1131PL26Q0001 - Past Performance Survey.pdf
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- Solicitation number
- 1131PL26Q0001
About this file
This is a Past Performance Survey template for use in the solicitation "Latin America and the Caribbean: Digital Infrastructure Project Scoping Services" (Solicitation No. 1131PL26Q0001), administered by the U.S. Trade and Development Agency (USTDA). The survey must be submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on April 1, 2026, Arlington, VA Time.
The survey is designed to collect feedback from agencies or organizations that have previously worked with contractors being considered for award. Respondents evaluate contractor performance across five primary areas: compliance with contract terms and conditions, ability to complete work on schedule, compliance with actual requirements, ability to implement corrective measures, and willingness to recommend the contractor for future business. For each criterion, respondents select from five confidence levels: Substantial Confidence, Satisfactory Confidence, Limited Confidence, Unknown/Neutral Confidence, or No Confidence. The survey captures basic information including the contractor's name, contract number, performing agency name, evaluator contact details, period of performance, service description, and total contract value. Additional sections allow for comments explaining negative recommendations and discussing any other performance issues not previously addressed. The template includes space for supplemental comments at the conclusion.
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Other files
| File | Type | Posted |
|---|---|---|
| 1131PL26Q0001-A0002.pdf | ||
| 1131PL26Q0001-A0001.pdf | ||
| 1131PL26Q0001 Latin American and Caribbean.pdf |
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Text version
Solicitation Latin America and the Caribbean: Digital Infrastructure Project Scoping Services Solicitation No.: 1131PL26Q0001
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, April 1, 2026, 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:
mailto:Contractproposals@ustda.gov
Solicitation Latin America and the Caribbean: Digital Infrastructure Project Scoping Services Solicitation No.: 1131PL26RQ0023
Questions: Response:
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:
| Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, April 1, 2026, Arlington, VA Time. |
| Period of Performance: XX/XX/XXXX – XX/XX/XXXX |
| Brief Description of Services: XXXXXXXXX |
| Total Contract Value: $XXXX.XX |
| Contract Performance Information |
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