Attachment II - Past Performance Survey (Fillable).doc

DOC document 43 KB Posted

Attached to
Technical Advisory Services: Philippines Railroad Development
Solicitation number
1131PL26R0022
Issued by

About this file

This is a Past Performance Survey template designed for the U.S. Trade and Development Agency (USTDA) to collect feedback on contractor performance for the Technical Advisory Services: Philippines Railroad Development solicitation (1131PL26R0022). The survey is submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on Tuesday, June 02, 2026.

The survey requests evaluation of a contractor's past performance across six dimensions: compliance with contract terms and conditions, schedule performance, ability to meet actual requirements, capacity to implement corrective measures, willingness to recommend for future work, and any additional performance comments. Respondents rate confidence levels on a five-point scale (Substantial, Satisfactory, Limited, Unknown/Neutral, or No Confidence) for the first four questions, provide yes/no responses for the fifth question with explanatory comments if necessary, and offer additional remarks as appropriate. The template captures basic contract information including contractor name, contract number, performing agency/organization, point of contact details, period of performance, service description, and total contract value.

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Solicitation: Technical Advisory Services: Philippines Railroad Development Solicitation No.: 1131PL26R0022

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, Tuesday, June 02, 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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