Attachment 4: Past Performance Questionnaire Form

Past Performance Questionnaire (PPQ) Form
Attachment 0004
The following questions pertain to the Contractor's record of past (within the past four years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.
Exceptional: Performance meets contractual requirements and exceeds many to the Government’s/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. Very Good: Performance meets contractual requirements and exceeds some to the Government’s/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. Satisfactory: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractors proposed actions appear only marginally effective or were not fully implemented. Unsatisfactory: Performance does not meet most contractual requirements, and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. Part I: General Information
Contractor:
Contract Number:
POC:
POC Title:
Agency/Company, Phone Number & Email
Address:
Part II: Contract Identification (to be completed by the Offeror) Contract Identification
Contractor/Company Name/Division:
Address:
Program Identification/Title:
Contract Number:
NAICS Code:
If no NAICS Code is identified on
agreement, which NAICS does it best align
and brief description:
Prime Contractor Name:
Contract Award Date:
Forecasted or Actual Contract Completion