Past Performance Surveys.docx

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Attached to
S209--Linen Processing (VA-22-00000929) Federal contract opportunity
Solicitation number
36C26121R0078
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

This document contains a federal contract opportunity solicitation for linen processing services and a past performance survey template for reference checks. The solicitation is for the Department of Veterans Affairs to provide laundry and linen services for VA Central California in Fresno. Services include processing operating room linen, uniforms, mops, patient clothing, general linen, and hospitality items. Estimated annual quantities and monthly pricing are provided for a base year and four option years. The past performance survey template requests information on a company's previous contracts for a reference, including total value, dates of performance, and ratings for quality of work. Comments are also solicited on any performance issues and their resolution.

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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 .