36C78620Q0040-004.pdf

ATTACHMENT D: PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO.: 36C78620Q0040 Headstone Maintenance Services – Florida National Cemetery

NOTE TO EVALUATORS: Upon completion, please email this confidential Questionnaire directly to Ms. Tené Becknell, Contracting Officer, National Cemetery Administration at tene.becknell@va.gov. Please reference the above-mentioned Solicitation Number and Title in the Subject line of your email when submitting. Thank you!

Date: _____________

Company (Offeror) Name: ________________________________

COMPANY: __________________________________

REFERENCE: ______________________________________

TYPE OF WORK: ___________________________________________

CONTRACT PERIOD: __________________________________________________

LENGTH OF SERVICES PERFORMED:

ESTIMATED CONTRACT AWARD AMOUNT:

For the following questions, please choose the number on the scale from 1 to 5, which most accurately describes the Contractor’s performance on the contract referenced above.

NOTE: For 1 or 5 ratings, please also provide written comments on why this score was selected.

1 - unacceptable performance

2 - marginally acceptable

3 - fully acceptable or Good

4 - Very Good, with very few incidents

5 - Superior performance.

You may email questionnaire along with your comments to Ms. Tené Becknell at tene.becknell@va.gov, or if you have any questions. Thank you for your time and input.

mailto:tene.becknell@va.gov

1. Evaluate the company’s compliance with contractual terms and conditions and the technical requirements of the contract.

1 2 3 4 5 N/A

Comments:

2. Has the company demonstrated reasonable and cooperative behavior in resolving customer requests and or complaints?

3. Is the Offeror flexible in satisfying the requirements of the customer?

4. To what extend did the company meet the response times in the contract?

5. Are invoices easily understood, submitted timely and do they accurately reflect charges?

6. Rate the company’s overall performance:

7. Would you award a contract to this company again?