36C79118R0015-019.docx
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- Standardized Functional Outcome Metric Federal contract opportunity
- Solicitation number
- 36C79118R0015
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36C79118R0015 Past Performance Questionnaire.docx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C79118R0015-A0001000.docx | DOCX document | |
| 36C79118R0015-020.docx | DOCX document | |
| 36C79118R0015-017.docx | DOCX document | |
| 36C79118R0015-018.docx | DOCX document | |
| 36C79118R0015-016.docx | DOCX document |
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ATTACHMENT 10
PAST PERFORMANCE QUESTIONNAIRE
Project/Contract: _________________________ Name of Offeror: _______________________________
Name and Title of Person Completing Questionnaire: ________________________________________
Company/Organization: _________________________________________________________________
Briefly describe the nature and size in dollars of your contract with the Offeror (If more space is needed, please use the “Additional Comments” block on the second page):
Please return this Past Performance Questionnaire to: caroline.west@va.gov and david.little@va.gov
ADJECTIVAL RATING DEFINITIONS
| Pass |
| Performance met contract requirements resulting in overall benefits to the customer with no significant weaknesses or complaints, consistently met or exceeded many of the contract requirements with very few weaknesses or complaints, or consistently met contract requirements with noted weaknesses or complaints adequately corrected. |
| Fail |
| Performance often failed to meet minimum contract requirements with numerous noted weaknesses or complaints usually corrected, or consistently failed to meet contract requirements with numerous significant weaknesses or complaints left uncorrected. |
Past Performance Question
Rating (Circle answer)
1. Describe the quality of work the performed by the contractor.
Comments:
Acceptable / Unacceptable
2. Describe the extent to which the contractor adhered to the schedule.
3. How responsive was the contractor in resolving quality, schedule, or other contract issues?
ATTACHMENT “10”
PAST PERFORMANCE QUESTIONNAIRE (CONTINUATION)
4. Was the contractor effective in addressing specific customer needs?
Yes / No
5. How satisfied were you with the contractor’s overall performance?
Satisfied / Not Satisfied
6. Would you award another contract to this contractor?
Yes / No
ADDITIONAL COMMENTS:
PLEASE NOTE: In accordance with Federal Acquisition Regulations, contractors may be advised of adverse remarks and given an opportunity to respond. However, the contracting officer will not provide your name or copies of this questionnaire to the contractor or any other party not directly involved in the evaluation of the contractor’s proposal.
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