Past Performance Questionnaire

PAST PER FORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS TO OFFEROR FOR SENDING REFERENCE QUESTIONNAIRE

FORMS: Prepare and send a reference questionnaire package for each project you list as a reference for the Past Performance evaluation factor. You are encouraged to send a questionnaire to other clients of contracts. For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. If you have multiple references at one location, send one cover letter and questionnaire for each contract you want a reference for. Your questionnaire package should contain the following.

Cover Letter (See SAMPLE TRANSMITTAL LETTER)

Respondent Info Rating Sheets Offeror should put name in spaces indicated and ensure it is on every page for identification purposes Suggested - Pre-Addressed stamped envelope to return to Contracting Officer.

SAMPLE TRANSMITTAL LETTER

Your Company Letterhead

Date:

To:
114300015748000114300031813500

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Department of Veterans Affairs- VAMC Providence, RI. In accordance with Federal Acquisition Regulations (FAR), they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

5422900635001111885152400February 9, 2023, at 1:00pm EST. 00February 9, 2023, at 1:00pm EST.
Please send your completed questionnaire to the following email address on, Thursday, 1143000000Do not return them to our company.

email to: [email protected]

If you have questions regarding the attached questionnaire, or require assistance, please contact Andrew Merical at the above email address. Thank you for your assistance.

Please be advised that “E-Mail” is the preferred method of receiving the requested information.