Past Performance Surveys.docx

DOCX document 13 KB Posted

Attached to
DA10--Tamura_Developing Tools for Dialysis Decision Support Federal contract opportunity
Solicitation number
36C26123Q0894
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

This document contains a past performance survey template and details of a related federal contract opportunity. The past performance survey template requests evaluators to provide feedback on a company's previous contract performance by indicating the contracts provided, total amounts, dates, and ratings on quality, issues, and handling of any concerns.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration seeking offers for the DA10 contract to develop tools for dialysis decision support. The solicitation number is 36C26123Q0894 and offers are due by April 8, 2022. The opportunity is open to all responsible sources and will result in a firm-fixed price contract.

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Other files attached to DA10--Tamura_Developing Tools for Dialysis Decision Support, newest first.
File Type Posted
36C26123Q0894_1 (1).pdf PDF
36C26123Q0894_2.docx DOCX document
Wage Determination 2015-5641.pdf PDF

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Text version

Past Performance Survey

OFFEROR INSTRUCTIONS: A separate survey must be completed for each reference. The completed surveys must be included with the quote.

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.

Name of Company being evaluated:

Evaluator’s Name:

Evaluator’s Company Name, Address and Phone number:

Indicate what contracts 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 .