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This solicitation package requests quotes for Legionella water testing services at the VA Palo Alto Health Care System. The services include monthly Legionella testing of potable water and cooling towers in accordance with the performance work statement. The acquisition is set aside for a service-disabled veteran-owned small business. Quotes are due by April 6, 2020 and should provide a fixed monthly rate for each contract line item. The contract will have a one-year base period and four one-year options, to be awarded based on the evaluation factors of technical approach, past performance, and price. The point of contact for any questions is Rico Johnson.

36C26120Q0391 Attach 2 Past Performance Survey.docx

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Attachment #4

Past Performance Survey

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the quote.

EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the company listed below for award of a VA contract. Your comments would be appreciated regarding this company’s past performance. 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:

Indicate what contracts did this company provided for you? Provide the total contract amount, dates of performance, and contract number.

Evaluation Questions

Please rate the overall quality of work using a scale of (Excellent, Good, Fair, Marginal, Unacceptable). Comments in support of the rating are welcome.

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

File details come from the government source that posted it. Updated .