Past Performance Questionnaire - telecom revoval.pdf
PDF 83 KB Posted
- Solicitation number
- 36C24527Q0025
About this file
This is a Past Performance Questionnaire template issued by the Department of Veterans Affairs to evaluate an offeror's performance on a quote for removal of abandoned telecommunications equipment in accordance with a statement of work (SOW).
The questionnaire requests assessments from references provided by the offeror regarding past performance on similar contracts between the reference's company and the offeror. Respondents rate performance across five dimensions using a four-point scale: 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 five performance categories evaluated are: Delivery and Scope (whether agreed work was completed), Quality (whether work met agreed standards), Timeliness (whether deadlines were met), Financial performance (consistency of prices, invoices, and payments with the agreement), and Compliance and management (whether other obligations were met and issues managed effectively). Respondents providing Exceptional or Unsatisfactory ratings must include brief narrative explanations. The questionnaire includes space for optional comments and requires the assessor to provide their name, title, company name, email address, and the date of the assessment. Information provided is protected as evaluation information and exempt from Freedom of Information Act disclosure.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C24527Q0025 0001.pdf | ||
| Cables at Base on Antenna.jpg | JPG image | |
| IMG_5688-scaffolding.jpeg | JPEG file | |
| IMG_5685-Circled.jpeg | JPEG file | |
| Conduit Entrance to Building2.jpg | JPG image | |
| Attachment 2 - Site Visit information.pdf | ||
| Attachment 3 - SOW Removal of abandoned telecomunication.pdf | ||
| Attachment 1 - Response to questions.pdf | ||
| IMG_5688-Circled.jpeg | JPEG file | |
| Service Contract Act WD No. 2015-4281.pdf | ||
| Supplemental Instructions - Telecom Removal.pdf | ||
| 36C24527Q0025.pdf |
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE QUESTIONNAIRE
The Department of Veterans Affairs is evaluating a quote [Offeror’s name here], hereafter referred to as “Offeror,” for Removal of Abandoned Telecommunications Equipment in accordance with the statement of work (SOW). 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
Delivery and Scope: Was the agreed work completed?
Exceptional Satisfactory Unsatisfactory N/A
Quality: Did the work meet the agreed standard?
Timeliness: Were deadlines met?
Financial performance: Were prices, invoices, and payments consistent with the agreement?
Compliance and management: Were other obligations met, and were issues managed effectively?
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 .