36C24820Q0247-001.docx

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Copy of LEP PHONE INTERPRETER SERVICES BASE PLUS 4 Federal contract opportunity
Solicitation number
36C24820Q0247
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

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36C24820Q0247 36C24820Q0247 - Past Performance Survey.docx

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?.## PAST PERFORMANCE SURVEY

36C24820Q0247 LEP Phone Interpreter Services Offeror Name: ________________ OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the offeror’s technical proposal.

EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the Offeror listed above for award of a VA contract. Your comments would be appreciated regarding this firm’s past performance. Your comments are considered Source Selection Sensitive. Under Federal Acquisition Regulation Part 15.506, the name of the individuals providing reference information is confidential and will not be released or made publicly available.

Name of Company being evaluated:

Evaluator’s Name:

Evaluator’s Company Name, Address and Phone number:

What contracts did this offeror perform for your company? Provide the total contract amount, dates of performance, and contract number.

Evaluation Questions

Comment on the overall quality of contractor’s work.

Were there any performance issues/concerns? If so, how were they handled?

If any changes were needed, was the contractor flexible in responding to those changes?

Would you award to this company again, if given the opportunity?
YES
NO

Signature

Date:

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