Attach 2 - Past Performance Survey.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26122Q0437
About this file
This solicitation requests quotes for critical incident team services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 seeks a contractor to provide critical incident team services for the VA Palo Alto Health Care Systems in accordance with the included performance work statement. The base period of performance is one year with three optional one-year extensions. Quotes are due by July 8, 2022 and may be emailed to rico.johnson@va.gov. This acquisition is set aside for total service-disabled veteran-owned small businesses registered in the VetBiz database under NAICS code 541611 with a size standard of $16.5 million. The successful offeror will receive a fixed-price contract incorporating FAR clauses 52.212-4 and 52.212-5 by terms and conditions.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26122Q0437_2.docx | DOCX document | |
| Attach 5 - Wages - Combined.pdf | ||
| Attach 3 - Security Requirements.pdf | ||
| S02 - 36C26122Q0437.docx | DOCX document | |
| Attach 1 Business Associate Agreement.pdf | ||
| Attach 4 - PRICE DELIVERY SCHEDULE - READY.docx | DOCX document |
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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?
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