Past Performance Survey.docx

DOCX document 16 KB Posted

Attached to
Building Maintenance Services-Guam
Solicitation number
3626124Q1032
Issued by

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This document is a Past Performance Survey that is being used to evaluate a company being considered for a VA contract. The survey requests information from the evaluator regarding the services the company provided, including the total contract amount, dates of performance, and contract number. The evaluator is asked to rate the overall quality of work on a scale of Excellent to Unacceptable and provide comments on any performance issues or concerns. The related federal contract opportunity is a Request for Quotes for Building Maintenance Services for a VA CBOC located in Guam. The solicitation number is 3626124Q1032 and the contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21.

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36C26124Q1032.docx DOCX document
WD 2015-5693 R21 051024.txt TXT text file

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Past Performance Survey 36C26124Q0693

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to bruce.lundvall@va.gov.

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.

Please Note: When completing this Survey be sure to summarize what service(s) you provided on the contract(s) to include the performance dates, dollar amount(s) and contract number(s).

Name of Company being evaluated:

Evaluator’s Name and signature:

Evaluator’s Company Name, Address and Phone number:

Indicate what services 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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