Attch 1 Past Performance Survey.pdf

This is a Past Performance Survey form for a Department of Veterans Affairs contract opportunity 36C24827Q0064 (Hoptel - Gainesville). The survey serves as a reference evaluation tool that offerors must complete for each past performance reference and include with their technical proposals. Evaluators, typically representatives from companies where the offeror has previously performed work, are requested to provide comments on the firm's past performance and work quality.

The survey requires evaluators to provide company identification information, details of contracts performed (including total contract amount, performance dates, and contract numbers), and responses to three evaluation questions: an assessment of the contractor's overall work quality, identification of any performance issues or concerns and how they were resolved, and evaluation of the contractor's flexibility in responding to requested changes. Responses are designated as Source Selection Sensitive, and under Federal Acquisition Regulation Part 15.506, the identities of individuals providing reference information remain confidential and will not be released publicly. The completed form requires the evaluator's signature and date.