ATTCH 3 - Past Performance Survey.doc
DOC document 44 KB Posted
- Attached to
- INFORMATION RESOURCE CENTER SERVICES
- Solicitation number
- 1131PL26R0031
About this file
This is a Past Performance Survey template for the U.S. Trade and Development Agency (USTDA) solicitation 1131PL26R0031 for Information Resource Center Services. The survey is designed to be completed by past clients or contracting officers who have worked with contractors being considered for award. Completed surveys should be submitted to USTDA's Office of Acquisition Management at ContractProposals@ustda.gov.
The survey evaluates contractor performance across six primary competency areas: ability to comply with contract terms and conditions, ability to complete work on schedule, ability to comply with actual requirements, ability to recruit and hire replacement staff in a timely manner, and ability to implement appropriate corrective measures to prevent problems. For each question, respondents select from five confidence levels: Substantial Confidence, Satisfactory Confidence, Limited Confidence, Unknown/Neutral Confidence, or No Confidence. The survey also includes binary questions regarding whether the respondent would recommend or do business with the contractor in the future and whether there are additional comments on contractor performance. The template includes fields for contractor name, contract number, submitting agency or organization, respondent contact information, period of performance, service description, and total contract value.
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Text version
PAST PERFORMANCE SURVEY
SOLICITATION: 1131PL26R0031
Please Submit Completed Survey to USTDA’s Office of Acquisition Management at ContractProposals@ustda.gov 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
| 3. How would you rate your confidence in the contractor’s ability to comply with the actual requirements? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
| 4. How would you rate your confidence in the contractor’s ability to recruit and hire replacement staff in a timely manner? |
| · Substantial Confidence |
· Satisfactory Confidence
· Limited Confidence
| 5. 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
6. Would you recommend and/or do business with this contractor in the future? If your answer is No, please explain why.
· Yes
· No
Comment:
7. 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 to support the above ratings provided:
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