S02 Past Performance Survey.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C26124Q0252
About this file
This document contains a past performance survey template and details of a related federal contract opportunity for medical physicist services. The past performance survey is to be completed by references for the offeror and includes questions regarding the quality, value, and any issues of previous contracts. It requests the name of the company being evaluated, reference contact information, contract details including value and dates of performance, and ratings and comments on quality.
The related federal solicitation is for medical physicist services through the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21. It provides the solicitation number but does not include details on the required services, response date, or other contractual terms.
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Other files
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| S02 Equipment Listing 2024.xlsx | XLSX spreadsheet | |
| S02 36C26124Q0252.pdf | ||
| WD 2015-5623 Revision No. 22 Dated 12-26-23 California Counties of Alameda, Contra Costa.txt | TXT text file | |
| 36C26124Q0252_2.docx | DOCX document | |
| WD 2015-5631 Revision No. 20 Dated 12-26-23 California Counties of El Dorado, Placer, Sacramento, Yolo.txt | TXT text file |
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Text version
Past Performance Survey
RFQ 36C26124Q0252
Medical Physicist Service
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 evaluating the company listed below for their past/current performance. Your comments would be appreciated regarding this company’s past/current 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 and signature:
Evaluator’s Company Name, Address and Phone number:
Indicate what contracts did this company provide for you? Provide the
· Total contract amount: $
· Dates of performance:
· 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 .