Exhibit K PastPerf Questionnaire VA-REV

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
36C24W22R0053
Project/Requirement
VA/CBOC in the Olympia, WA Area
Customer/Agency
RPO West Leasing / VHA
Offering Entity
Input Name of Offering Entity HERE

ASSESSOR INFORMATION:

Assessor Name

Title

Phone Number/Email Address

8. Authorization is hereby granted to provide the information requested in this questionnaire to RPPO West Leasing, Deborah Greer, Lease Contracting Officer, via email at [email protected]. (Signature)

(Name and Title of Authorizing Official) (Date)

SECTION B: Assessors Information (to be completed by assessors).

RATING SCALE Definitions
Past Performance Ratings and Definitions
E
Exceptional/Very Low Risk
Offer’s past performance record provides essentially no doubt that the offeror will successfully perform the required effort. S
Satisfactory/Low Risk
Offer’s past performance record provides little doubt that the offeror will successfully perform the required effort. M
Marginal/Moderate Risk
Offer’s past performance record, although satisfactory, provides some doubt that the offeror will successfully perform the required effort. U
Unsatisfactory/High Risk
Offer’s past performance record provides substantial doubt that the offeror will successfully perform the required effort. N
Neutral/Unknown Risk
The offeror has no relevant past performance record. A thorough search was unable to 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

PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:

SCHEDULE

1. Delivery of service was within required time period specified by 2. Rate the contractor’s ability to control cost and submit invoices.

PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:

BUSINESS RELATIONS

1. Overall rating of contractor’s business practices (e.g., maintaining A positive working relationship, business ethics, timely and effectively

2. Rate the working relationship between contractor’s management, and your company (i.e., contractor’s history of reasonable and cooperative behavior, commitment of customer satisfaction; concern

3. Rate the contractor's ability to submit required reports