D5 - PAST PERFORMANCE.pdf

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Attached to
Q402--FY20 CNH-VISN Federal contract opportunity
Solicitation number
36C24220R0001
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2

About this file

This document includes a pre-solicitation notice and description for solicitation number 36C24220R0001 to provide community nursing home services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2 will issue an open and continuous solicitation on or about August 21, 2020 to secure indefinite delivery contracts for its catchment area including New York and New Jersey. Interested contractors must be registered in the System for Award Management and licensed/qualified by respective states and Medicare/Medicaid. Placements will be made based on facility availability and veteran/family preferences in specified counties. The anticipated multiple awards will be for an initial one-year period. Questions should be directed to the specified contracting specialist by email.

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Other files for this federal contract opportunity

Other files attached to Q402--FY20 CNH-VISN, newest first.
File Type Posted
36C24220R0001 0004.docx DOCX document
36C24220R0001 0003.docx DOCX document
36C24220R0001 0002.docx DOCX document
36C24220R0001 0001.docx DOCX document
Waiver Template (July 2020).docx DOCX document
36C24220R0001.docx DOCX document

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Text version

PAST PERFORMANCE EVALUATION

CONTRACTOR’S NAME:

The past performance evaluation factors will be rated as acceptable, unacceptable or neutral. Past performance will be evaluated based on quality of service, recent and relevant contracts, State inspection, and Medicare Star rating.

Definition The offeror meets or exceeds the (acceptability) standard.

The offeror fails to meet the (acceptability) standard.

Determination Acceptable Unacceptable Neutral The offeror had no past performance.

Proposals that lack any past performance will receive a neutral rating.

1. Is the contractor an incumbent VA-contracted facility?

YES NO

ACCEPTABLE UNACCEPTABLE

CONTRACT NUMBER:

NEUTRAL

2. Review of the nursing home’s most recent State inspection report including any Statement of Deficiencies and Plan of Correction

ACCEPTABLE UNACCEPTABLE NEUTRAL

3. Medicare Star Rating A Medicare Star rating of 3 is preferred but not required

ACCEPTABLE UNACCEPTABLE NEUTRAL

COMMENTS:

THE OFFEROR’S OVERALL PAST PERFORMANCE IS RATES AS:

ACCEPTABLE UNACCEPTABLE NEUTRAL

EVALUATOR’S SIGNATURE

D.11 ATTACHMENT

PAST PERFORMANCE EVALUATION
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