Past Performance Questionnaire.docx

This is a Past Performance Questionnaire template used by the Department of Veterans Affairs to evaluate offeror performance on past contracts. The form is part of Solicitation 36C26127Q0017 for Engineering Safety Training and requires separate surveys to be completed for each reference provided by prospective vendors.

The questionnaire collects evaluation information from references who have directly worked with the offeror. Evaluators must provide their name, signature, company information, and phone number, then document the specific contracts performed for them including total contract amount, performance dates, and contract number. The form uses a standardized rating scale (Excellent, Good, Fair, Marginal, Unacceptable) to assess overall quality of work and requests supporting comments. Additionally, evaluators must indicate whether any performance issues or concerns occurred during contract performance and describe how they were resolved. Completed surveys are to be emailed to jill.williams@va.gov, with evaluator names kept confidential and not released publicly. This questionnaire is a standard evaluation tool rather than a substantive solicitation document addressing specific products or services.