Attachment III - 1131PL24RCP31144 - Past Performance Survey (Fillable).doc

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THAILAND: Technical Symposium IPEF Digital Infrastructure Regulatory Workshop Series
Solicitation number
1131PL24RCP31144
Issued by

About this file

This document is a Past Performance Survey for a federal contract opportunity related to a solicitation for a Technical Symposium and Digital Infrastructure Regulatory Workshop Series in Thailand (Solicitation No.: 1131PL24RCP31144). The survey is to be completed by an agency/organization that has previously worked with the contractor being reviewed. The survey asks for the respondent's assessment of the contractor's ability to comply with contract terms, complete work on schedule, meet requirements, and take corrective measures. The respondent is also asked if they would recommend working with the contractor in the future. The closing date for submitting the completed survey is 1:00 PM on July 29, 2024. The federal agency involved is the United States Trade and Development Agency (USTDA). This procurement is unrestricted under NAICS Code 541690, Other Scientific and Technical Consulting Services, and award is limited to U.S. firms or individuals.

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Solicitation No.: 1131PL24RCP31144 Solicitation Thailand: Technical Symposium IPEF Digital Infrastructure Regulatory Workshop Series

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, July 29, 2024, 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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