Attachment 0006 PPQ Form 07FEB2025.pdf

Contractor:

Contract Number:

Subcontract Number (if applicable):

POC:

POC Title:

Agency, Phone Number & Email Address:

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Prime Contractor Name:

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

Name:

Title:

Date:

Phone Number:

Address:

Email:

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Exceptional Must provide explination below Very Good Satisfactory Marginal

Must provide explination below Unsatisfactory

Must provide explination below

Name:

Title:

Date:

Phone Number:

Address:

Email:

NAICS Best Aligned with this PPQ:

Retention Rate:

Enter Formula

Name Printed:

Date:

Signature:

Part IV: Return Information

NAICS Alignment

Retention Rate

Comments:

Comments:

Comments:

Government Respondent Identification

Contract Identification

Identification of Offerors Representative

Quality

Schedule

Comments:

Cost Control

Management

Comments:

Small Business Subcontracting

Comments:

Regulatory Compliance

Past Performance Questionnaire (PPQ) Form Attachment 0006

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 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 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

Part II: Contract Identification (to be completed by the Offeror)

Part III: Evaluation (to be completed by Government POC - Respondent)

PPQ