EXHIBIT C

FACTOR iii - NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
1. Contractor Information
Firm Name: CAGE Code:
Address: Entity Identifier Number:
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other
(Explain)
Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information
Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):
Contract Title:
Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):
Explain Differences:

4. Project Description:
Complexity of Work High Med Routine
How is this project relevant to project of submission? (Please provide details such as similar equipment,
requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information
Name:
Title:
Phone Number:
Email Address:
6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:
NOTE: NAVFAC REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND
SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE
COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL, AND MAY DUPLICATE
THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON NAVFAC SOLICITATIONS. CLIENTS
ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR.
HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO NAVFAC. PLEASE
CONTACT THE OFFEROR FOR NAVFAC POC INFORMATION. THE GOVERNMENT
RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements An Exceptional rating is appropriate

and exceeds many to the when the Contractor successfully
Government/Owner’s benefit. The performed multiple significant events
contractual performance of the element or that were of benefit to the
sub-element being assessed was accomplished Government/Owner. A singular benefit,
with few minor problems for which corrective however, could be of such magnitude
actions taken by the contractor was highly that it alone constitutes an Exceptional
effective. rating. Also, there should have been
NO significant weaknesses identified.
(VG) Very Good Performance meets contractual requirements A Very Good rating is appropriate
and exceeds some to the when the Contractor successfully
Government’s/Owner’s benefit. The performed a significant event that was a
contractual performance of the element or benefit to the Government/Owner.
sub-element being assessed was accomplished There should have been no significant
with some minor problems for which weaknesses identified.
corrective actions taken by the contractor
were effective.
(S) Satisfactory Performance meets minimum contractual A Satisfactory rating is appropriate
requirements. The contractual performance of when there were only minor problems,
the element or sub-element contains some or major problems that the contractor
minor problems for which corrective actions recovered from without impact to the
taken by the contractor appear or were contract. There should have been NO
satisfactory. significant weaknesses identified. Per
DOD policy, a fundamental principle of
assigning ratings is that contractors will
not be assessed a rating lower than
Satisfactory solely for not performing
beyond the requirements of the
contract.
(M) Marginal Performance does not meet some contractual A Marginal is appropriate when a
requirements. The contractual performance of significant event occurred that the
the element or sub-element being assessed contractor had trouble overcoming
reflects a serious problem for which the which impacted the
contractor has not yet identified corrective Government/Owner.
actions. The contractor's proposed actions
appear only marginally effective or were not
fully implemented.
(U) Performance does not meet most contractual An Unsatisfactory rating is appropriate
Unsatisfactory requirements and recovery is not likely in a when multiple significant events
timely manner. The contractual performance occurred that the contractor had trouble
of the element or sub-element contains overcoming and which impacted the
serious problem(s) for which the contractor's Government/Owner. A singular
corrective actions appear or were ineffective. problem, however, could be of such
serious magnitude that it alone
constitutes an unsatisfactory rating.
(N) Not No information or did not apply to your Rating will be neither positive nor
Applicable contract negative.
 Contractor Information (Firm Name): ________________________________________________
Client Information (Name): ________________________________________________________
TO BE COMPLETED BY CLIENT: PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST
REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:
a) Quality of technical data/report preparation efforts E VG S M U N
b) Ability to meet quality standards specified for technical performance E VG S M U N
c) Timeliness/effectiveness of contract problem resolution without
E VG S M U N
extensive customer guidance
d) Adequacy/effectiveness of quality control program and adherence to
contract quality assurance requirements (without adverse effect on E VG S M U N
performance)
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
a) Compliance with contract delivery/completion schedules including any
significant intermediate milestones. (If liquidated damages were assessed E VG S M U N
or the schedule was not met, please address below)
b) Rate the contractor’s use of available resources to accomplish tasks
E VG S M U N
identified in the contract
3. CUSTOMER SATISFACTION:
a) To what extent were the end users satisfied with the project? E VG S M U N
b) Contractor was reasonable and cooperative in dealing with your staff
(including the ability to successfully resolve disagreements/disputes; E VG S M U N
responsiveness to administrative reports, businesslike and communication)
c) To what extent was the contractor cooperative, businesslike, and
E VG S M U N
concerned with the interests of the customer?
d) Overall customer satisfaction E VG S M U N
4. MANAGEMENT/ PERSONNEL/LABOR
a) Effectiveness of on-site management, including management of
E VG S M U N
subcontractors, suppliers, materials, and/or labor force?
b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N
c) Government Property Control E VG S M U N
d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N
e) Utilization of Small Business concerns E VG S M U N
f) Ability to simultaneously manage multiple projects with multiple
E VG S M U N
disciplines
g) Ability to assimilate and incorporate changes in requirements and/or
priority, including planning, execution and response to Government E VG S M U N
changes
h) Effectiveness of overall management (including ability to effectively
E VG S M U N
lead, manage and control the program)
5. COST/FINANCIAL MANAGEMENT
a) Ability to meet the terms and conditions within the contractually agreed
E VG S M U N
price(s)?
Contractor Information (Firm Name): ________________________________________________
Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that

reduced cost, improved maintainability or other factors that benefited the E VG S M U N
client
c) If this is/was a Government cost type contract, please rate the
Contractor’s timeliness and accuracy in submitting monthly invoices with
appropriate back-up documentation, monthly status reports/budget variance E VG S M U N
reports, compliance with established budgets and avoidance of significant
and/or unexplained variances (under runs or overruns)
d) Is the Contractor’s accounting system adequate for management and
Yes No
tracking of costs? If no, please explain in Remarks section.
e) If this is/was a Government contract, has/was this contract been partially
or completely terminated for default or convenience or are there any
Yes No
pending terminations? Indicate if show cause or cure notices were issued,
or any default action in comment section below.
f) Have there been any indications that the contractor has had any financial
Yes No
problems? If yes, please explain below.
6. SAFETY/SECURITY
a) To what extent was the contractor able to maintain an environment of
safety, adhere to its approved safety plan, and respond to safety issues?
E VG S M U N
(Includes: following the users rules, regulations, and requirements
regarding housekeeping, safety, correction of noted deficiencies, etc.)
b) Contractor complied with all security requirements for the project and
E VG S M U N
personnel security requirements.
7. GENERAL
a) Ability to successfully respond to emergency and/or surge situations
(including notifying COR, PM or Contracting Officer in a timely manner E VG S M U N
regarding urgent contractual issues).
b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N
c) Would you hire or work with this firm again? (If no, please explain
Yes No
below)
d) In summary, provide an overall rating for the work performed by this
E VG S M U N
contractor.

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore,
please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other
comments, which may assist our office in evaluating performance risk (please attach additional pages if
necessary):