Attach 2 - Past Performance Survey.docx

DOCX document 13 KB Posted

Attached to
F108--Hazardous Waste Disposal and Emergency Response Spills 08/15/23 - 08/14/28
Solicitation number
36C26123Q0857
Issued by

About this file

This document contains an attachment for a past performance survey and details of a related federal contract opportunity. The past performance survey is a template for offerors to provide to references to evaluate the offeror's performance on previous relevant contracts. It requests information on the contracts provided, including total amount, dates of performance and contract number. References are asked to rate the overall quality of work on a scale and provide any comments on performance issues and their resolution.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs for hazardous waste disposal and emergency response services from August 2023 through August 2028. Offerors are to provide hazardous waste disposal and emergency response for spills under the solicitation number 36C26123Q0857 issued by the Veterans Health Administration Veterans Integrated Service Network 21.

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Attachment #2

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 .