Attach 2 - Past Performance Surveys.docx

DOCX document 13 KB Posted

Attached to
Q517--Controlled Substance Destruction Services Federal contract opportunity
Solicitation number
36C26122Q0634
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26122Q0634 0001.docx DOCX document
Attach 1 - Contractor Security Requirements.docx DOCX document
36C26122Q0634_1.docx DOCX document

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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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