Past Performance Survey.docx

DOCX document 14 KB Posted

Attached to
F014--Arborist Services for San Francisco VA Medical Center
Solicitation number
36C26124Q0045
Issued by

About this file

This document contains a past performance survey template for evaluating offerors for an arborist services contract with the San Francisco VA Medical Center. The survey requests information on previous contracts performed for the reference such as total contract amount, dates of performance, and contract number. Evaluators are asked to rate the overall quality of past work on a scale from excellent to unacceptable and provide any comments on performance issues and their resolution.

The related federal contract opportunity is a pre-solicitation notice for arborist services at the San Francisco VA Medical Center. The estimated value is unspecified. The solicitation number is 36C26124Q0045 and responses are due on an unspecified future date. The contract will be awarded by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21.

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Other files

File Type Posted
WD2015-5637 - San Francisco-San Mateo.pdf PDF
(S02) RFQ 36C26124Q0045 - Arborist-FINAL.pdf PDF
36C26124Q0045_1.docx DOCX document

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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.

Name of Company being evaluated:

Evaluator’s Name and signature:

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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