Attach 2 Past Performance Survey.docx

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Attached to
H999--Fuel Tank Inspection and Maintenance Service **QUESTIONS AND ADDED TANK INVENTORY LIST**
Solicitation number
36C26120Q0482
Issued by

About this file

This solicitation requests quotes for fuel tank inspection and maintenance services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 is seeking these services for the VA Palo Alto Health Care Systems under a total Service Disabled Veteran Owned Small Business set aside. Quotes are due by 11:00 AM on June 24, 2020 and can be emailed to rico.johnson@va.gov. The contractor shall provide inspection in accordance with the attached performance work statement for a base year plus four option years.

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File Type Posted
S02 - 36C26120Q0482_1.docx DOCX document
Attach 1 Wages.pdf PDF
36C26120Q0482_2.docx DOCX document
Attach 3 PRICE SCHEDULE - FINAL.xlsx XLSX spreadsheet

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Attachment #4

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?

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