Past Performance Survey.docx

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Attached to
S222--FY21: NF/SG Hazardous Waste Disposal Service
Solicitation number
36C24821Q0310
Issued by

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This document contains a past performance survey template for evaluating offerors for a hazardous waste disposal services contract with the Department of Veterans Affairs. The survey requests information on reference contracts performed for the company being evaluated, including total contract amount, dates of performance, and contract number. Evaluation questions address the overall quality of the contractor's work, any performance issues and how they were handled, and the contractor's flexibility in responding to required changes. The related federal contract opportunity is solicitation number 36C24821Q0310 for NF/SG Hazardous Waste Removal Services with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8. The description indicates it is for combined synopsis and solicitation of commercial items for hazardous waste disposal services.

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LOS Certificate.pdf PDF
36C24821Q0310.docx DOCX document
Price Schedule.docx DOCX document
36C24821Q0310_1 RFQ.docx DOCX document

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36C24821Q0310 NF/SG VHS Hazardous Waste Services Past Performance Survey Offeror Name: ________________ OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the offeror’s technical proposal.

EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the Offeror listed above for award of a VA contract. Your comments would be appreciated regarding this firm’s past performance. Your comments are considered Source Selection Sensitive. Under Federal Acquisition Regulation Part 15.506, the name of the individuals providing reference information is confidential and will not be released or made publicly available.

Name of Company being evaluated:

Evaluator’s Name:

Evaluator’s Company Name, Address and Phone number:

What contracts did this offeror perform for your company? Provide the total contract amount, dates of performance, and contract number.

Evaluation Questions

Comment on the overall quality of contractor’s work.

Were there any performance issues/concerns? If so, how were they handled?

If any changes were needed, was the contractor flexible in responding to those changes?

Signature

Date:

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