Past Performance Survey.docx

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Attached to
H179--GETINGE CHAMBER CLEANING SERVICE
Solicitation number
36C24625Q0128
Issued by

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This document is a Past Performance Survey that the Department of Veterans Affairs is using to evaluate a company for a potential VA contract award. The survey asks the evaluator to provide information on the services the company provided, including the total contract amount, dates of performance, and contract number. The evaluator is also asked to rate the overall quality of the company's work on a scale of Excellent to Unacceptable and provide comments on any performance issues or the company's flexibility in responding to changes. The related federal contract opportunity is for Sterilizer Chamber Cleaning Service, solicitation number 36C24625Q0128, issued by the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 6.

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Other files

File Type Posted
36C24625Q0128 0001_1.docx DOCX document
Service Contract Labor Standards Wage Determination .pdf PDF
36C24625Q0128 0001.docx DOCX document
Service Contract Labor Standards Wage Determination No. 2015-4369, Revision No. 22, Date of Last Revision 12262023.pdf PDF
36C24625Q0128.docx DOCX document
36C24622Q0314 LineItems.xlsx XLSX spreadsheet
Attachment A. Service Contract Labor Standards Wage Determination No. 2015-4369, Revision No. 22, Date of Last Revision 12262023.pdf PDF

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Past Performance Survey OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to gordon.burns@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.

Comment on the overall quality of contractor’s work.

Were there any performance issues/concerns? If so, how were they handled?

If any changes were needed, was the contractor flexible in responding to those changes?

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Date

File details come from the government source that posted it. Updated .