Attachment V - Past Performance Survey (Fillable).doc

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REGIONAL SUB-SAHARAN AFRICA FOR DEFINITIONAL MISSION PROJECT PIPELINE DEVELOPMENT WITH THE ALLIANCE FOR GREEN INFRASTRUCTURE IN AFRICA
Solicitation number
1131PL24RDM11043
Issued by

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This document contains a past performance survey template for a contractor providing services to support the United States Trade and Development Agency's Regional Sub-Saharan Africa for Definitional Mission Project Pipeline Development with the Alliance for Green Infrastructure in Africa solicitation. The survey collects feedback on the contractor's ability to comply with contract terms, complete work on schedule, meet requirements, and take corrective actions. It asks whether the agency would recommend and do future business with the contractor. The solicitation seeks services to support project identification and development in sub-Saharan Africa through January 31, 2024.

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Other files

File Type Posted
AMENDMENT 0001 - 1131PL24RDM11043 SF 30 Questions and Answer.pdf PDF
Attachment IV - Sample DM Pricing Worksheet.xls XLS spreadsheet
Attachment I - 1131PL24RDM11043 - COMBINED SYNOPSIS SOLICITATION.pdf PDF
Attachment III - SF 1449_1131PL24RDM11043 (fillable).pdf PDF
Attachment II - Performance Work Statement Sections B.C.D.E.pdf.pdf PDF

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Solicitation No.: 1131PL24RDM11043 Solicitation Regional Sub-Saharan Africa for Definitional Mission Project Pipeline Development with the Alliance for Green Infrastructure in Africa

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, January 31, 2024, Arlington, VA Time.

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:

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