36C10E20Q0259 Past Performance Survey.pdf

PDF 115 KB Posted

Attached to
5830--Amendment A0001 Paging System Federal contract opportunity
Solicitation number
36C10E20Q0259
Issued by
Department of Veterans Affairs Veteran Benefits Administration Headquarters

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Other files attached to 5830--Amendment A0001 Paging System, newest first.
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36C10E20Q0259 0001_1.docx DOCX document
36C10E20Q0259.docx DOCX document
RevSow 08-25-2020.pdf PDF
2015-5707 REV13.pdf PDF
Rules of Behavior.pdf PDF
Subcontractor Verification SDVOSB Work Sheet.doc DOC document

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Text version

PAST PERFORMANCE QUESTIONNAIRE

Solicitation 36C10E20Q0259

Paging System, RO355 San Juan PR.

DO NOT Return the completed document to the individual providing the reference. Please complete and email to raymond.tracey@va.gov.

On behalf of (Requester/Contractor Information):

Company's Name: __________________ POC/Title/Position: __________________ Email Address: __________________ Contract/Purchase Order No.: __________________ Contract Amount: __________________ Period of Performance: __________________ Business Address: __________________

NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST

The completion of this questionnaire is requested from your agency/company in order for the Department of Veterans Affairs to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the

Government, relative to the award of a contract.

Completed by :

Company’s Name: _________________________________ POC/Title/Position: _________________________________ Email Address: _________________________________ Address: _________________________________ Phone Number: _________________________________

1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

a. How would you describe your level of customer satisfaction?

b. Were there instances of rework and/or deficiency reports? (If yes, explain) mailto:raymond.tracey@va.gov

2. Quality/Timeliness.

a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

b. Describe the timeliness of submission of requested information, reports and invoicing.

3. Additional Observations/Information

a. Given hindsight, are you satisfied that the contract was awarded to this contractor? Would you be pleased to have this contractor perform work for you again? Why?

PAST PERFORMANCE QUESTIONNAIRE
Solicitation 36C10E20Q0259
DO NOT Return the completed document to the individual providing the reference. Please complete and email to raymond.tracey@va.gov.
On behalf of (Requester/Contractor Information):
Company's Name: __________________
POC/Title/Position: __________________
Email Address: __________________
Contract/Purchase Order No.: __________________
Contract Amount: __________________
Period of Performance: __________________
Business Address: __________________
__________________
NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST
The completion of this questionnaire is requested from your agency/company in order for the Department of Veterans Affairs to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability ...
Completed by :
Company’s Name: _________________________________
POC/Title/Position: _________________________________
Email Address: _________________________________
Address: _________________________________
_________________________________
_________________________________
Phone Number: _________________________________

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