Attachment V - Past Performance Survey (Fillable).doc
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- Solicitation number
- 1131PL24RDM31083
About this file
This document contains a solicitation for definitional mission digital infrastructure opportunities in the Indo-Pacific region. The United States Trade and Development Agency is seeking proposals to provide services including conducting a needs assessment, developing recommendations and implementation strategies, and drafting a project definition report. The closing date for submissions is February 28, 2024. Eligible offerors include U.S. firms and individuals, and award is limited to contractors using U.S. citizens or lawful permanent residents. Proposals are requested to address technical qualifications, management approach, key personnel, and past performance. The solicitation describes submission requirements and indicates the government will make a single award to the offeror deemed most advantageous based on evaluation criteria including technical approach, management approach, and price.
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Solicitation Indo-Pacific: Definitional Mission Digital Infrastructure Opportunities Solicitation No.: 1131PL24RDM31083
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, February 28, 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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