36C78618R0078-010.doc

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Attached to
Twin Falls D/B Rural Burial Grounds Federal contract opportunity
Solicitation number
36C78618R0078
Issued by
Department of Veterans Affairs National Cemetery Administration

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36C78618R0078 Contractor Past Performance Questionnaire.doc

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Text version

(TO BE COMPLETED BY CLIENT ONLY)

Re: Contractor Past Performance Questionnaire – Solicitation No. VA786A-16-R-0077 Prospective Contractor’s Name:

Name of Agency/Owner:

Referenced Project Name:

Referenced Contract/Project No.:

Dollar Amount of Project:

Did the contractor experience any financial problems?

If so, what were they?

Was the contract performance schedule met?

If not, why?

What was the quality of the contractor’s workmanship?

Did contract contain warranty clause?

If invoked, what was contractor’s response?

Were there any administrative problems? (Payrolls, progress reports, material submittals, etc.)

If so, what were they?

Were any change orders required?

If so who initiated them?

How would you rate this contractor?

☐Excellent ☐Very Good ☐Good ☐Marginal ☐Unsatisfactory Would you contract with this company again?

Other Comments:

Name of Business/Agency:

Point of Contact Name:

Telephone No.:

Email:

United States Department of Veterans Affairs

National Cemetery Administration

425 I Street, NW, Washington, DC 20001, Suite 5E425

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