Attch 1 - Past Performance Surveys.docx

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Attached to
H912--PORTABLE FIRE EXTINGUISHER INSPECTION, MAINTENANCE AND TESTING Federal contract opportunity
Solicitation number
36C26123Q0980
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 and details of a federal contract opportunity for portable fire extinguisher inspection, maintenance and testing services. The survey template requests information on previous contracts held by an offeror being evaluated, including total contract value, performance dates, and contract numbers. Evaluators are asked to rate the quality of work on a scale and provide any comments on performance issues or concerns. The related federal contract opportunity is solicitation number 36C26123Q0980 with the Department of Veterans Affairs for portable fire extinguisher inspection, maintenance and testing services across Veterans Health Administration Veterans Integrated Service Network 21 facilities. Pricing terms, response dates, or other contract details are not provided.

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Other files for this federal contract opportunity

Other files attached to H912--PORTABLE FIRE EXTINGUISHER INSPECTION, MAINTENANCE AND TESTING, newest first.
File Type Posted
36C26123Q0980 0001.docx DOCX document
Attch 2 - Fresno County - WD No 2015-5609 Rev. No 20 Date 12-27-22.docx DOCX document
36C26123Q0980_2.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?

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