Attachment V - 1131PL24RDM51168 - Past Performance Survey (Fillable).doc

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REGIONAL LATIN AMERICA AND CARIBBEAN FOR DEFINITIONAL MISSION CLEAN ENERGY AND POWER SECTOR OPPORTUNITIES
Solicitation number
1131PL24RDM51168
Issued by

About this file

This document is a Past Performance Survey related to a federal contract opportunity solicitation. The solicitation is for a Definitional Mission for Clean Energy and Power Sector Opportunities in the Latin America and Caribbean region, with Solicitation No. 1131PL24RDM51168. The survey requests information on the performance of a specific contractor, including their ability to comply with contract terms and conditions, complete work on schedule, and take corrective measures. Respondents are asked to provide an overall recommendation on whether they would do business with the contractor again. The solicitation is an unrestricted procurement under NAICS Code 541690, with award limited to U.S. firms or individuals. Contractor and subcontractor employees must be U.S. citizens or permanent residents. The solicitation closes on June 14, 2024 at 1:00 PM Arlington, VA time, and the government will make a single award.

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Solicitation Regional Latin America and Caribbean: Definitional Mission for Clean Energy and Power Sector Opportunities Solicitation No.: 1131PL24RDM51168

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 1:00 PM, June 14, 2024, 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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