Past Performance Survey RFQ36C26124Q0279.docx

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V122--New Requirement | VA Employees Shuttle Svc | BY + 4OYs | 662 SFVAMC
Solicitation number
36C26124Q0279
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This document contains a past performance survey template for a federal contract opportunity to provide passenger shuttle services for the San Francisco Veterans Administration Medical Center. The Department of Veterans Affairs is soliciting past performance evaluations of offerors to assess their performance on previous contracts providing similar shuttle services. The survey requests details of prior contracts held by the company being evaluated such as total contract value and dates of performance. Evaluators are asked to rate the overall quality of prior work on a scale from excellent to unacceptable and provide any comments on performance issues and their resolution. The related federal contract opportunity is solicitation number 36C26124Q0279 to provide VA employee shuttle services at the SFVAMC. Completed surveys must be emailed directly to the contact listed by the specified due date to be considered for the evaluation.

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Past Performance Survey

RFQ 36C26124Q0279

Veteran Affairs (VA) Employees’ Passenger Shuttle Service, San Francisco Veterans Administration Medical Center (SFVAMC)

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be completed then emailed directly to pablo.cunanan@va.gov. It will not be accepted if submitted with your quote.

EVALUATOR INSTRUCTIONS: The Department of Veterans Affairs is evaluating the company listed below for their past/current performance. Your comments would be appreciated regarding this company’s past/current performance. 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 and signature:

Evaluator’s Company Name, Address and Phone number:

Indicate what contracts did this company provide for you? Provide the

· Total contract amount: $

· Dates of performance:

· 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 .