Attach 2 - Past Performance Survey.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26122Q0513
About this file
This solicitation requests quotes for quality assurance specialist 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. Quotes are due by 11:00 AM Pacific time on June 17, 2022 and can be emailed to rico.johnson@va.gov. The acquisition is set aside for a total Service Disabled Veteran Owned Small Business and the contractor shall provide the services in accordance with the attached statement of work for a base year plus four option years. Provisions 52.212-1 through 52.212-5 apply to this solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| P09 - SOW - Updated 10 June 2022.doc | DOC document | |
| QUESTIONS AND ANSWERS2 02.docx | DOCX document | |
| 36C26122Q0513_5.docx | DOCX document | |
| P09 - SOW - Updated 1 June 2022.doc | DOC document | |
| 36C26122Q0513_3.docx | DOCX document | |
| QUESTIONS AND ANSWERS.pdf | ||
| 36C26122Q0513_2.docx | DOCX document | |
| Attach 1 - PRICE SCHEDULE.docx | DOCX document | |
| S02 - 36C26122Q0513.docx | DOCX document | |
| Attach 3 - Wage Rate (Santa Clara).pdf |
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Text version
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 .