Attachment V - Past Performance Survey (Fillable).doc

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LOGISTICS AND TRANSPORTATION DEFINITIONAL MISSION: EUROPE AND EURASIA
Solicitation number
1131PL24RDM21101
Issued by

About this file

This solicitation requests proposals for logistics and transportation services in support of definitional missions in Europe and Eurasia. Offerors should submit proposals by March 22, 2024 including a description of past performance and pricing. The award will be a single contract for up to one year to the offeror representing the best value as determined by technical and price factors. The work requires U.S. citizenship and no more than 50% subcontracting. The United States Trade and Development Agency is the issuing agency.

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Solicitation No.: 1131PL24RDM21101 Title: DEFINITIONAL MISSION FOR Regional Eastern Europe: Definitional Mission: Transportation and Logistics Opportunities

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, March 22, 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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