Past Performance Questionnaire.docx
DOCX document 16 KB Posted
- Attached to
- V301--Moves Furniture Installation and Storage
- Solicitation number
- 36C26127Q0039
About this file
This is a Past Performance Questionnaire template used by the Department of Veterans Affairs to evaluate contractor references for solicitation 36C26127Q0039, "V301--Moves Furniture Installation and Storage." The questionnaire is completed separately for each reference and submitted to jill.williams@va.gov with evaluator signature and company information. Offerors must provide references with specific contract details including total contract amount, performance dates, and contract numbers.
The evaluation section requests ratings of overall quality of work on a scale of Excellent, Good, Fair, Marginal, or Unacceptable, with supporting comments encouraged. Evaluators are also asked to identify any performance issues or concerns encountered and explain how they were resolved. The questionnaire emphasizes that evaluator identities remain confidential and will not be released publicly. This document serves as a standardized assessment tool to gather reference feedback on contractor performance history relevant to the VA's furniture moving, installation, and storage services contract, which is a 100% SDVOSB set-aside closing on October 6, 2026, at 11:00am PST.
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Other files
| File | Type | Posted |
|---|---|---|
| FY27 QASP - Moving Req .docx | DOCX document | |
| S02 - 36C26127Q0039 - Solicitation Document.docx | DOCX document | |
| WD 2015-5595 Rev 30 dated 08-22-2026.pdf | ||
| WD 2015-5601 Rev 30 dated 08-22-2026.pdf | ||
| WD 2015-5597 Rev 32 dated 08-22-2026.pdf | ||
| 36C26127Q0039_1.docx | DOCX document |
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Text version
Past Performance Questionnaire
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference.
Solicitation ID.: 36C26127Q0039 Title: Furniture Moves, Installation and Storage
EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the company listed below for award of a VA contract. Your comments would be appreciated regarding this company’s past performance. The name of the individuals providing reference information is confidential and will not be released or made publicly available. Please email the signed survey to jill.williams@va.gov
Name of Company being evaluated:
Evaluator’s Name and signature:
Evaluator’s Company Name, Address and Phone number:
Indicate what contracts did this company provided for you? Provide the total contract amount, dates of performance, and contract number.
Evaluation Questions
Please rate the overall quality of work using a scale of (Excellent, Good, Fair, Marginal, Unacceptable). Comments in support of the rating are welcome.
Were there any performance issues/concerns? If so, how were they handled?
File details come from the government source that posted it. Updated .