S02 Past Performance Survey RFQ36C26124Q0062.docx

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H342--36C26124Q0062 | FIRE/LIFE SAFETY INSP | 612-24-2-6165-0002 | 612 | VANCHCS
Solicitation number
36C26124Q0062
Issued by

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This document contains a past performance survey template for the Department of Veterans Affairs solicitation number 36C26124Q0062 for fire and life safety inspection services. The survey is to be completed by references for the offeror and included with the quote. It requests the evaluator's contact information and asks them to rate the quality of work and address any performance issues of the company being evaluated on previous contracts. Details provided on the federal contract opportunity include that it is a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 for fire and life safety inspection services under solicitation number 36C26124Q0062.

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Past Performance Survey

RFQ 36C26124Q0062

Fire and Life Safety Inspection

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 pablo.cunanan@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 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 .