Past Performance Survey 02.docx
DOCX document 36 KB Posted
- Solicitation number
- 36C24621Q0337
About this file
This document contains a past performance survey and details of a related federal contract opportunity. The past performance survey collects feedback on a contractor's previous work providing water management program monitoring and Legionella testing services at seven Department of Veterans Affairs medical centers. Respondents are asked to rate the contractor's performance, supervision, problem resolution, and whether they would award the contractor another contract.
The related federal contract opportunity is a pre-solicitation notice for an annual service agreement for Legionella testing at VISN 6 facilities. The opportunity will be set aside 100% for service-disabled veteran-owned small businesses. Interested parties must register in SAM and verify in VIP as an SDVOSB prior to submitting a quote. The Department of Veterans Affairs Regional Procurement Office East, on behalf of VISN 6, will issue the solicitation on or around March 12, 2021 seeking a contractor to provide water management monitoring and Legionella testing services at seven VA medical centers.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C24621Q0337 0002.docx | DOCX document | |
| 36C24621Q0337 0001.docx | DOCX document | |
| 1061_D_2021-02-16 Legionella.pdf | ||
| C12. QASP Legionella testing.pdf | ||
| 36C24621Q0337_1.docx | DOCX document | |
| Subcontractor Verification SDVOSB-VOSB Work.doc | DOC document | |
| LegionellaSampleCollectionSpreadsheet.xlsx | XLSX spreadsheet |
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Text version
D.2 PRESENT/PAST PERFORMANCE SURVEY
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate.
Solicitation Number: 36C24621Q0337 Water Management Plan Monitoring/ Legionella Testing Services
Contractor's Name: ___________________________________________________________________
Address: ___________________________________________________________________________ Telephone/Email: ____________________________________________________________________
Point of Contact: _____________________________________________________________________
Service Provided: _____________________________________________________________________
Number and type of Contracts: __________________________________________________________
Contractor Performed as the ( ) prime Contractor, or the ( ) Sub-Contractor
1. RESPONDENT INFORMATION:
Name of Respondent: ___________________________Title: __________________________________
Organization: ________________________________________________________________________
Address: ____________________________________________________________________________
Email: _________________________________________
Telephone Number: ____________________________Fax Number: _____________________________
SIGNATURE______________________________________
1. EMAIL COMPLETED SURVEY FORM TO: Paul Waite paul.waite@va.gov
PAST AND PRESENT PERFORMANCE SURVEY
1. PERFORMANCE INFORMATION: Choose and circle the number on the scale of 1-6 that most accurately describes the contractor's performance or situation.
CODE/PERFORMANCE LEVEL
1 UNSATISFACTORY - Performance did not meet most contractual requirement. There were serious problems and the contractor's corrective actions were ineffective.
2 MARGINAL - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
3 NONE - No record of past performance or the record is inconclusive.
4 SATISFACTORY - Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor was satisfactory.
5 VERY GOOD - Performance met all contract requirements and exceeded some to the Government's benefit. There were a few minor problems which the contractor resolved in a timely effective manner.
6 EXCEPTIONAL – Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly efficient manner.
The contractor: (1 being Very Bad and 6 being Very Good)
| Contractor provided adequate supervision. |
| 1 2 3 4 5 6 N/A |
| Contractor provided experienced managers and supervisors with the technical and administrative abilities to meet contract requirements. |
| 1 2 3 4 5 6 N/A |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 1 2 3 4 5 6 N/A |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 1 2 3 4 5 6 N/A |
| Provided timely resolution of contract discrepancies. |
| 1 2 3 4 5 6 N/A |
| Suggested alternative approaches to problems. |
| 1 2 3 4 5 6 N/A |
| Displayed initiative to solve problems. |
| 1 2 3 4 5 6 N/A |
| Cooperated with Government personnel after award |
| 1 2 3 4 5 6 N/A |
| Rate the overall contractor’s performance under this contract. |
| 1 2 3 4 5 6 N/A |
| Contractor’s compliance with contractual terms and conditions. |
| 1 2 3 4 5 6 N/A |
| Would you award another contract to this contractor? If not, explain in "remarks." |
| 1 2 3 4 5 6 N/A |
Remarks______________________________________________________________________
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