Past Performance Survey.pdf

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Attached to
V999--FY22: JOPC Shuttle and Valet Vendor Questions and Responses
Solicitation number
36C24822Q1019
Issued by

About this file

This document contains a solicitation for shuttle and valet services. The North Florida/South Georgia Veterans Health System is seeking to procure shuttle and valet services for the Jacksonville Outpatient Clinic under a one-year contract with four one-year option periods. Quotations are requested to provide the services described in the statement of work, including pricing for the line items in the price schedule. Questions regarding the solicitation must be submitted by July 13th and quotations are due by July 27th. The government will evaluate quotations using a comparative process to determine the best value to the government.

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36C24822Q1019 Shuttle and Valet Service Past Performance Survey

Offeror Name: ________________

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the offeror’s technical proposal.

EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is considering the Offeror listed above for award of a VA contract. Your comments would be appreciated regarding this firm’s past performance. Your comments are considered Source Selection Sensitive. Under Federal Acquisition Regulation Part 15.506, 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:

Evaluator’s Company Name, Address and Phone number:

What contracts did this offeror perform for your company? Provide the total contract amount, dates of performance, and contract number.

Evaluation Questions 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?

Signature Date:

Offeror Name:
Name of Company being evaluated:
Evaluators Name:
Evaluators Company Name Address and Phone number:
What contracts did this offeror perform for your company Provide the total contract amount dates of performance and contract number:
Comment on the overall quality of contractors work:
Were there any performance issuesconcerns If so how were they handled:
If any changes were needed was the contractor flexible in responding to those changes:
Signature:
Date:

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