Attachment V - Past Performance Survey (Fillable).doc
DOC document 44 KB Posted
- Attached to
- REGIONAL INDO-PACIFIC DEFINITIONAL MISSION (DM) FOR DIGITAL INFRASTRUCTURE OPPORTUNITIES
- Solicitation number
- 1131PL24RDM31009
About this file
This document contains a past performance survey template for a contractor providing digital infrastructure services. The survey collects feedback on a contractor's ability to comply with contract terms, complete work on schedule, meet requirements, and take corrective actions. It is to be submitted to the United States Trade and Development Agency by December 11, 2023 regarding Solicitation 1131PL24RDM31009 for a regional definitional mission in the Indo-Pacific supporting digital infrastructure opportunities. The opportunity aims to identify projects that develop digital connectivity and applications to drive economic growth. The survey requests information on the contractor, contract period and value, and performance ratings in key areas to inform future contracting decisions.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation Regional Indo-Pacif: Definitional Mission for Digital Infrastructure Opportunities Solicitation No.: 1131PL24RDM31009
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, December 11, 2023, 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:
PAGE
File details come from the government source that posted it. Updated .