Past Performance Survey - Gloved Fingertip and Thumb Media Testing.docx

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Attached to
Q301--Gloved Fingertip and Thumb (GFT) Media, Direct Compounding Area (DCA) Media and Media Fill Test Services (VANCHCS)
Solicitation number
36C26125Q0033
Issued by

About this file

This is a Past Performance Survey template for solicitation 36C26125Q0033 related to Gloved Fingertip and Thumb Media Testing services for the VA. The template requires offerors to have their previous clients complete the survey and submit it directly to the VA point of contact at durell.salaz@va.gov.

The survey requests basic information about the reference including evaluator details, services provided, contract amounts, performance dates, and contract numbers. It includes a rating scale (Excellent, Good, Fair, Marginal, Unacceptable) for overall work quality and asks about any performance issues. The form is a standard evaluation template without specific details about the current requirement or completed responses.

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Other files

File Type Posted
36C26125Q0033 0001.docx DOCX document
FINAL RFQ 36C26125Q0033 - Gloved Fingertip Testing.pdf PDF
36C26125Q0033_2.docx DOCX document
2015-5631 Rev.22, SACRAMENTO.pdf PDF

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Past Performance Survey 36C26125Q0033

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be submitted directly to durell.salaz@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?

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