Past Performance Questionnaire.docx
DOCX document 15 KB Posted
- Attached to
- 6505--Radiopharm (Questions & Answers)
- Solicitation number
- 36C24823Q0132
About this file
This document includes a past performance questionnaire and details of a federal contract opportunity for radiopharmaceuticals. The opportunity was issued by the Network Contracting Office 8 of the West Palm Beach Veteran Affairs Medical Center on behalf of Veterans Integrated Service Network 8. It seeks fixed price IDIQ contracts for radiopharmaceutical products under NAICS code 325412 with a size standard of 750 employees. Interested parties should monitor FBO for additional information and submit offers by the specified deadline. The past performance questionnaire is intended to collect performance ratings and data on previous relevant contracts from references for evaluation.
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Other files
| File | Type | Posted |
|---|---|---|
| Copy of Source detail needed for VISN 8 RFPs.xlsx | XLSX spreadsheet | |
| QUESTIONS AND ANSWERS.pdf | ||
| 36C24823Q0132 0003.docx | DOCX document | |
| 36C24823Q0132 0002.docx | DOCX document | |
| 36C24823Q0132 0001.docx | DOCX document | |
| 4- Price Schedule Orlando and Viera Florida New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 2- Price Schedule North Florida-South Georgia New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 3- Price Schedule VA Caribbean New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 36C24823Q0132.docx | DOCX document | |
| Combined Synopsis Radiopharm.pdf | ||
| 1- Price Schedule WPB New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 6- Price Schedule Miami New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 5- Price Schedule Bay Pines New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| 7- Price Schedule Tampa New List Radiopharmaceutical.xlsx | XLSX spreadsheet | |
| Performance Work Statement.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Name of offeror: ___________________________________
Contract Information:
Name of Contractor: _________________________________ Contract Number: ___________________________
Contract Title: ________________________________________________________________________________
Type of Contract: ____________________________________ Period of Performance: ______________________
The ratings indicated below are to be supplied by the reference and not the offeror)
| Performance Elements |
| Satisfactory |
| Unsatisfactory |
1. Technical (Quality of Product or Service) (evaluation of the contractor’s technical performance or progress toward meeting requirements)
2. Schedule (evaluation of the timeliness of the contractor against milestones, delivery schedules)
3. Cost Control (evaluation of the contractor’s effectiveness in forecasting, managing, controlling cost and submitting accurate invoices)
4. Business Relations (assess the integration and coordination of all activity needed to execute the work, specifically the timeliness, completeness and quality of problem identification, corrective action, the contractor’s history of reasonable and cooperative behavior, customer satisfaction)
5. Management of Key Personnel (assess the contractor’s personnel performing the work)
6. Overall Rating
Remarks on unsatisfactory performance (Provide data supporting this observation. You may continue on separate sheet if needed.)
Would you do business with the offeror again? ________________________________________________________
Information provided by:
Name of Source: ___________________________________________________ Title: ____________________________________________________________ Mailing Address: ___________________________________________________ City, State and Zip Code: ____________________________________________ Telephone Number: ________________________________________________ Date: ____________________________________________________________
Questionnaire completed by:
Name of VA Employee: ____________________________________________ Title: ___________________________________________________________ Date: ___________________________________________________________ Signature: _______________________________________________________
File details come from the government source that posted it. Updated .