Past Performance Survey.pdf
PDF 145 KB Posted
- Attached to
- 7C21--IT Server Racks/Install CHIP-IN| 623 Federal contract opportunity
- Solicitation number
- 36C24W25R0010
- Issued by
- Department of Veterans Affairs
About this file
This document is a Past Performance Survey for a federal contract opportunity related to IT Server Racks at the Eastern Oklahoma VA Healthcare System. The Department of Veterans Affairs is seeking offerors for this contract, and the survey is being completed by a reference who has previously worked with one of the offerors. The survey evaluates the offeror's past performance across several criteria, including compliance with requirements, knowledge and expertise, access to personnel, scheduling processes, and protection of patient privacy. The reference is asked to provide an overall rating for the offeror and indicate whether they would award another contract to the firm. The related federal contract opportunity is for the supply and installation of IT Server Racks at the Tulsa VA Medical Center, with a solicitation number of 36C24W25R0010.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S06 36C24W25R0010 0002.pdf | ||
| S06 36C24W25R0010 0001 Amendment IT Server Racks.pdf | ||
| 36C24W25R0010 0001 Amendment IT Server Racks.pdf | ||
| Past Performance Survey.pdf | ||
| S02 36C24W25R0010_1.pdf |
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Text version
PAST PERFORMANCE SURVEY
IT SERVER RACKS
REFERENCE INSTRUCTIONS: The Department of Veterans Affairs is seeking offerors for award of a VA contract for IT Server Racks at the Eastern Oklahoma VA Healthcare System. You have been identified as a reference and your comments would be appreciated. Your comments are considered Source Selection Sensitive;
therefore, you are advised that the release of the names of individuals providing reference information about Offeror’s past performance is prohibited. Survey should be completed by evaluator and submitted no later than October 18, 2024 @ 12:00PM CT via email directly to Amelia.Roberson1@va.gov
NOTE: Incomplete or unsigned surveys will not be considered.
Company being evaluated: _______________________________________________________ Period of Performance:
What type of services were provided? ____________________________________________ Name and title/position of evaluator:
Contact telephone number:
Contact e-mail address:
Please evaluate the past performance using only the following ratings without variation. If the rating is other than Fully Acceptable, please provide additional information in the appropriate block or in the remarks section of this form.
S = Superior Performance
V = Very Good with very few issues
F = Fully Acceptable/Good
M = Marginally Acceptable
U = Unacceptable Performance
Please rate and provide information/comments for the following: Circle/indicate selection
Q1. Rate how well the contractor complies with requirements and/or expectations? S V F M U
Q2. Rate contractor’s knowledge and expertise in providing Psychiatry Services. S V F M U
Q3. Rate the level of access to the contractor’s personnel. (i.e. Did they respond in a timely manner? Did they meet the requirements of being available and responding as according to the contract?) S V F M U
Q4. Rate overall ease of contractor’s scheduling process. S V F M U
Q5. Rate how well contractor protects the privacy of patients. S V F M U
Q6. Would you award another contract to the firm being evaluated? If no, please explain:
Yes No mailto:Amelia.Roberson1@va.gov
PAST PERFORMANCE SURVEY
IT SERVER RACKS
Additional Remarks: Please use this space to indicate anything else you would like to say about the contractor being referenced or to list anything you especially liked or disliked about this contractor:
Signature of Evaluator Date
File details come from the government source that posted it. Updated .