Attachment IV - Past Performance Survey (Fillable).doc
DOC document 44 KB Posted
- Solicitation number
- 1131PL25RDM31027
About this file
The document is a Past Performance Survey form for a United States Trade and Development Agency (USTDA) solicitation focused on Indo-Pacific Digital Infrastructure Opportunities. The solicitation (No. 1131PL25RDM31027) is an unrestricted procurement limited to U.S. firms or individuals, with a closing date of August 29, 2025, at 1:00 PM Arlington, VA time. The survey is designed to gather detailed feedback on a contractor's performance across five key evaluation areas, including compliance with contract terms, scheduling, requirements fulfillment, problem resolution, and overall recommendation for future work.
The procurement is classified under NAICS Code 541690 for 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. Potential offerors must be actively registered in the SAM database and comply with registration requirements. Interested parties can submit questions via email to contractproposals@ustda.gov and tjohnson@ustda.gov until August 14, 2025, at 1:00 PM Eastern Time, with the government planning to award a single contract to the most advantageous proposal representing the best value.
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Solicitation No.: 1131PL25RDM31027 Solicitation Indo-Pacific: Digital Infrastructure Opportunities Definitional Mission (DM)
PAST PERFORMANCE SURVEY
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, 29th August 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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