Past Performance Questionnaire.pdf

This document is a Past Performance Questionnaire template for the solicitation 36C26126Q1013, Critical Incident Team Services, issued by the Department of Veterans Affairs.

The questionnaire is designed to be completed by past clients or references of companies bidding on the VA contract. Offerors are required to submit a separate completed survey for each reference included with their proposal. The evaluator (reference provider) is instructed to email the signed survey to kulvinder.brar@va.gov, with assurance that the evaluator's identity will remain confidential and not be publicly released. The form requests the evaluator provide the company name being evaluated, the evaluator's name and signature, and the evaluator's company contact information. Evaluators must document specific past contracts performed, including total contract amount, performance dates, and contract number. The questionnaire contains two evaluation questions: (1) an overall quality of work rating using a five-point scale (Excellent, Good, Fair, Marginal, Unacceptable) with space for supporting comments, and (2) identification of any performance issues or concerns and how they were resolved. This is a template document with no specific performance metrics, technical requirements, or award information beyond the solicitation identification details.