Past Perf Survey 1131PL26R0063.doc

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South and Southeast Asia Aviation Infrastructure Project Scoping Mission
Solicitation number
1131PL26R0063
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This is a Past Performance Survey template issued by the United States Trade and Development Agency (USTDA) for the solicitation 1131PL26R0063, South and Southeast Asia Aviation Infrastructure Project Scoping Mission. The survey is designed to collect performance feedback on contractors who have previously worked with government agencies or organizations. Completed surveys must be submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on September 17, 2026.

The survey requests identifying information about the contractor under review, the submitting agency or organization, and the respondent's contact details, along with contract performance period and a brief description of services rendered. The questionnaire evaluates the contractor across five key performance dimensions: ability to comply with contract terms and conditions, ability to complete work on schedule, ability to comply with actual requirements, ability to take appropriate corrective measures, and overall recommendation for future business engagement. Each question provides response options ranging from Substantial Confidence to No Confidence, with space for explanatory comments. The template also includes sections for any additional performance-related issues or comments the respondent wishes to convey. As a template document, it contains no specific evaluation results or contractor performance data.

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Solicitation Number: 1131PL26R0063 Solicitation Title: South and Southeast Asia Aviation Infrastructure Project Scoping Mission

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, September 17, 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:

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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