ATTACHMENT_B_-_PAST_PERFORMANCE_QUESTIONNAIRE_4-26-2017.docx

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The purpose of this form is to collect contractor past performance information that is not already available in CPARS/PPIRS. If there is a CPARS report on file for this same contract and Period of Performance (PoP), do not initiate a PPQ. The firm being rated will submit the completed PPQ with its offer.

SOLICITATION NUMBER(s):(enter solicitation number(s) this PPQ supports):____________________________________________________________________________________________________________________________________________

NAME OF COMPANY BEING RATED:______________________________________________________________________ DUNs NUMBER:________________

CAGE CODE: __________________

*FIRM REQUESTING PAST PERFORMANCE ASSESSMENT MUST COMPLETE ALL SECTIONS HIGHLIGHTED IN GRAY

CONTRACT EFFORT DESCRIPTION: (Firm being evaluated must provide highlight key components including use of subcontractors, technologies and requirements; key milestone events and major modifications to contract during this period.).

SECTIONS 1 - 4 TO BE COMPLETED BY FIRM/AGENCY CONDUCTING ASSESSMENT

1. NAME OF FIRM/AGENCY PROVIDING FEEDBACK:__________________________________________________________ PERIOD OF PERFORMANCE SUBJECT TO PPQ:______________________________ CONTRACT TYPE:_(if applicable)___ CONTRACT AWARD DATE:_________________________ CONTRACT COMPLETION DATE:_____________________ AWARDED VALUE:_____________________________ CURRENT CONTRACT DOLLAR VALUE:__________________

2. NAME OF ASSESSING OFFICIAL:__________________________________________________________________________ EMAIL:___________________________________________ PHONE NUMBER:_____________________________________ ASSOCIATION WITH FIRM BEING RATED (including role):_______________________________________________________ CONTRACT OR ORDER NUMBER(if applicable):________________________________________________________________

a. QUALITY OF PRODUCT OR SERVICE

b. SCHEDULE

c. COST CONTROL

d. BUSINESS RELATIONS

e. MANAGEMENT OF KEY PERSONNEL

f. RELIABILITY

g. CUSTOMER SUPPORT

H. OVERALL PERFORMANCE

i. OTHER AREAS

(1)

(2)

4 ADDITIONAL COMMENTS:

GSA Contracting Officer reserves the right to contact the firm/agency conducting the assessment for further discussion and/or request additional projects as necessary.