S02 - Attachment 1-Past Performance Survey.docx
DOCX document 13 KB Posted
- Attached to
- V225--Air Ambulance Services for VAPIHCS
- Solicitation number
- 36C26124Q0102
About this file
This document contains an attachment for evaluating past performance on federal contracts. It requests a separate survey be completed for each reference, including the name of the company being evaluated, the evaluator's name and contact information, contracts provided to the evaluator including total amount, dates of performance and contract number. Evaluation questions rate overall quality of work on a scale and allow comments to support the rating, and ask if there were any performance issues and how they were handled.
The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 for air ambulance services for the VA Palo Alto Health Care System. The solicitation number is 36C26124Q0102 and the name is V225--Air Ambulance Services for VAPIHCS. The opportunity type is a solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SOW Rev. 11-27-2023.docx | DOCX document | |
| 36C26124Q0102 0001.docx | DOCX document | |
| 36C26124Q0102.docx | DOCX document | |
| ATTACHMENT - NARA RM CONTRACT LANGUAGE CLAUSE-May 2017.docx | DOCX document | |
| S02 - Wage Determination No.2015-5689 7-17-2023.pdf |
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
Attachment #1
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 .