Past Performance Questionnaire.docx

DOCX document 14 KB Posted

Attached to
J065--Audiology - PM&R Clinical Equipment | Audiology PMs/Calibrations |
Solicitation number
36C24424Q0392
Issued by

About this file

This document is a Past Performance Questionnaire to be completed by a contracting officer's representative or customer regarding a contractor's performance on a previous contract. The questionnaire covers details such as the contract number, value, period of performance, a description of the products or services provided, and an assessment of the contractor's quality of work, timeliness of performance, and overall performance. The customer is asked to indicate if they would select the contractor again.

The related federal contract opportunity is a Request for Quote (RFQ) for a post-warranty service contract on audiology testing devices and booths located at the Altoona VAMC and surrounding clinics. The contract is to include repairs, when authorized, and regularly scheduled Preventative Maintenance (PM)/calibration. The contract performance period is estimated to be 05/01/2024 - 04/30/2025, with four one-year option periods. The procurement is set aside for small businesses under NAICS code 811210 with a $34 million size standard.

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36C24424Q0392_5.docx DOCX document
36C24424Q0392_4.docx DOCX document
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Past Performance Questionnaire

1. Contract or Identifying Number:

2. Contract Value:

3. Contract Period of Performance:

4. Brief description of items/services provided:

5. Name of person completing questionnaire:

Agency/Company:

Title:

Phone:

6. Quality of Product/Services Did the contractor meet your needs and minimum requirements? Did the contractor perform successfully?

7. Did they accommodate changing requirements? Were these changes successful?

8. Timeliness of Performance/Deliverables What is your assessment of Contractor’s ability to provide products/service in a timely manner?

9. Performance Quality What is your overall assessment of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

10. Would you select this contractor again? Please explain.

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