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This document contains a past performance survey template for evaluation of references and details of a federal contract opportunity for ventilation system verification testing and balancing services. The past performance survey requests information on previous contracts held with the company being evaluated, including total contract amounts, dates of performance, and contract numbers. Respondents are asked to rate the overall quality of work on a scale from excellent to unacceptable and provide any comments on performance issues or concerns and how they were handled.

The federal contract opportunity is a solicitation from the Department of Veterans Affairs for ventilation system verification testing and balancing services at the San Francisco VA Medical Center. The solicitation number is 36C26124Q0226 and seeks offers for testing and balancing of the medical center's ventilation system. The closing date for the solicitation is not provided.

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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. 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 .