Past Performance Survey.docx

This is a Past Performance Survey template document used by the Department of Veterans Affairs to evaluate contractor performance on previous contracts. The survey is designed to be completed by past clients or references of companies bidding on VA contracts, with separate worksheets required for each reference. The completed surveys must be submitted as part of the offeror's quote package.

The survey collects evaluator information including the evaluator's name, company name, address, and phone number, along with details of contracts previously performed by the company being evaluated, including total contract amounts, performance dates, and contract numbers. Evaluators rate the contractor's overall quality of work on a scale of Excellent, Good, Fair, Marginal, or Unacceptable, with space for supporting comments. The survey also requires evaluators to identify any performance issues or concerns encountered and explain how those issues were resolved. The confidentiality of individual evaluators providing reference information is protected, with their identities not released or made publicly available. This survey is being used in connection with solicitation 36C26126Q1027 for Generator and Automatic Transfer Switch (ATS) maintenance and repair services for the VA Northern California Health Care System under the Veterans Health Administration.