Attachment IV - Past Performance Survey (Fillable).doc
DOC document 44 KB Posted
- Solicitation number
- 1131PL25RDM31208
About this file
The document is a Past Performance Survey form for a United States Trade and Development Agency (USTDA) solicitation for a Regional Asia-Indo-Pacific Surface and Maritime Transportation Technical Evaluation project. The survey is designed to gather feedback on a contractor's performance, with evaluation criteria including compliance with contract terms, ability to complete work on schedule, meeting requirements, and taking corrective measures. Respondents are asked to rate their confidence in these areas and provide recommendations for future business.
The related federal contract opportunity (Solicitation No. 1131PL25RDM31208) is an unrestricted procurement under NAICS Code 541690 for Other Scientific and Technical Consulting Services, limited to U.S. firms or individuals. Key dates include a question submission deadline of July 29, 2025, and a proposal submission deadline of August 18, 2025, both at specific times in Arlington, VA. Proposals must be emailed to contractproposals@ustda.gov, with the government planning to make a single award to the offeror representing the best value based on evaluation factors.
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Text version
Solicitation No.: 1131PL25RDM31208 Solicitation Regional Asia- IndoPacific Region Surface and Maritime Transportation Definitional Mission
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 18, 2025, 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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