Attach 2 - Past Performance Survey.docx

DOCX document 13 KB Posted

Attached to
S201--Permatect Floor Restoration Service Federal contract opportunity
Solicitation number
36C26122Q0512
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

This solicitation requests quotes for vinyl composition tile stripping and sealing 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 in accordance with the included Statement of Work. Quotes are due by 11:00 AM Pacific time on July 1, 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 vendors must be registered in the VetBiz database to be eligible for award. The contract will have a base year period of performance.

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Other files for this federal contract opportunity

Other files attached to S201--Permatect Floor Restoration Service, newest first.
File Type Posted
Attach 4 - Room List.xlsx XLSX spreadsheet
Attach 1 - PRICE SCHEDULE.docx DOCX document
Attach 3 - Wage Rate.pdf PDF
S02 - 36C26122Q0512.docx DOCX document
36C26122Q0512_2.docx DOCX document

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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 .