Attachment 4 - Past Performance Questionnaire_FA930126Q0034 - Updated 25 Sep 2026.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

GENERAL INFORMATION: (Please correct any inaccurate information) Contractor’s Name:

Address:

Point of Contact:

Phone Number:

Email:

Project Title:

Description of Work:

AWARD INFORMATION:

Award Number:

Dollar Amount:

Period of Performance:

Contractor performed as: �Prime Contractor �Sub-Contractor

RESPONDENT INFORMATION:

Name:

Title:

Address:

Email:

EMAIL COMPLETED QUESTIONAIRE TO THE FOLLOWING BY SOLICITATION DEADLINE 23

October 2026 at 4:00 PM PDT . NOTE, SUBMITAL TO THE CONTRACTOR BY YOU IS PERMITTED, PLEASE JUST ENSURE THE COMPLETED PDF IS LOCKED AND UNEDITABL BY THE CONTRACTOR:

Relevancy to:

Contract SpecialistContracting Officer

Email: Email:

Page 1 of 2 PPQ for FA930126Q0034

1277546414C Highlight

PERFORMANCE INFORMATION:

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Please provide additional comments as necessary to support your rating. Attach additional pages if more space is needed.

The performance rating scale is defined as follows:

E EXCEPTIONAL During the award period, contractor performance is meeting (or met) all award requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires

V VERY GOOD During the award period, contractor is meeting (or met) all award requirements and consistently exceeding (or exceeded) some. Some minor problems encountered.

Contractor took timely corrective action. Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires

S SATISFACTORY During the award period, contractor performance is meeting (or met) all award requirements.

For any problems encountered, contractor took effective corrective action. Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires

M MARGINAL During the award period, contractor performance is not meeting (or did not meet) some award requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented.

Customer involvement was required. Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires

U UNSATISFACTORY During the award period, contractor performance is failing/fail to meet most award requirements.

Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required. Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort

N/A NOT APPLICABLE Unable to provide a rating. Contractor did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Past Performance Point of Contact Signature

Additional Comments:

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