1131PL26R0035 - Past Performance Questionnaire.pdf

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Latin America and the Caribbean: Transportation Infrastructure Project Scoping Services
Solicitation number
1131PL26R0035
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This document is a Past Performance Survey template used by the U.S. Trade and Development Agency (USTDA) to evaluate contractor performance on federal contracts. The survey is associated with two solicitations: Solicitation No. 1131PL26R0035 for Latin America and the Caribbean: Transportation Infrastructure Project Scoping Services, and Solicitation No. 1131PL26RQ0023 for Latin America and the Caribbean: Digital Infrastructure Project Scoping Services.

The survey template is designed to be completed by agencies or organizations that have worked with a contractor and should be submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on May 11, 2026 (Arlington, VA time). The form requests identification information including the contractor name, contract number, submitting agency, and contact information for the person completing the questionnaire. Respondents evaluate contractor performance across six primary areas: ability to comply with contract terms and conditions, ability to complete work on schedule, ability to comply with actual requirements, ability to take corrective measures, willingness to do future business, and any additional performance issues or comments. Each evaluation question uses a five-point confidence scale (Substantial Confidence, Satisfactory Confidence, Limited Confidence, Unknown/Neutral Confidence, and No Confidence), with a yes/no recommendation question that allows for explanatory comments if the answer is negative. The survey also includes space for additional comments beyond the structured questions.

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1131PL26R0035-A0001.pdf PDF
1131PL26Q0035 - Past Performance Survey.pdf PDF
1131PL26R0035 Solicitation.pdf PDF

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Solicitation: LATIN AMERIC AND THE CARIBBEAN: TRANSPORTATION

INFRASTRUCTURE PROJECT SCOPING SERVICES

Solicitation No.: 1131PL26R0035

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, May 11, 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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