Past Performance Evaluation Questionnaire 36C24224Q0797.docx

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Attached to
J063--Security Intrusion Systems Monitoring and Maintenance Service at James J. Peters VA Medical Center Bronx NY
Solicitation number
36C24224Q0797
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This document is a Past Performance Evaluation Questionnaire for Solicitation Number 36C24224Q0797, which is for J063--Security Intrusion Systems Monitoring and Maintenance Service at James J. Peters VA Medical Center Bronx NY. The questionnaire requests information about the quoter's past performance, including the customer/client name and contact information, contract number, period of performance, contract type, facility type, gross square footage, contract value, and a description of the services performed. The related federal contract opportunity is for security intrusion systems monitoring and maintenance services at the James J. Peters VA Medical Center in Bronx, NY. The solicitation is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2.

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PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Quoter Name: ______________________ Solicitation Number: 36C24224Q0797

PART I: BACKGROUND INFORMATION (To be completed by quoter)

Customer/Client Name/Address: _________________________________________________________

Agency Point of Contact: _________________________________________________________

Telephone Number: _________________________________________________________

Cell Phone Number: _________________________________________________________

Email: _________________________________________________________

Contract Number: _________________________________________________________

Place of Performance: _________________________________________________________

Period of Contract: _________________________________________________________

Contract Type: _________________________________________________________

Facility Type: _________________________________________________________

Gross Square Footage in Building: _________________________________________________________

Contract Value: _________________________________________________________

Description of Services Performed:

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