Exhibit 11. PastPerf Questionnaire
Updated
A PDF document (679 KB) attached to VHA seeking 20,250 RSF for a Community Based Outreach Clinic in Twin Falls, ID, from the Department of Veterans Affairs. Due Nov 10, 2026, 4:00 PM (UTC-8).
File name: Exhibit 11. PastPerf Questionnaire.pdf
The full file is for paid members, or buy this bid alone.
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RLP 36C24W26R0017
Exhibit No. 11
PAST PERFORMANCE QUESTIONNAIRE
SECTION A: Contractor Information (to be completed by the contractor for whom past performance information is being collected, prior to forwarding to assessors) Solicitation Number
Project/Requirement
Customer/Agency
36C24W26R0017
VA/CBOC - Twin Falls, ID
CFM - RPO West Leasing / VA
Name and Address:
5. Description of Services provided under contract:
ASSESSOR INFORMATION:
Assessor Name
Title
Phone Number/Email
Address
8. Authorization is hereby granted to provide the information requested in this questionnaire to RPO West Leasing, Christina Wolf, Lease Contracting Officer, via email at [email protected].
(Signature)
(Name and Title of Authorizing Official)
(Date)
RLP 36C24W26R0017
Exhibit No. 11
SECTION B: Assessors Information (to be completed by assessors). RATING SCALE Definitions
E
S
M
U
N
Past Performance Ratings and Definitions
Offer’s past performance record provides
Exceptional/Very Low Risk
essentially no doubt that the offeror will
successfully perform the required effort.
Offer’s past performance record provides little
Satisfactory/Low Risk
doubt that the offeror will successfully perform
the required effort.
Offer’s past performance record, although
satisfactory, provides some doubt that the
Marginal/Moderate Risk
offeror will successfully perform the required
effort.
Offer’s past performance record provides
Unsatisfactory/High Risk
substantial doubt that the offeror will
successfully perform the required effort.
The offeror has no relevant past performance
record. A thorough search was unable to
Neutral/Unknown Risk
identify any past performance. Will not rate
favorably or unfavorably.
The questions on the survey (see below) shall be rated in accordance with the definitions provided in the Rating Scale. Any unsatisfactory or marginal rating shall be supplemented with an explanation in the space provided.
QUALITY OF SERVICE
1. Rate the contractor’s compliance with contractual requirements.
(E /S /M /U /N)
2. Overall rating of contractor quality of service.
(E /S /M /U /N)
1. Delivery of service was within required time period specified by contract requirements.
(E /S /M /U /N)
2. Rate the contractor’s ability to control cost and submit invoices. Are invoices complete, accurate, and timely?
(E /S /M /U /N)
PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:
SCHEDULE
PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:
RLP 36C24W26R0017
The beginning of the document. Download the full file to read on.
Other documents in this bid
- TWIN FALLS Global Request for Lease Proposal
- Exhibit 01. Draft Lease No
- Exhibit 02. Agency Requirements
- Exhibit 02a. Program for Design PFD
- Exhibit 02a1. Project Room Contents List-PRCL
- Exhibit 02a2. Appendix A2 - Lease Design Narrative LDN
- Exhibit 02a4. VA CBOC IT Systems Specifications v05.23
- Exhibit 02b. Janitorial Services
- Exhibit 03. Security Requirements - Facility Security Level II
- Exhibit 04. 3516 Solicitation Provisions Feb. 2025
- Exhibit 05. 3517B General Clauses (Apr. 2026)
- Exhibit 08. Prelease FPLS Evaluation Form 12000 Part A and Part B