Attachment D- Past Performance Questionairre.pdf
PDF 88 KB Posted
- Attached to
- Home Oxygen West, VISN 4 Federal contract opportunity
- Solicitation number
- 36C24421R0068_1
About this file
This document contains a past performance questionnaire for evaluation of an offeror being considered for award of a Department of Veterans Affairs contract. The questionnaire requests ratings and comments on the offeror's compliance with contract requirements, timeliness, labor and safety standards, management effectiveness, personnel integrity, and quality control based on relevant past performance. Responses are requested by July 16, 2021.
A related solicitation provides details on a competitive set-aside procurement for Service Disabled Veteran Owned Small Businesses for home oxygen supplies and services within Veterans Integrated Service Network 4 of the Department of Veterans Affairs. Responses to the solicitation, numbered 36C24421R0068_1, are due by July 16, 2021 for this requirements contract for home oxygen products and services.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24421R0068 0003.pdf | ||
| PWS__FINAL 07.19.2021.pdf | ||
| Attachment A_FINAL 07.19.2021-Schedule CLIN.xlsx | XLSX spreadsheet | |
| Attachment A July 19 2021-Schedule CLIN.xlsx | XLSX spreadsheet | |
| 36C24421R0068 0002.pdf | ||
| QUESTIONS ANSWERS West O2.docx | DOCX document | |
| SF30 36C24421R0068 0001.pdf | ||
| Attachment B June 23 2021-DOL Wage Rates.pdf | ||
| 36C24421R0068 0001 Amendment June 23 2021.pdf | ||
| Attachment A June 23 2021-Schedule CLIN.xlsx | XLSX spreadsheet | |
| Attachment C June 23 2021- Appendix A 6500.6 PWS.pdf | ||
| Attachment D June 23 2021- Past Performance Questionairre.pdf | ||
| Attachment A-Schedule CLIN.xlsx | XLSX spreadsheet | |
| 36C24421R0068 RFP.pdf | ||
| Attachment C - Appendix A 6500.6 PWS.pdf | ||
| Attachment B- DOL Wage Rates.pdf |
Show all 16
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE QUESTIONAIRRE
REFERENCE INSTRUCTIONS: The Department of Veterans Affairs is considering the Offeror listed above for award of a VA contract. Your comments would be appreciated regarding this firm’s past performance. Your comments are considered Source Selection Sensitive; This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 Survey should be completed by evaluator and returned no later than the above date to sarah.keefer@va.gov.
Please evaluate the past performance using only the following ratings without variation. If the rating is SR or NR, please provide additional information in the appropriate block or in the remarks section of this form.
“V” = Very Relevant = Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.
“R” = Relevant = Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.
“SR” = Somewhat Relevant = Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.
“NR” = Not Relevant = Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.
Please rate and provide information/comments for the following: Circle one
Q1. To what extent did the contractor comply with contract requirements? V R SR NR
Q2. How timely was the contractor’s performance? V R SR NR
Q3. How well did the contractor comply with labor and safety standards? V R SR NR
Q4. Rate the effectiveness of the contractor’s management of the contract. V R SR NR
Q5. Rate the contractor’s handling of staff integrity issues. V R SR NR
Q6. Rate the contractor’s personnel management practices. V R SR NR
Q7. Quality control: Rate the overall quality on the contractors work. V R SR NR mailto:sarah.keefer@va.gov
Please rate and provide information/comments for the following: Circle one
T1. To what extent was contractor able to meet the performance schedule:
V R SR NR
T2. What extent was contractor flexible in responding to changing needs? V R SR NR
T3. To what extent was the contractor reliable? V R SR NR
T4. To what extent was the contractor responsive to technical directions? V R SR NR
T5. Have any cure notices, show cause letters, suspension of payment, or termination been issued? If yes, please explain.
Yes No
C1. Would you award another contract to the party being evaluated? If no, please explain:
Yes No
C2. Was the customer satisfied with the end product? If no, please explain:
Yes No
C3. To what extent did contractor notify you of problems or potential problems? V R SR NR
Additional Remarks:
Name of Evaluator:
Evaluator’s Company/Organization:
Date:
File details come from the government source that posted it. Updated .