Appendix A Past Performance Questionnaire

APPENDIX A: PAST PERFORMANCE QUESTIONNAIRE

Complete one set of letters and forms for each Past Performance reference in which performance occurred within the three years of initial solicitation release. Additional space or blank sheets may be added to answer any questions.

PAST PERFORMANCE – COVER LETTER

Transmittal letter to accompany Present/Past Performance Questionnaire FROM: [Insert Company Official Name, Title, and Company Name] SUBJECT: Past/Present Performance Questionnaire for Contract: [Insert Company Name] is currently responding to NASA Request for Proposal (RFP) 80KSC021R0034 for the Venture-Class Acquisition of Dedicated and Rideshare (VADR) Launch Services Contract. This solicitation includes requirements for launch services capable of delivering payloads to a variety of orbits with a minimum of a 200 km circular orbit, including escape trajectories, via FAA licensed commercial launches. This RFP requires Offerors to identify customers and solicit their response regarding [Insert Company Name] contract performance within the past three years relevant to VADR. [Insert Company Name] is providing present and past performance data to NASA/KSC 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 RFP instructs that Offerors provide customers with an electronic version of the attached questionnaire. Please complete and sign the questionnaire and submit by [TBD] directly to the KSC Contracting Officer via e-mail to [email protected]. 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 KSC Contracting Officer, at [email protected].

Thank You,

[Insert Company Official Name and Title]

SECTION 1: CONTRACT IDENTIFICATION

Contractor:
Contractor Cage Code: _
Contractor DUNS Number:
Contract Number:
Contract Name:
Contract Type (Circle): FFP CPFF CPAF CPIF T&M OTHER: _ Competitive Award? Yes No
Period of Performance:
Role (Circle): Prime Subcontractor Team Member Other (specify): Initial Contract Value (including all options): $
Current/Final Contract Value (including all options): $ Reason for difference between Initial Contract Value and Current/Final Contract Value:

914400127000009144003295650091440053086000

Description of Service:

9144001270000091440032956500914400530860009144007321550091440093345000