Attach 2 - Past Performance Survey.docx
DOCX document 13 KB Posted
- Attached to
- V211--Air Ambulance Service Federal contract opportunity
- Solicitation number
- 36C26123Q0190
About this file
This document contains a past performance survey for evaluation of references and a federal contract opportunity solicitation for air ambulance services. The solicitation seeks quotes for air ambulance services to be provided for the VA Central California Health Care Systems in Fresno, California. The base period of performance is one year with three one-year option periods. Quotes are due by February 10, 2023 and are to be emailed to rico.johnson@va.gov. The solicitation will result in an award of a firm fixed-price contract to provide these services to the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21. The completed past performance surveys must be included with quotes and will be used to evaluate vendors for contract award.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02 - 36C26123Q0190.docx | DOCX document | |
| Attach 1 - Price Schedule.docx | DOCX document | |
| 36C26123Q0190_1.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?
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