Past Performance Survey.docx
DOCX document 13 KB Posted
- Attached to
- V119--Special Mode Transportation (SMT) for the San Francisco Veterans Affairs Health Care Center (SFVAHCS)
- Solicitation number
- 36C26123R0067
About this file
This document contains a past performance survey template for evaluation of contractors and a related federal contract opportunity notice. The past performance survey requests information on previous contracts held by an offeror, 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 is solicitation number 36C26123R0067 for special mode transportation services for the San Francisco Veterans Affairs Health Care Center. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 for transportation services to support the named VA facility. Details on pricing, response dates, or incumbent are not provided.
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Other files
| File | Type | Posted |
|---|---|---|
| Questions and Answers.docx | DOCX document | |
| 36C26123R0067 0001.docx | DOCX document | |
| Past Performance survey.docx | DOCX document | |
| Experience Factor worksheet.xlsx | XLSX spreadsheet | |
| WD 2015-5637 Revision 23 dated 12-27-2022 SF.pdf | ||
| Solicitation 36C26123R0067.docx | DOCX document | |
| 36C26123R0067.docx | DOCX document | |
| Experience Factor Worksheet.xlsx | XLSX spreadsheet | |
| WD 2015-5637 Rev 23 dated 12-27-2022 SF.pdf |
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Text version
Past Performance Survey
OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the proposal.
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. Email signed survey to Angela.Gerlitzki@va.gov
Name of Company being evaluated:
Evaluator’s Name and signature:
Evaluator’s Company Name, Address and Phone number:
Indicate what contracts did this company provide 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?
File details come from the government source that posted it. Updated .