D.3 ATTACHMENT 3 PAST PERFORMACNE SURVEY.docx
DOCX document 17 KB Posted
- Solicitation number
- 36C26125Q0702
About this file
This document is a Past Performance Survey form for a VA contract opportunity (Solicitation Number 36C26125Q0702) related to landscaping services in American Samoa. The survey is designed to collect reference information about a company's past performance, with evaluators asked to complete a detailed assessment of the company's work quality, performance history, and contract execution.
The survey requires evaluators to provide specific details including services performed, total contract amount, performance dates, and contract numbers. Evaluators are instructed to rate the company's overall work quality on a scale from Excellent to Unacceptable, and provide commentary on performance issues, contract handling, and contractor effectiveness. The completed survey must be submitted directly to durell.salaz@va.gov, with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 (VA VHA VISN 21) overseeing the evaluation process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C26125Q0702_2.docx | DOCX document | |
| D.1 ATTACHMENT 1 DAILY GROUNDS WORK SHEET.docx | DOCX document | |
| D2 ATTACHMENT 2 QUALITY ASSURANCE SURVEILLANCE PLAN.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Past Performance Survey 36C26126Q0702
OFFEROR INSTRUCTIONS: A separate survey must be completed and signed 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: Must be signed
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 .