Attachment III - Past Performance Survey (Fillable).doc
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- Solicitation number
- 1131PL25RDS21133
About this file
This document is a Past Performance Survey form for a United States Trade and Development Agency (USTDA) solicitation for a Regional MENA-EE: Natural Gas and Refining Technologies Desk Study. The solicitation (Number 1131PL25RDS21133) is an unrestricted procurement limited to U.S. firms or individuals, with a closing date of August 12, 2025, at 1:00 PM Arlington, VA time. The survey is designed to evaluate a contractor's performance across key metrics including compliance with contract terms, ability to complete work on schedule, meeting requirements, and taking corrective measures.
The procurement is classified under NAICS Code 541690 for Other Scientific and Technical Consulting Services, with specific requirements that contractor and subcontractor employees must be U.S. citizens or permanent residents. Subcontractor usage is limited to less than 50% of the proposed price. Offerors must be registered in the System for Award Management (SAM) to be eligible, and questions about the solicitation must be submitted by email to contractproposals@ustda.gov and tjohnson@ustda.gov by July 18, 2025, at 1:00 PM Eastern Time. The government intends to make a single award based on a best value determination.
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Text version
SOLICITION NUMBER: 1131PL25RDS21133
TITLE: Regional MENA-EE: Natural Gas and Refining Technologies Desk Study
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, August 12, 2025, 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:
PAGE
File details come from the government source that posted it. Updated .