About this file

This document is a Past Performance Questionnaire related to Solicitation 36C10E23Q0082. The questionnaire is being requested by the Department of Veterans Affairs to evaluate a contractor's past performance on previous contracts, in order to assess the probability of successful accomplishment of the work required by the Government. It requests information on the contractor's quality of work, timeliness of delivery, and the agency's overall satisfaction with the contractor's performance. The related federal contract opportunity is Solicitation 36C10D24Q0283, which is a request for quotations from Service Disabled Veteran Owned Small Businesses to provide audio/video system upgrades for the Department of Veterans Affairs, Veterans Benefits Administration, Indianapolis Regional Office. The solicitation has a NAICS code of 334310 with a $41.5 Million small business size standard.

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Other files

File Type Posted
P09_Combination Statement of Work for Audio Video Upgrade in Training Rooms and Auditorium.pdf PDF
36C10D24Q0283.docx DOCX document
SOW 3rd Floor AV Upgrade 03-30-2023.doc DOC document
OPPORTUNITIES-DESCRIPTION-AV Services.docx DOCX document
36C10D24Q0283_1.docx DOCX document

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PAST PERFORMANCE QUESTIONNAIRE

Solicitation 36C10E23Q0082

The individual providing the reference shall complete and return NLT the date and time specified in the solicitation to:

Email: eric.davidson@va.gov

On behalf of (Requester/Contractor Information):

Company's Name:_________________________________
POC/Title/Position:_________________________________
Email Address:_________________________________
Contract/Purchase Order No.:_________________________________
Contract Amount:_________________________________
Period of Performance:_________________________________
Business Address:_________________________________
_________________________________

Phone Number: _________________________________

NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST

The completion of this questionnaire is requested from your agency/company in order for the Department of Veterans Affairs to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the Government, relative to the award of a contract.

Completed by :

Federal Agency/Company’s Name:________________________________
POC/Title/Position:________________________________
Email Address:________________________________
Address:________________________________
________________________________
_________________________________
Phone Number:_________________________________

1. Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

a. How would you describe your level of customer satisfaction?

b. Were there instances of rework and/or deficiency reports? (If yes, explain)

2. Quality/Timeliness.

a. Describe the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

b. Describe the timeliness of submission of requested information, reports and invoicing.

3. Additional Observations/Information

a. Given hindsight, are you satisfied that the contract was awarded to this contractor? Would you be pleased to have this contractor perform work for you again? Why?

(If more comment space needed, please attach additional pages.)

File details come from the government source that posted it. Updated .