Attachment III - Past Performance Survey (Fillable).doc

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REGIONAL LATIN AMERICAN AND THE CARIBBEAN: DEFINITIONAL MISSION: TRANSPORTATION SECTOR OPPORTUNITIES
Solicitation number
1131PL23RDM51133
Issued by

About this file

This solicitation seeks proposals for a defintional mission to identify transportation sector opportunities in Latin America and the Caribbean. Offerors must submit proposals by July 7th, 2023 at 1:00 PM to be considered for the single award contract. The United States Trade and Development Agency will evaluate proposals based on factors such as technical approach, personnel qualifications, and past performance. Eligible offerors are U.S. firms or individuals, and subcontracted work must be performed by U.S. citizens or lawful permanent residents totaling less than 50% of the proposed price. The solicitation includes sections on supplies and services, contract clauses, and instructions for offerors.

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Solicitation Regional Latin America and the Caribbean: Definitional Mission – Transportation Sector Opportunities. Solicitation No.: 1131PL23RDM51133

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 7, 2023, 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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