Past Performance Survey.docx
DOCX document 14 KB Posted
- Attached to
- V231--VA Resident Housing for Martinez and Sacramento, CA Temporary, Full-service Hotel Accommodations
- Solicitation number
- 36C26123Q0282
About this file
This document contains a past performance survey template for federal contractors and a related federal contract opportunity notice. The past performance survey is to be completed by references for companies being considered for award of a Department of Veterans Affairs contract. It requests information on previous contracts held with the reference such as total value, dates of performance, and contract numbers. References are also asked to rate the contractor's overall quality of work and comment on any performance issues.
The related federal contract opportunity is solicitation number 36C26123Q0282 to provide temporary, full-service hotel accommodations for VA residents in Martinez and Sacramento, California. The requirement is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21. No further details on response dates, award dates, pricing terms, or set asides are provided.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26123Q0282_1.docx | DOCX document | |
| WD 2015-5631 Rev 19 dated 7-15-2023 Sacramento County.pdf | ||
| WD 2015-5623 Rev 21 dated 7-27-2023 Contra Costa (Martinez).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 quote.
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?
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