Past Performance Surveys.pdf

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Attached to
V212--Hired Patient Transportation Car Services
Solicitation number
36C26120Q0935
Issued by

About this file

This document contains a past performance survey template for evaluators and a pre-solicitation notice for hired patient transportation car services. The Department of Veterans Affairs is seeking to award a contract for hired car services through a competitive solicitation to be released on August 5th, 2020, with a tentative quote due date of August 14th at 10:00am PST. The solicitation will be issued by the VA Palo Alto Health Care System in Palo Alto, California and is identified as solicitation number 36C26120Q0935. The pre-solicitation notice provides information for interested offerors on the upcoming opportunity and advises review of solicitation documents and submission of any requests for clarification or additional information. The past performance survey template includes questions for references to rate the quality of work and address any performance issues for the company being evaluated.

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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?

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