301-614-5619								e-mail:  Gail.M.Zois@nasa.gov		

PAST PERFORMANCE QUESTIONNAIRE

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: _____________________

PAST PERFORMANCE QUESTIONNAIRE
(Continued)

IV.	SOW Survey: Experience Level and Performance Rating

SOW FUNCTION/OBJECTIVE

SIGNIFICANT	
MODERATE	MINIMAL/
DID NOT PERFORM	
PERFORMANCE RATING  (Please circle)	
Planning and executing field experiments or  aircraft or ship campaigns that utilize remote sensing instruments to collect data for the purpose of research, instrument calibration or satellite product validation.				E	VG	G	F	P	N/R	
Spectral, spatial and radiometric modeling to simulate scenes acquired from satellite or aircraft instruments				E	VG	G	F	P	N/R	
Conduct research utilizing remotely sensed data products to study regional or global problems  				E	VG	G	F	P	N/R	
Develop models of physical phenomena in land, ocean or atmosphere systems.				E	VG	G	F	P	N/R	
Operate a facility for the calibration of remote sensing instruments				E	VG	G	F	P	N/R	
Characterize satellite instrument performance through pre-launch testing				E	VG	G	F	P	N/R	
Characterize performance of satellite instruments through post-launch analysis of products				E	VG	G	F	P	N/R	
Develop software to produce calibrated and geolocated products from satellite or aircraft sensors				E	VG	G	F	P	N/R	
Develop data systems to produce regional or global data products from satellite sensors				E	VG	G	F	P	N/R	
Operate data systems to produce regional or global satellite products				E	VG	G	F	P	N/R	
Perform quality assessment of global satellite products				E	VG	G	F	P	N/R	
Plan and organize field campaigns to collect ground and/or aircraft observations for comparison with satellite data products and/or model output				E	VG	G	F	P	N/R	
Provide optical design and engineering support for the development and testing of laser remote sensing instrument systems. 				E	VG	G	F	P	N/R	
Design, build and calibrate instruments for use in field experiments and/or for the collection of “ground-truth” measurements at monitoring sites.				E	VG	G	F	P	N/R	
Design maintain and enhance web sites for individual projects and organization units				E	VG	G	F	P	N/R	
System administration of Unix or Linux systems				E	VG	G	F	P	N/R	
Desktop pc support for Mac and Windows users				E	VG	G	F	P	N/R	
Develop materials and maintain web sites for Education and Outreach				E	VG	G	F	P	N/R	

V.	General Performance Survey 

NO.	
PERFORMANCE QUESTIONS
	
RATING (Please Circle)	
1.		Quality of services and support provided	E	VG	G	F	P	N/R	
2.		Compliance with technical requirements and performance standards	E	VG	G	F	P	N/R	
3.		Content, accuracy, quality, and timeliness of technical reports and deliverables	E	VG	G	F	P	N/R	
4.		Ability to design and/or deliver a product that meets or exceeds performance requirements within costs and schedule	E	VG	G	F	P	N/R	
5.		Timely identification and mitigation of risks	E	VG	G	F	P	N/R	
6.		Contractor’s ability to identify and correct performance deficiencies in a timely manner	E	VG	G	F	P	N/R	
7.		Ability to handle fluctuating workloads	E	VG	G	F	P	N/R	
8.		Overall technical performance	E	VG	G	F	P	N/R	
9.		Adherence to safety and health procedures	E	VG	G	F	P	N/R	
10.		Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner.	E	VG	G	F	P	N/R	
11.		Communicating and interfacing with Government 	E	VG	G	F	P	N/R	
12.		Ability to effectively manage subcontractor performance	E	VG	G	F	P	N/R	
13.		Ability to build effective working relationships with associate contractors, subcontractors and the Government in a team environment.	E	VG	G	F	P	N/R	
14.		Timeliness, quality, and accuracy of schedule reporting	E	VG	G	F	P	N/R	
15.		Adequacy of Contractor’s system(s) for processing task orders and/or changes.	E	VG	G	F	P	N/R	
16.		Overall responsiveness to Government requests	E	VG	G	F	P	N/R	
17.		Ability to establish realistic cost estimates	E	VG	G	F	P	N/R	
18.		Ability to establish realistic schedule estimates	E	VG	G	F	P	N/R	
19.		Adherence to estimated costs and contract cost targets	E	VG	G	F	P	N/R	
20.		Ability to anticipate, identify and control cost growth.	E	VG	G	F	P	N/R	
21.		Timeliness, quality, and accuracy of financial reporting	E	VG	G	F	P	N/R	
22.		Overall evaluation of cost performance	E	VG	G	F	P	N/R	
								
23.		Property Management	E	VG	G	F	P	N/R	
24.		Information Technology Security	E	VG	G	F	P	N/R	
25.		Safety and Health injury/illness record	E	VG	G	F	P	N/R	
		E	VG	G	F	P	N/R	

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:

Was there a cost overrun?  (  ) Yes            (  ) No                           
If yes, please explain:

If this was an award fee contract, what is the overall average rating of performance by your organization?

Please comment on particularly strong/weak points of Contractor’s performance (technical, schedule, and/or cost).

Please add any other comments you may feel are pertinent.  

Would you select this Contractor Again?     (   )  Yes          (   )  No

Overall Contractor Performance Rating 
(please circle one)	E	VG	G	F	P	N/R	

_________________________________________
Rater’s Signature			 Date