Attachment 4_Past Performance Survey (Fillable).doc
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- Solicitation number
- 1131PL24RDM21079
About this file
This solicitation requests proposals for a definitional mission to identify digital infrastructure project opportunities in Eastern Europe. The United States Trade and Development Agency is seeking proposals to conduct a feasibility study and market analysis with the goal of facilitating public and private sector investment. Proposals are due by February 15, 2024 and must be submitted electronically to Contractproposals@ustda.gov. This is a 100% small business set-aside for U.S. firms with less than $19 million in annual sales. International transportation and insurance must originate in the U.S., while local services in the host country are not subject to this restriction. Subcontractors may comprise less than 50% of the proposed price.
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Solicitation: REGIONAL EASTERN EUROPE: DEFINITIONAL MISSION: DIGITAL INFRASTRUCTURE OPPORTUNIITIES Solicitation No.: 1131PL24RDM21079
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, Eastern Standard Time (EST), Thursday, February 15, 2024
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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