Attach 3 - Past Performance Survey.docx

This is a Past Performance Survey template designed for use in the VA contract solicitation 36C26126Q0597 for VACCHCS Switchboard Operators. The survey serves as Attachment #3 to the solicitation and functions as a reference evaluation tool for assessing contractor past performance.

The survey is structured with separate sections for offeror instructions and evaluator instructions. Offerors must complete a separate survey for each reference and include all completed surveys with their quote submission. Evaluators from the Department of Veterans Affairs will use the survey to gather feedback on the company being considered for award. The survey requests specific contract history information including total contract amounts, performance dates, and contract numbers, followed by evaluation questions requiring raters to assess overall work quality on a five-point scale (Excellent, Good, Fair, Marginal, Unacceptable) with space for supporting comments. The survey also inquires whether any performance issues or concerns occurred and, if applicable, how they were addressed. The template clarifies that evaluator identities and reference information provided remain confidential and will not be released publicly.