Exhibit P Past Performance Form Questionaire.pdf
PDF 637 KB Posted
- Attached to
- X1DB--Coldwater Clinic Lease
- Solicitation number
- 36C25025R0030
About this file
This document is a Past Performance Survey form for a federal lease proposal (RLP 36C25025R0030) for a VA medical clinic space in Coldwater, Michigan. The survey is designed to evaluate a lessor's performance across multiple dimensions, including management of leased space, customer satisfaction, and timeliness. The form provides a rating scale from Exceptional (E) to Unsatisfactory (U), with evaluators rating the lessor on specific criteria such as staff qualifications, building maintenance, service responsiveness, construction project management, and overall lease performance. The survey includes sections for narrative feedback, allowing the evaluator to provide detailed insights about the lessor's strengths, improvement opportunities, and potential future performance.
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Past Performance Survey 36C25025R0030
NOTE: This Past Performance Survey Form is Exhibit Q of Request for Lease Proposal (RLP) 36C25025R0030 and must be received via e-mail kevin.adkins@va.gov and THEODORE.POSUNIAK@va.gov from the reference(s) prior to the closing date and time stated in Section 3.02 of the RLP. The completed survey must be received directly from the reference completing the survey.
Rating Abbreviation Description
Exceptional E
Performance meets lease requirements and exceeds many to the lessee’s benefit. The lease performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the lessor were highly effective.
Satisfactory S
Performance meets lease requirements. The lease performance of the element or sub-element contains some minor problems for which corrective actions taken by the Lessor appear or were satisfactory.
Marginal M
Performance does not meet some lease requirements. The lease performance of the element or sub-element being evaluated reflects a serious problem for which the Lessor has not yet identified corrective actions. The Lessor’s proposed actions appear only marginally effective or were not fully implemented.
Unsatisfactory U
Performance does not meet lease requirements. The lease performance of the element or sub-element being evaluated reflects a serious problem for which the Lessor has not yet identified corrrective actions.
Neutral N Not Applicable or No performance record identifiable.
For the following elements select a rating from the chart above and CIRCLE the appropriate LETTER:
Management of Leased Space
Lessor provided experienced/qualified staff or personnel to meet lease requirements: E S M U N
Lessor maintained the leased building in a professional manner that was considered sound and substantial with the facade in good condition per the terms of the lease. E S M U N
Lessor maintained the grounds / parking in an attractive and professional manner and in good condition per the terms of the lease. E S M U N
Lessor provided services (janitorial, snow removal, utilities, repairs) per the terms of the lease. E S M U N
Customer Satisfaction
The quality of construction and materials used were acceptable and per the terms of the lease. E S M U N
The Lessor was responsive to service requests. E S M U N
The lessor was responsive to communications pertaining to the lease administration. E S M U N
Lessor resolved issues to the lessee’s satisfaction and in accordance with the terms of the lease. E S M U N
Lessor / subcontractor provided all services in a courteous and professional manner. E S M U N
36C25025R0030
Timeliness
Construction project management met the lease agreement timeline. E S M U N
The leased space was delivered in a timely manner. E S M U N
Punch list items from the construction phase were completed in a timely manner. E S M U N
Lessor / subcontractor provided all services in a prompt manner. E S M U N
Provide any explanation you may feel is required to clarify any of the above responses:
Narrative Summary
What were the Lessor’s greatest strengths in the performance of the lease/lease?
What were the Lessor’s greatest opportunity for improvement in the performance of the lease?
Were there any compliance difficulties experienced during performance of this lease/lease?
Would you have any reservations about soliciting this Lessor in the future or having their subcontractors’ perform one of your critical requirements?
Are there any other issues not covered you feel important to note about performance of this Lessor/lease?
36C25025R0030
Government leases only: Has/was this lease partially or completely terminated for default or convenience or are there any pending terminations?
Yes Default Convenience Pending Terminations NO _______
If yes, explain (e.g., inability to meet price, performance, or delivery schedules, etc.)
Considering all the information provided above, by selecting one of the rating descriptions, please rate the Lessor’s performance overall . E S M U N.
Printed Name of Evaluator
Signature
Name of Company
Phone Number
Date
Lease/Lease Name
Period of Performance
File details come from the government source that posted it. Updated .