36C10G19R0041-006.docx

ATTACHMENT 3

SAMPLE QUESTIONNAIRE COVER LETTER

CORPORATE LETTERHEAD

(Date)

FOR OFFICIAL USE ONLY

The Department of Veterans Affairs Strategic Acquisition (SAC) is in the process of selecting a contractor for Actuarial Consulting Support Services for the Office of the Assistant Deputy Under Secretary for Health for Policy and Planning.

The objective of the acquisition is to provide Actuarial Consulting Support Services to support analyses which are central in the development of the VA medical health care budget; strategic, capital, and workforce planning; and policy analysis.

One of the considerations in proposal evaluation is the verification of our past performance on contracts that are significantly to mildly relevant to the proposed effort. The SAC and the Office of the Assistant Deputy Under Secretary for Health for Policy and Planning are depending on information received from agencies such as yours, which have had first hand experience with our efforts.

The areas of interest are summarized in the enclosed questionnaire. The SAC appreciates your response no later than time, date. This schedule will allow the evaluation team time to analyze the data.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out and returned to the Contracting Officer, Brian Love at brian.love@va.gov, mailed to the address below, or faxed to (540) 479-8500. Your completed questionnaire will become a part of the official Source Selection records.

Strategic Acquisition Center Attn: Brian Love

Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Signature