Attachment V - Past Performance Survey (Fillable).doc

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DESK STUDY FOR INVOICE REVIEW CONSULTANT FOR AN AVIATION FEASIBILITY STUDY IN SOUTHEAST ASIA REGIONAL
Solicitation number
1131PL23RDS31262
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This document contains a past performance survey template for a contractor providing desk study services for invoice review for an aviation feasibility study in Southeast Asia. The survey collects feedback on a contractor's ability to comply with contract terms, complete work on schedule, meet requirements, and take corrective actions. It includes questions on recommending the contractor for future work and additional comments. The related federal contract opportunity is a solicitation from the United States Trade and Development Agency seeking an consultant to conduct a desk study for invoice review for an aviation feasibility study in the Southeast Asia region.

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Other files

File Type Posted
Amendment 00001 - 1131PL23RDS31262 Extend the Closing Date.pdf PDF
Attachment IV - Sample Desk Study Price Sheet.xls XLS spreadsheet
Attachment III - SF 1449_RFP 1131PL23RDS31262 (fillable).pdf PDF
Attachment II - Performance Work Statement - Sections B - E.pdf PDF
Attachment I - 1131PL23RDS31262 - COMBINED SYNOPSIS SOLICITATION.pdf PDF

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SOLICITION NUMBER: 1131PL23RDS31262

TITLE: DESK STUDY FOR INVOICE REVIEW CONSULTANT FOR AN AVIATION

FEASIBILITY STUDY IN SOUTHEAST ASIA

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 15, 2023, 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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