Past Performance Survey .pdf

Solicitation: Resource Guide for US Industry on Priority Infrastructure Projects in the Indo-Pacific Solicitation No.: 1131PL20RDM31140

PAST PERFORMANCE SURVEY

Please Submit Completed Survey to USTDA’s Office of Acquisition Management at Contractproposals@ustda.gov, no later than 12:00 Noon, June 11, 2020, 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:

mailto:Contractproposals@ustda.gov

Solicitation: Resource Guide for US Industry on Priority Infrastructure Projects in the Indo-Pacific Solicitation No.: 1131PL20RDM31140

Questions: Response:

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: