Past Performance Questionnaire.docx

This is a Past Performance Questionnaire template designed for evaluating contractor references in response to Solicitation 36C26127Q0039 for Furniture Moves, Installation and Storage services. The Department of Veterans Affairs will use this document to collect feedback from previous clients regarding offeror performance and capabilities. Evaluators are instructed to complete one survey per reference and submit signed questionnaires to jill.williams@va.gov. The form requests evaluator contact information, details of prior contracts performed (including total contract amount, performance dates, and contract number), and overall quality ratings using a scale of Excellent, Good, Fair, Marginal, or Unacceptable. Evaluators are also asked to document any performance issues or concerns encountered and describe how those issues were resolved.

The questionnaire is a standard evaluation tool rather than a substantive document specifying requirements or deliverables. Responses will inform the VA's assessment of offeror qualifications for this solicitation, which is 100% set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB). The opportunity involves providing furniture moving, installation, and storage services for the Veterans Affairs Sierra Nevada Health Care System (VASNHCS) in accordance with a Performance Work Statement (PWS). Solicitation close date is October 6, 2026, at 11:00 a.m. PST. Offerors must be verified as SDVOSB-qualified at the time of quote submission and maintain registration through award, performance, and final payment.