D.3 Past Performance Survey.docx
DOCX document 18 KB Posted
- Attached to
- Q503--Richmond Dental Removable Prosthodontic
- Solicitation number
- 36C24622Q1225
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24622Q1225 0006.docx | DOCX document | |
| 36C24622Q1225 0005.docx | DOCX document | |
| 36C24622Q1225 0004.docx | DOCX document | |
| 36C24622Q1225 0003.docx | DOCX document | |
| 36C24622Q1225 0002.docx | DOCX document | |
| 36C24622Q1225 0001.docx | DOCX document | |
| D.2 Wage Determination.docx | DOCX document | |
| D.1 QASP Removable Dental Laboratory Services.docx | DOCX document | |
| 36C24622Q1225.docx | DOCX document |
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D.3 PAST PERFORMANCE SURVEY INSTRUCTIONS
The Department of Veterans Affairs Mid-Atlantic Healthcare Network, NCO 6 is considering the Offeror for award of a VA contract for Dental Laboratory Services. Your comments would be appreciated regarding this firm’s past performance. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).
| a. | Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number. |
| b. | Include the contractor’s name and address, the title and/or description of the type of work performed the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation. |
| c. | Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element. |
| d. | Comments are encouraged and would be appreciated. Clear handwritten responses are sufficient. |
| e. | Please e-mail your response no later than (October 26, 2022), by email to: Cleveland.Wynne@va.gov. |
Thank you for your time and participation.
PAST PERFORMANCE SURVEY
VA246-17-Q-1356 Ambulance Service
YOUR NAME & TITLE
YOUR ORGANIZATIONAL ADDRESS
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
| CONTRACT TYPE (circle one): | |
| FIXED PRICE | COST + FEE |
| COMPETITIVE | NON-COMPETITIVE |
SET-ASIDE
SEALED BID NEGOTIATED
SEALED BID NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1. Contractor demonstrated a thorough understanding of technical requirements of the contract/task.
Comments:
2. Contractor anticipated/identified and resolved problems effectively.
Comments:
3. Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.
Comments:
4. Contractor provided the necessary skilled personnel to perform the required work.
Comments:
5. Contractor retained the necessary skilled personnel and maintained a low turnover rate.
Comments:
6. Contractor met scheduled contract delivery dates.
Comments:
7. Contractor provided accurate, complete and high-quality deliverables.
Comments:
8. Contractor complied with the terms of the contract.
Comments:
9. Contractor was diligent in forecasting and controlling contract cost.
Comments:
10. I would recommend award to this contractor again.
Comments:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| PLEASE RETURN COMPLETED RESPONSE TO: Cleveland Wynne |
E-MAIL: Cleveland.Wynne@va.gov
FAX: (757) 728-7132
Deadline: No Later Than 8/27/2018
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
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