Attachment IV - Past Performance Survey (Fillable).doc

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TECHNICAL ADVISORY SERVICES – PROJECT SCOPING MISSION FOR INDO-PACIFIC AVIATION OPPORTUNITIES
Solicitation number
1131PL25RDM31145
Issued by

About this file

The document is a Past Performance Survey form for a Technical Advisory Services solicitation issued by the United States Trade and Development Agency (USTDA). The solicitation (Number 1131PL25RDM31145) seeks technical advisory services for a Project Scoping Mission for Indo-Pacific Aviation Opportunities, with a closing date of September 8th, 2025 at 1:00 PM Arlington, VA time. The procurement is unrestricted and limited to U.S. firms or individuals, with subcontractor usage restricted to less than 50% of the proposed price.

The survey form is designed to collect performance feedback on contractors, featuring six key evaluation questions rating confidence in contract compliance, schedule adherence, requirement fulfillment, corrective measure implementation, and overall recommendation for future business. Respondents are asked to submit the completed survey to USTDA's Office of Acquisition Management via email by the specified deadline. The solicitation falls under NAICS Code 541690 for Other Scientific and Technical Consulting Services, with award criteria based on responsibility and best value to the government.

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Solicitation No.: 1131PL25RDM31145 Solicitation Technical Advisory Services – Project Scoping Mission for Indo-Pacific Aviation Opportunities

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, 8th September 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:

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