Attach 2 - Past Performance Surveys.docx
DOCX document 13 KB Posted
- Attached to
- V129--Patient Transportation Services Federal contract opportunity
- Solicitation number
- 36C26122Q0662
About this file
This document contains a past performance survey template for evaluators and instructions for offerors on a solicitation by the Department of Veterans Affairs for patient transportation services. The survey requests information on previous contracts held by an offeror being evaluated, including total value, dates of performance, and contract numbers. Evaluators are asked to rate the overall quality of past work on a scale from excellent to unacceptable and provide any comments on performance issues and their resolution.
The related federal contract opportunity is solicitation number 36C26122Q0662 for patient transportation services within Veterans Integrated Service Network 21. The Department of Veterans Affairs Veterans Health Administration is seeking these services. No further details are provided on requirements, response dates, or pricing terms.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| WD No 2015-5637 Rev. No 21 Date 03-15-22 - S.F. - San Mateo County.docx | DOCX document | |
| Attach 1 - Contractor Security Requirements.docx | DOCX document | |
| WD No 2015-5623 Rev. No 18 Date 03-15-22 - Alameda County.docx | DOCX document | |
| 36C26122Q0662_1.docx | DOCX document | |
| WD No 2015-5641 Rev No 19 Dated 03-15-2022 - Santa Clara County for Palo Alto - San Jose - Stanford.docx | DOCX document |
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Text version
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 .