Past Performance Questionnaire - rev.pdf
PDF 78 KB Posted
- Attached to
- S119--Cable Services
- Solicitation number
- 36C24526Q0806
About this file
This is a past performance questionnaire used by the Department of Veterans Affairs to evaluate offerors providing Direct TV Satellite Programming services. The questionnaire is submitted to references provided by the offeror and seeks an assessment of the offeror's prior performance on similar contracts. Information provided is classified as evaluation information and is protected from disclosure under the Freedom of Information Act, with respondent identities kept confidential.
The questionnaire contains a single performance assessment question evaluating the offeror's quality of performance regarding their ability to provide reliable, competitively priced direct-broadcast satellite TV programming with adequate channel variety, service coverage, installation support, and customer service. Respondents select from four rating options: Exceptional (performance exceeded most contractual requirements with no issues), Satisfactory (performance meets all requirements with minor issues and effective corrective actions), Unsatisfactory (performance does not meet requirements with significant problems and ineffective corrective actions), or Not Applicable (unable to provide meaningful assessment). The questionnaire requires respondents to include their company name, assessor name, title, email address, date, and optional comments, with additional space provided for general comments. Respondents rating the offeror as Exceptional or Unsatisfactory are specifically encouraged to provide brief narrative explanations for their ratings.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
The Department of Veterans Affairs is evaluating a quote [Offeror’s name here], hereafter referred to as “Offeror,” for providing Direct TV Satellite Programming in accordance with the
PWS. Offeror has provided your name so that we may ask you questions regarding Offeror’s past performance on a similar contract between your company and Offeror.
Any information you provide in this questionnaire is considered Evaluation Information and is prohibited from disclosure and exempt from release under the Freedom of Information Act; as such, the Department of Veterans affairs will not release your name or the names of other individuals providing reference information about Offeror’s past performance.
Instructions: Provide an assessment of the Offeror’s past performance by checking the box with one of the following rating options. You are encouraged to write comments as often as you’d like. If your assessment is “Exceptional” or “Unsatisfactory,” then please provide a brief narrative that explains your rationale for the rating.
THANK YOU FOR YOUR SUPPORT AND PARTICIPATION!
Rating Options:
Exceptional—Offeror’s performance exceeded most contractual requirements and performance was accomplished with no issues or concerns.
Satisfactory—Offeror’s performance meets (or met) all contractual requirements and performance was accomplished with minor issues or concerns, for which Offeror’s corrective actions were effective.
Unsatisfactory—Offeror’s performance does not meet (or did not meet) contractual requirements and performance was accomplished with significant problems, issues or concerns, for which Offeror’s corrective actions were ineffective.
Not Applicable—Unable to provide a meaningful assessment.
Performance Assessment
1. Quality of performance - Ability to provide reliable, competitively priced direct-broadcast satellite TV programming with adequate channel variety, service coverage, installation support, and customer service.
a. What is your overall assessment of the quality of the Offeror’s performance?
Exceptional Satisfactory Unsatisfactory N/A
Comments:
2. General comments:
_____________________________ Date:_____________ Company Name:
Assessor’s Name:
Title:
Assessor’s Email: __________________________
THANK YOU FOR YOUR SUPPORT AND PARTICIPATION!
File details come from the government source that posted it. Updated .