Attachment V - Past Performance Survey (Fillable).doc

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WORLDWIDE: DESK STUDY SERIES FOR GLOBAL AGRIBUSINESS OPPORTUNITIES
Solicitation number
1131PL24RDS31084
Issued by

About this file

This solicitation requests proposals for a series of desk studies on global agribusiness opportunities. Offerors must submit proposals by March 8, 2024 for consideration under a 100% small business set-aside, with a size standard of $16.5 million annual sales. The award will be limited to a U.S. firm or individual, using U.S. citizen or lawful permanent resident employees. Subcontractors may comprise less than 50% of the proposed price. Offerors must be registered in SAM.gov and provide their Unique Entity ID. Questions are due by February 22, 2024 and must be sent to the specified email addresses. The United States Trade and Development Agency is the contracting agency.

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SOLICITION NUMBER: 1131PL24RDS31084

TITLE: WORLDWIDE: DESK STUDY SERIES FOR GLOBAL AGRIBUSINESS 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, March 8, 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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