Past Performance Survey.pdf
PDF 85 KB Posted
- Attached to
- Q403--AMD4 Add VAAR 852. 215-70 to RFQ per OSDBU
- Solicitation number
- 36C26124Q0046
About this file
This document contains a past performance survey template for evaluating offerors on a Department of Veterans Affairs contract opportunity. The survey requests information on previous contracts held by the company being evaluated, including total contract amounts, dates of performance, and contract numbers. Respondents are asked to rate the overall quality of work on a scale from excellent to unacceptable and provide any comments on performance issues and how they were handled. Completed surveys should be submitted directly to the identified point of contact via email.
The related federal contract opportunity is a solicitation from the VA Veterans Health Administration to add a clause to a request for quotation. No other details on the required products or services are provided in this document.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26124Q0046 0004_1.docx | DOCX document | |
| 36C26124Q0046 0004.pdf | ||
| (S02) AMD3 36C26124Q0046 0003.pdf | ||
| 36C26124Q0046 0003_1.docx | DOCX document | |
| 36C26124Q0046 0002.docx | DOCX document | |
| AMD2 36C26124Q0046 0001 - Pyschological Evaluations.pdf | ||
| 36C26124Q0046 0001_1.docx | DOCX document | |
| AMD1 36C26124Q0046 0001 - Pyschological Evaluations.pdf | ||
| 36C26124Q0046_2.docx | DOCX document | |
| VA Handbook 0720.pdf | ||
| VHA Directive 0730.pdf | ||
| (S02) RFQ VA Police Psychological Evaluations.pdf | ||
| 36C26124Q0046_1.docx | DOCX document |
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Past Performance Survey
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to durell.salaz@va.gov.
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.
Please Note: When completing this Survey be sure to summarize what service(s) you provided on the contract(s) to include the performance dates, dollar amount(s) and contract number(s).
Name of Company being evaluated:
Evaluator’s Name and signature:
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?
mailto:durell.salaz@va.gov
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