ATTACHMENT 1 PAST PERFORMANCE SURVEY.docx

DOCX document 14 KB Posted

Attached to
H266--Bio Safety Cabinet and Hood Testing Federal contract opportunity
Solicitation number
36C26124Q0417
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

This document contains a past performance survey template for evaluating offerors for the Department of Veterans Affairs solicitation number 36C26124Q0417 to provide bio safety cabinet and hood testing services. The survey requests the evaluator to provide the name of the company being evaluated, the services provided including total contract amount, dates of performance and contract number. Evaluation questions rate the overall quality of work and request comments on any performance issues and how they were handled.

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Other files for this federal contract opportunity

Other files attached to H266--Bio Safety Cabinet and Hood Testing, newest first.
File Type Posted
ATTACHMENT 4 2015-5627_Rev.19_Shasta_12-26-2023.pdf PDF
RFQ 36C26124Q0417 - Bio-Safety Hood Testing - 03-15-2024.pdf PDF
36C26124Q0417_1.docx DOCX document
ATTACHMENT 5 2015-5631_Rev.20_SACRAMENTO_12_26_2023.pdf PDF
ATTACHMENT 2 2015-5619_REV.21_Stanislaus_12-26-2023.pdf PDF
ATTACHMENT 3 2015-5623_Rev.22_ALAMEDA_CONTRA COSTA_12_26_2023.pdf PDF

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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 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?

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