Attachment III - Past Performance Survey (Fillable) .doc
DOC document 44 KB Posted
- Solicitation number
- 1131PL21RDM21096
About this file
This document contains a past performance survey template and information about a related federal contract opportunity solicitation. The survey template requests a contractor's name, contract details, and ratings for the contractor's ability to comply with contract terms, complete work on schedule, comply with requirements, take corrective actions, and whether the agency would recommend or do future business with the contractor. The related solicitation is for definitional mission services for information and communications technology opportunities in the Middle East and North Africa region. It provides an opportunity type, description of definitional mission services sought, the issuing agency as the United States Trade and Development Agency, and notes the solicitation is unrestricted and conducted according to Federal Acquisition Regulation procedures.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment I - 1131PL21RDM21096 - Combined Synopsis Solicitation.pdf | ||
| Attachment IV - SF 1449_1131PL21RDM21096 (fillable).pdf | ||
| Attachment II - Sample DM Pricing Worksheet.xls | XLS spreadsheet |
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Solicitation: MENA – EE Regional: Definitional Mission (DM) for Information and Communications Technology (ICT) Opportunities DM Solicitation No.: 1131PL21RDM21096
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 4, 2021, 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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