ATTACHMENT III - Past Performance Survey (Fillable).doc
DOC document 44 KB Posted
- Attached to
- GLOBAL CIVIL NUCLEAR ENERGY DESK STUDY SERIES
- Solicitation number
- 1131PL25RDS21120
About this file
The document is a Past Performance Survey form for a federal contract opportunity issued by the United States Trade and Development Agency (USTDA). The solicitation (Number 1131PL25RDS21120) is for a Global Civil Nuclear Energy Desk Study Series, with a closing date of August 1, 2025, at 1:00 PM Arlington, VA time. The procurement is unrestricted under NAICS Code 541690 and limited to U.S. firms or U.S. individuals, with contractor subcontractor usage restricted to less than 50% of the proposed price.
The survey form is designed to collect detailed performance feedback about a contractor, including ratings on compliance with contract terms, ability to complete work on schedule, meeting requirements, and taking corrective measures. The form requires respondents to provide confidence levels across five key performance areas and includes options to recommend future business with the contractor. Offerors must be registered in the SAM database to be eligible for award, and questions about the solicitation must be submitted via email by July 11, 2025, to specific USTDA contact email addresses.
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Text version
SOLICITION NUMBER: 1131PL25RDS21120
TITLE: Global Civil Nuclear Energy Desk Study Series
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, August 1, 2025, 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
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