Past Performance Survey-1.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26121Q0751
About this file
This document contains a past performance survey template and details of a related federal contract opportunity for non-ambulatory transportation services. The survey template requests evaluators to rate and comment on the past performance of a company being considered for award of a VA contract. Evaluators are asked to provide the contracts performed for their organization, including total amount, dates of performance and contract number. Ratings should be on a scale of excellent, good, fair, marginal or unacceptable. Comments are also requested regarding any performance issues and their resolution. The related federal contract opportunity is solicitation number 36C26121Q0751 from the Department of Veterans Affairs for providing special mode non-ambulatory transportation services to eligible veterans through the Veterans Health Administration Veterans Integrated Service Network 21. No further details are provided on requirements, response dates or incumbent.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Self-Performance Worksheet.docx | DOCX document | |
| S02- Sol 36C26121Q0751 to ktr for quote.pdf | ||
| WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| Experience Factor Worksheet-1.xlsx | XLSX spreadsheet | |
| Business Associate Agreement.pdf | ||
| 36C26121Q0751 0001.docx | DOCX document | |
| S02-Self-Performance Worksheet.docx | DOCX document | |
| Past Performance Survey.docx | DOCX document | |
| 36C26121Q0751.docx | DOCX document | |
| P07-WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| S02- Experience Factor Worksheet.xlsx | XLSX spreadsheet |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Past Performance Survey
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be email to maria.teodoro-tanksley@va.gov on or before the due date of the solicitation.
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 .