Past Performance Survey.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26121Q0751
About this file
This document contains a past performance survey template for evaluation of contractors and a related federal contract opportunity solicitation. The past performance survey requests information on previous contracts held by an evaluated company, including total contract amount, dates of performance, and contract number. Evaluators are asked to rate the overall quality of work on a scale and provide any comments on performance issues or concerns and how they were handled.
The related federal contract opportunity solicitation seeks transportation services for nonambulatory eligible Veterans. Solicitation number 36C26121Q0751 is for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 to provide special mode nonambulatory transportation. Responses are due based on the solicitation due date.
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Other files
| File | Type | Posted |
|---|---|---|
| Self-Performance Worksheet.docx | DOCX document | |
| S02- Sol 36C26121Q0751 to ktr for quote.pdf | ||
| WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| Experience Factor Worksheet-1.xlsx | XLSX spreadsheet | |
| Business Associate Agreement.pdf | ||
| 36C26121Q0751 0001.docx | DOCX document | |
| Past Performance Survey-1.docx | DOCX document | |
| S02-Self-Performance Worksheet.docx | DOCX document | |
| 36C26121Q0751.docx | DOCX document | |
| P07-WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| S02- Experience Factor Worksheet.xlsx | XLSX spreadsheet |
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Attachment 2 Past Performance Survey
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be email to maria.teodoro-tanksley@va.gov on or before the due date of the solicitation.
EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the company listed below for award of a VA contract. Your comments would be appreciated regarding this company’s past performance. 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:
Indicate what contracts did this company provided for you? Provide the total contract amount, dates of performance, and contract number.
Evaluation Questions
Please rate the overall quality of work using a scale of (Excellent, Good, Fair, Marginal, Unacceptable). Comments in support of the rating are welcome.
Were there any performance issues/concerns? If so, how were they handled?
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