Attach 2 - Past Performance Surveys.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26123Q0030
About this file
This document contains a past performance survey template for evaluating offerors for an ice machine cleaning and maintenance service contract opportunity with the Department of Veterans Affairs. The survey requests information on previous contracts performed for the reference such as total contract amount, dates of performance, and contract number. 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 36C26123Q0030 for semi-annual ice machine cleaning and maintenance services across Veterans Health Administration Veterans Integrated Service Network 21 facilities. The solicitation is for this recurring service requirement and does not provide additional details on pricing, response dates, or other contract terms.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26123Q0030 0001.docx | DOCX document | |
| WD No 2015-5623 Rev. No 19 Date 07-21-22 - Alameda County.docx | DOCX document | |
| Ice Machines Contract Inventory 2022-06-08.xlsx | XLSX spreadsheet | |
| Attach 1 - Contractor Security Requirements.docx | DOCX document | |
| WD No 2015-5637 Rev. No 22 Date 07-21-22 - S.F. - San Mateo County.docx | DOCX document | |
| WD No 2015-5641 Rev No 20 Dated 07-21-2022 - Santa Clara County.docx | DOCX document | |
| 36C26123Q0030_1.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?
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