Past_Performance_Questionnaire_1131PL19RDM51089.doc
DOC document 44 KB Posted
- Attached to
- BRAZIL - INFORMATION AND COMMUNICATIONS TECHNOLOGIES (ICT) SECTOR OPPORTUNITIES DEFINITIONAL MISSION (DM)
- Solicitation number
- 1131PL19RDM51089
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Other files
| File | Type | Posted |
|---|---|---|
| 1131PL19RDM51089_--_AMENDMENT_0001_Q&A.pdf | ||
| PERFORMANCE_WORK_STATEMENT_PWS_1131PL19RDM51089.pdf | ||
| Combined_Synopsis_Solicitation_1131PL19RDM51089_BRAZIL.pdf | ||
| DM_Price_Proposal.xls | XLS spreadsheet | |
| ENCL_2_SF-1449_Fillable_1131PL19RDM51089.pdf | ||
| DM_PWS_Attachment_V_--_Budget_Format.xlsx | XLSX spreadsheet |
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Solicitation Title: Brazil - ICT Sector Opportunities Solicitation No.: 1131PL19RDM51089
PAST PERFORMANCE QUESTIONNAIRE
Please submit completed questionnaire to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov no later than the proposal deadline.
Name of Contractor Being Reviewed:
Contract Number/Reference Information:
Name of Agency/Organization Submitting Review for this Contractor:
| Name of Person Completing Questionnaire |
| Phone Number |
| Email Address |
| Period of Performance: XX/XX/XXXX – XX/XX/XXXX |
| Brief Description of Services: XXXXXXXXX |
Total Contract Value: $XXXX.XX
Contract Performance Information
| Questions: |
| Response: |
| 1. How would you rate your confidence in the contractor’s ability to comply with contract terms and conditions? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
· Unknown/Neutral Confidence
· No Confidence
| 2. How would you rate your confidence in the contractor’s ability to complete work on schedule? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
· Unknown/Neutral Confidence
· No Confidence
| 3. How would you rate your confidence in the contractor’s ability to comply with the actual requirements? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
· Unknown/Neutral Confidence
· No Confidence
| 4. How would you rate your confidence in the contractor’s ability to take appropriate corrective measures to prevent problems and/or problem reoccurrence? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
· Unknown/Neutral Confidence
· No Confidence
5. Would you recommend and/or do business with this contractor in the future? If your answer is No, please explain why.
· Yes
· No
Comment:
| 6. Were there any issues not discussed above or do you have any additional comments on the contractor’s performance that you would like to discuss? |
| · Yes |
· No
Comment:
USTDA sincerely thanks you for taking the time to complete this questionnaire and for your contribution to the success of our acquisition program.
Additional Comments:
PAGE
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