Attachment 2.pdf
PDF 112 KB Posted
- Solicitation number
- 36C10D25Q0136
- Issued by
-
Department of Veterans Affairs
About this file
This document is a Past Performance Questionnaire for Solicitation 36C10D25Q0136 issued by the Department of Veterans Affairs. The questionnaire is designed to evaluate a contractor's past performance by requesting detailed feedback from previous clients or contracting agencies. The form requires completion by 8/27/25 at 1:00 pm EST and is to be submitted via email to Tracey.Robinson3@va.gov.
The questionnaire focuses on assessing three key performance areas: (1) Quality/Meeting Contract Requirements, which includes customer satisfaction and instances of rework, (2) Quality/Timeliness, evaluating the contractor's ability to deliver according to schedule and submit reports and invoices promptly, and (3) Additional Observations, which asks whether the client would be satisfied to work with the contractor again. The document provides space for detailed narrative responses about the contractor's performance, with an option to attach additional pages if more commentary is needed.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10D25Q0136 0002.docx | DOCX document | |
| 36C10D25Q0136 0001.docx | DOCX document | |
| 36C10D25Q0136_2.docx | DOCX document | |
| Attachment 1.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Solicitation 36C10D25Q0136
The individual providing the reference shall complete and return NLT 8/27/25 1:00 pm EST to:
Email: Tracey.Robinson3@va.gov
On behalf of (Requester/Contractor Information):
Company's Name: __________________ POC/Title/Position: __________________ Email Address: __________________ Contract/Purchase Order No.: __________________ Contract Amount: __________________ Period of Performance: __________________ Business Address: __________________
Phone Number: __________________
NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS
REQUEST
The completion of this questionnaire is requested from your agency/company in order for the Department of Veterans Affairs to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the Government, relative to the award of a contract.
Completed by :
Federal Agency/Company’s Name: _________________________________ POC/Title/Position: _________________________________ Email Address: _________________________________ Address: _________________________________ Phone Number: _________________________________
1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.
a. How would you describe your level of customer satisfaction?
b. Were there instances of rework and/or deficiency reports? (If yes, explain)
2. Quality/Timeliness.
a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?
b. Describe the timeliness of submission of requested information, reports and invoicing.
3. Additional Observations/Information
a. Given hindsight, are you satisfied that the contract was awarded to this contractor?
Would you be pleased to have this contractor perform work for you again? Why?
(If more comment space needed, please attach additional pages.)
| PAST PERFORMANCE QUESTIONNAIRE |
| Solicitation 36C10D25Q0136 |
| The individual providing the reference shall complete and return NLT 8/27/25 1:00 pm EST to: |
| Email: Tracey.Robinson3@va.gov |
| On behalf of (Requester/Contractor Information): |
| Company's Name: __________________ |
| POC/Title/Position: __________________ |
| Email Address: __________________ |
| Contract/Purchase Order No.: __________________ |
| Contract Amount: __________________ |
| Period of Performance: __________________ |
| Business Address: __________________ |
| __________________ |
| Phone Number: __________________ |
| NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST |
| The completion of this questionnaire is requested from your agency/company in order for the Department of Veterans Affairs to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability ... |
| Completed by : |
| Federal Agency/Company’s Name: _________________________________ |
| POC/Title/Position: _________________________________ |
| Email Address: _________________________________ |
| Address: _________________________________ |
| _________________________________ |
| _________________________________ |
| Phone Number: _________________________________ |
File details come from the government source that posted it. Updated .