Attachment - Past Performance Survey (Fillable).doc

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GLOBAL CRITICAL MINERALS PROJECT SCOPING SERVICES
Solicitation number
1131PL26R0057
Issued by

About this file

This is a Past Performance Survey template designed for the United States Trade and Development Agency (USTDA) to collect feedback on contractor performance for the Global Critical Minerals Project Scoping Services solicitation (1131PL26R0057). The survey is to be completed by agencies or organizations that have previously worked with contractors being considered for award and submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on September 8, 2026.

The survey requests evaluations across six key performance dimensions: contractor compliance with contract terms and conditions, schedule performance, requirement fulfillment, corrective action capability, future business recommendation, and any additional performance comments. Respondents rate confidence levels on a five-point scale (Substantial, Satisfactory, Limited, Unknown/Neutral, or No Confidence) for the first four questions, provide a yes/no recommendation for future business engagement with optional explanation, and have space for supplemental comments. The template includes fields for contractor name, contract reference information, submitting agency, respondent contact details, period of performance, service description, and total contract value. This assessment tool supports USTDA's evaluation of offeror responsibility and past performance as part of the solicitation process for selecting the contractor offering best value to the government.

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Text version

SOLICITION NUMBER: 1131PL26R0057

TITLE: GLOBAL CRITICAL MINERALS PROJECT SCOPING SERVICES

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 8, 2026, 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:

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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