Attachment C - Past Performance Surveys.docx

DOCX document 14 KB Posted

Attached to
J041--HVAC Chiller Maintenance Service
Solicitation number
36C26123Q0535
Issued by

About this file

This document contains a past performance survey template and details of a federal contract opportunity for HVAC chiller maintenance services. The past performance survey is to be completed by references for the offeror and included with quotes. It requests information on previous contracts held by the company being evaluated, including total value, dates of performance, and contract numbers. References are asked to rate the overall quality of past work on a scale and provide any comments on performance issues and their resolution.

The federal contract opportunity is solicitation number 36C26123Q0535 for HVAC chiller maintenance services with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21. The description specifies maintenance of heating, ventilation, and air conditioning chillers. No further details are provided on the required scope of work, response deadline, period of performance, or place of performance.

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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 .