ATTACHMENT 1 - PAST PERFORMANCE SURVEY.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C26124Q0761
About this file
This document is a Past Performance Survey for a federal contract opportunity with the Department of Veterans Affairs Veterans Integrated Service Network 21. The survey is to be completed by evaluators who have previously worked with the company being considered for the contract. The evaluator is asked to provide information on the services the company provided, the contract amount, dates of performance, and contract number. The evaluator is then asked to rate the overall quality of the company's work on a scale of Excellent, Good, Fair, Marginal, or Unacceptable, and to comment on any performance issues or concerns. The related federal contract opportunity is for Ventilation Air Testing and Balance services for the VA Northern California Health Care System, with a Solicitation Number of 36C26124Q0761.
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Past Performance Survey 36C26124Q0761
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to durell.salaz@va.gov.
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.
Please Note: When completing this Survey be sure to summarize what service(s) you provided on the contract(s) to include the performance dates, dollar amount(s) and contract number(s).
Name of Company being evaluated:
Evaluator’s Name and signature:
Evaluator’s Company Name, Address and Phone number:
Indicate what services 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 .