Past Performance Evaluation Questionnaire.docx

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Attached to
S208--Landscaping and Groundskeeping Services for James J Peters VA Medical Center (JJP/BRONX VAMC)
Solicitation number
36C24223Q0638
Issued by

About this file

This past performance evaluation questionnaire is to be completed by an offeror responding to solicitation number 36C24223Q0638 for landscaping and groundskeeping services at the James J Peters VA Medical Center in Bronx, New York. The questionnaire requests information about a prior contract for the offeror including the customer name and contact details, contract number, period of performance, description of services, location of work, contract type, building size, and value. Upon completion, this questionnaire will be used to evaluate the offeror's past performance history for the landscaping and groundskeeping services required under the solicitation. Relevant details include the services needed, the Veterans Affairs as the contracting agency, and an anticipated award date within the listed solicitation timeframe.

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Text version

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Offeror Name: ______________________ Solicitation Number: 36C24223Q0638

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

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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