Attachment IV - Past Performance Survey 1131PL25RDS11055.pdf

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Attached to
Sub-Saharan Africa: Energy Sector and Critical Minerals Opportunities DS Series
Solicitation number
1131PL25RDS11055
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This document is a Past Performance Survey from the U.S. Trade and Development Agency (USTDA) for the Energy Sector and Critical Minerals Opportunities DS Series, with solicitation number 1131PL25RDS11055. The survey is designed to collect feedback on a contractor's performance, with submission required by 1:00 PM on September 19, 2025, to Contractproposals@ustda.gov in Arlington, VA.

The survey consists of six questions that evaluate the contractor's performance across multiple dimensions, including compliance with contract terms, ability to complete work on schedule, adherence to requirements, and capacity for problem prevention. Respondents are asked to rate their confidence levels ranging from "Substantial Confidence" to "No Confidence" and indicate whether they would recommend doing business with the contractor in the future. The form provides space for detailed comments and allows respondents to discuss any additional issues or performance insights not covered in the primary questions.

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TITLE: Energy Sector and Critical Minerals Opportunities DS Series

SOLICITATION NUMBER.: 1131PL25RDS11055

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, September 19, 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:

mailto:Contractproposals@ustda.gov

TITLE: Energy Sector and Critical Minerals Opportunities DS Series

SOLICITATION NUMBER.: 1131PL25RDS11055

Questions: Response:

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:

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, August 22, 2025, Arlington, VA Time.
Period of Performance: XX/XX/XXXX – XX/XX/XXXX
Brief Description of Services: XXXXXXXXX
Total Contract Value: $XXXX.XX
Contract Performance Information

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