Past Performance Survey.pdf

PDF 412 KB Posted

Attached to
J012--FY24: Fire Alarm Testing Base +4 Federal contract opportunity
Solicitation number
36C24824Q0040
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

This document contains a past performance survey template for evaluating offerors for the J012--FY24: Fire Alarm Testing Base +4 solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8. The survey collects information on previous contracts performed for the reference, including total contract value, dates of performance, and contract number. It also includes questions about the quality of work, performance issues and flexibility in responding to changes. Offerors are required to include completed surveys with their technical proposals.

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Text version

36C24824Q0040 Fire Alarm Test and Inspection

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:

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