Attach 4 - Past Performance Survey.docx

DOCX document 13 KB Posted

Attached to
V225--Ground Ambulance Service 1. Questions and Answers 2. Updated PWS 3. Quote due date extended to 12 Aug 2022 Federal contract opportunity
Solicitation number
36C26122Q0486
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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Other files for this federal contract opportunity

Other files attached to V225--Ground Ambulance Service 1. Questions and Answers 2. Updated PWS 3. Quote due date extended to 12 Aug 2022, newest first.
File Type Posted
P09 - PWS - Updated 2 Aug 2022.docx DOCX document
36C26122Q0486_4.docx DOCX document
Questions - Ground Ambulance Palo Alto - UPDATED 2 AUGUST.docx DOCX document
Attach 1 - Price Schedule.xlsx XLSX spreadsheet
S02 - 36C26122Q0486.docx DOCX document
Attach 3 - QASP.docx DOCX document
Attach 2 - P07 - Wages - Combined.pdf PDF
36C26122Q0486_3.docx DOCX document
36C26122Q0486_2.docx DOCX document

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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 .