ATTACHMENT III - Past Performance Survey (Fillable).doc
DOC document 43 KB Posted
- Attached to
- GLOBAL CIVIL NUCLEAR ENERGY DESK STUDY SERIES
- Solicitation number
- 1131PL26R0005
About this file
This is a Past Performance Survey template designed for evaluating contractor performance on the Global Civil Nuclear Energy Desk Study (DS) Series solicitation (1131PL26R0005). The survey is to be completed by references or past clients and submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on July 7, 2026.
The survey evaluates contractors across five key performance dimensions: compliance with contract terms and conditions, on-schedule completion, ability to meet actual requirements, capacity to implement corrective measures, and overall likelihood of future engagement. Respondents rate confidence levels on a five-point scale ranging from "Substantial Confidence" to "No Confidence" for the first four questions, with a yes/no recommendation on future business in question five. The template includes fields for documenting the contractor being reviewed, contract reference number, submitting agency, reviewer contact information, period of performance, service description, and total contract value. The survey also provides space for additional comments regarding contractor performance issues or other relevant observations.
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Other files
| File | Type | Posted |
|---|---|---|
| 1131PL26R0005 Peformance Work Statement - Sections B thru E.pdf | ||
| ATTACHMENT II - Sample Desk Study Price Sheet.xls | XLS spreadsheet |
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Text version
Solicitation No.: 1131PL26R0005 Solicitation Title: Global Civil Nuclear Energy Desk Study (DS) 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 7, 2026, Arlington, VA Time. Survey must be submitted by the reviewer.
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
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