D.1 ATTACHMENT 1 - PAST PERFORMANCE SURVEY.docx
DOCX document 14 KB Posted
- Attached to
- J012--Cancelled RFQ 36C26125Q0098
- Solicitation number
- 36C26125Q0098
About this file
This is a Past Performance Survey template for solicitation 36C26125Q0098 that must be completed separately for each reference and submitted directly to durell.salaz@va.gov at the Department of Veterans Affairs.
The survey requires evaluators to provide their contact information and assess a company's past performance, including details about services provided, contract amounts, performance dates, and contract numbers. Evaluators must rate the overall quality of work on a scale from Excellent to Unacceptable and provide comments on performance issues, how problems were handled, and general contractor performance. The survey is part of a VA solicitation for Fire Alarm and Suppression System Services at the San Francisco VA Medical Center (SFVAMC).
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Past Performance Survey 36C26125Q0098
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to durell.salaz@va.gov.
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.
Please Note: When completing this Survey be sure to summarize what service(s) you provided on the contract(s) to include the performance dates, dollar amount(s) and contract number(s).
Name of Company being evaluated:
Evaluator’s Name and Signature:
Evaluator’s Company Name, Address and Phone number:
Indicate what services 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?
How did the Contractor perform on the contract?
Were there any issues and how did they handle them?
File details come from the government source that posted it. Updated .