Past Performance Survey.pdf

PDF 456 KB Posted

Attached to
J041--FY23: Gainesville Chiller Plant Maintenance Base plus Four
Solicitation number
36C24823Q0277
Issued by

About this file

This document contains a past performance survey template for a chiller plant maintenance contract opportunity with the Department of Veterans Affairs. The survey collects feedback on an offeror's performance on previous relevant contracts and asks evaluators to comment on quality, flexibility addressing changes, and handling of any performance issues.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8 for chiller plant maintenance services at the Gainesville location. The base period of performance is one year with four one-year option periods. Offerors are requested to submit pricing and past performance information by the specified due date, with award anticipated on a subsequent date. The opportunity is set aside for small businesses.

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Text version

36C24823Q0202 Chiller Plant Maintenance 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 .