S02 Attachment 7 Past Performance Survey.docx

DOCX document 13 KB Posted

Attached to
S201--Janitorial Services for VA Yuba City Outpatient Clinic
Solicitation number
36C26122Q0574
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File Type Posted
36C26122Q0574 0001.docx DOCX document
36C26122Q0574_1.docx DOCX document
Attachment 8 Self Performance Worksheet.docx DOCX document
Attachment 2 Facility Room List.docx DOCX document
Attachment 3 IC P Staff Cleaning Processes.docx DOCX document
Attachment 4 Facility Layout.docx DOCX document
Attachment 1 QASP.docx DOCX document
Attachment 6 WD 2015 5659 Rev 15 dated Mar 15 2022.pdf PDF
Attachment 5 Contractor Expendable Supplies Product List.xlsx XLSX spreadsheet

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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. Email signed survey to Angela.Gerlitzki@va.gov

Name of Company being evaluated:

Evaluator’s Name and signature:

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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