Attachment 2 - Past Performance Surveys.docx
DOCX document 13 KB Posted
- Attached to
- F108--Questions and Answers Amendment
- Solicitation number
- 36C26125Q0273
About this file
This is a past performance survey template that must be completed separately for each reference and included with vendor quotes for a medical waste disposal services contract at VA Central California Health Care System. The survey requests basic information about the company being evaluated, including the evaluator's details and specifics about previous contracts (amounts, dates, contract numbers). It includes a rating scale (Excellent, Good, Fair, Marginal, Unacceptable) for overall quality of work and asks about any performance issues and their resolution.
The opportunity is a total SDVOSB set-aside under solicitation number 36C26125Q0273 for the Department of Veterans Affairs Veterans Health Administration VISN 21. The full requirements are contained in an SF 1449 form that is referenced but not included in this file.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26125Q0273 0001 Questions and Answers.pdf | ||
| Questions and Answers.docx | DOCX document | |
| 36C26125Q0273 0001_1.docx | DOCX document | |
| Attachment 1 - 36C26125Q0273 Medical Waste Removal and Disposal.pdf | ||
| Attachment 3 - Wage Determination 2015-5609.pdf | ||
| 36C26125Q0273_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?
File details come from the government source that posted it. Updated .