Past Performance Surveys.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C26124Q1045
About this file
The provided document is a Past Performance Survey template to be used for a federal contract opportunity. The survey requests the evaluator to provide information on the past performance of the company being considered for a Department of Veterans Affairs (VA) contract, including the contract details, overall quality of work, and any performance issues or concerns.
The related federal contract opportunity is for Dental Water Sampling services for the VA Sierra Nevada region, under a total small business set-aside with a base year and four option years. The solicitation number is 36C26124Q1045, and the contracting agency is the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 21.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26124Q1045_1.docx | DOCX document | |
| Wage Determination.pdf | ||
| 36C26124Q1045 Dental Water Sampling.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 .