Past Performance Survey.pdf

PDF 502 KB Posted

Attached to
J043--FY24: Emergency Generators Maintenance Base +4 Federal contract opportunity
Solicitation number
36C24824Q0324
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

This document contains a past performance survey template for evaluating offerors for the J043--FY24: Emergency Generators Maintenance Base +4 solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8. The survey collects information on the offeror's previous contracts including total contract amounts, dates of performance, and contract numbers. It also includes questions about the overall quality of the offeror's work and flexibility in responding to changes, and whether there were any performance issues and how they were addressed.

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Other files for this federal contract opportunity

Other files attached to J043--FY24: Emergency Generators Maintenance Base +4, newest first.
File Type Posted
Award Notice - 36C24824P0712_1.docx DOCX document
Response to Vendor Questions.docx DOCX document
36C24824Q0324_2.docx DOCX document
36C24824Q0324_1.docx DOCX document
36C24824Q0324.docx DOCX document

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Text version

36C24824Q0324 Emergency Generators Maintenance

Past Performance Survey 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?

Signature Date:

Offeror Name:
Name of Company being evaluated:
Evaluators Name:
Evaluators 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:
Comment on the overall quality of contractors work:
Were there any performance issuesconcerns If so how were they handled:
If any changes were needed was the contractor flexible in responding to those changes:
Signature:
Date:

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