S02 D.2 Past Performance Questionnaire - Teleradiology Physician Services.docx
DOCX document 32 KB Posted
- Solicitation number
- 36C25726Q0522
About this file
This is a Past Performance Questionnaire for RFQ 36C25726Q0522, which solicits Teleradiology Physician Services for the Central Texas Veterans Healthcare System under the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17. The questionnaire is designed to assess quoters' likelihood of successful contract performance based on past performance factors including relevancy, recency, and confidence in execution.
Quoters must provide detailed information about previous teleradiology physician services contracts performed within the last three years, including the legal entity names, contract type (Federal, State, local government, or private agency), specific contract numbers, performance dates, and geographic locations. Additionally, quoters must supply contact information for a reference person at the previous contracting entity who can verify the information provided. The questionnaire requires submission of a Quality Control Plan describing how the quoter will meet contract requirements and performance standards, as well as a contingency plan for replacing key personnel to ensure continuous service delivery. The solicitation requires board certified or board eligible radiologists to provide teleradiology services to the VA facility.
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| S02 D.4 Contractor Cert - Immigration_Nationality Act - Teleradiology.docx | DOCX document | |
| S02 D.1 - Teleradiology Quality Assurance Surveillance Plan (2).pdf | ||
| S02 D.3 Contractor Rules of Behavior - Teleradiology.docx | DOCX document | |
| S02 D.5 Organizational Conflicts of Interest - Teleradiology.docx | DOCX document | |
| S02 SOLICITATION - 36C25726Q0522_1.docx | DOCX document |
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RFQ 36C25726Q0522 – Teleradiology Physician Services
D.2 Past Performance Questionnaire Worksheet
Factor 2 – Past Performance – This factor will be used to assess a quoter’s likelihood of performing successfully on this contract. Past performance will be assessed for relevancy, recent, and confidence/success.
The legal name(s) of the entity(ies) with whom the Quoter held the contract for Teleradiology Physician Services.
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Was the contract with a Federal, State, local government, or private agency under which you have provided the same or similar services required in this solicitation within the last three (3) years.
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The name, phone number, and email address of a person at the entity with whom the Quoter held this contract who can verify the information the Quoter provides in the narrative description for this contract.
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Contract Number(s)
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The dates during which the Quoter performed the Teleradiology Physician Services.
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In what geographic location did the Quoter provide the Teleradiology Physician Services.
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Quality Control Plan: Description and reporting reflecting the Quoter’s plan for meeting contract requirements and performance standards.
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Contingency plan for replacing key personnel to maintain services as required under the terms of the contract.
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File details come from the government source that posted it. Updated .