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L- PP Questionnaire

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A PDF document (169 KB) attached to El Paso Community Based Outreach Clinic (CBOC), from the Department of Veterans Affairs. Due Dec 18, 2026, 3:00 PM (UTC-6).

File name: L- PP Questionnaire.pdf

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Past Performance Questionnaire

1. NAME OF FIRM/AGENCY PROVIDING FEEDBACK:

PROJECT NAME:

PERIOD OF PERFORMANCE:

CONTRACT TYPE (if applicable):

CONTRACT AWARD DATE:

CONTRACT COMPLETION DATE:

AWARDED VALUE:

CURRENT CONTRACT DOLLAR VALUE:

2. NAME OF ASSESSING OFFICIAL:

EMAIL:

PHONE NUMBER:

ASSOCIATION WITH FIRM BEING RATED (including role):
CONTRACT OR ORDER NUMBER (if applicable):
3.

ASSESS THE FOLLOWING AREAS:

(Check the appropriate box for each assessment category)

Assessment Categories

Unsatisfactory

a. COMPLIANCE WITH LEASE REQUIREMENTS

b. QUALITY OF SERVICES

c. TIMELY DELIVERY OF SERVICES

d. BUSINESS RELATIONS

e. MANAGEMENT OF KEY PERSONNEL

f. RELIABILITY

g. CUSTOMER SUPPORT

h. OVERALL PERFORMANCE

i. OTHER AREAS:

(1)
(2)

4 ADDITIONAL COMMENTS:

Marginal

Satisfactory

Very Good

Exceptional

N/A

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