SOL Attachment 4 Past Performance Client Questionnaire

Solicitation Attachment 6
Past Performance Client Questionnaire

(SAMPLE TRANSMITALL LETTER TO BE SENT FROM CONTRACTOR

<Your Company Letterhead>

To:

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm will be submitting a proposal under a solicitation advertised by Department of Veterans Affairs, Network Contracting Office 12 (NCO 12), located at 115 South 84th Street, Suite 101, Milwaukee, WI 53214.

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.

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.

Please send your completed questionnaire to the following address. Do NOT return them directly to our company.

via email to: [email protected] and Contracting Officer [email protected]

If you have questions regarding the attached questionnaire, please contact Ricky Bond at [email protected] and Contracting Officer [email protected].

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

Thank you for your assistance.

<Signature and Title of Offeror’s Principal>

PAST PERFOMANCE QUESTIONNAIRE

GENERAL INFORMATION on Contractor being evaluated

Name of Contractor:

Point of Contact: Title: E-mail:

Address of Record: Office Phone: Fax:

Contract#: Dollar Amount:

Dates of Performance:

Contractor Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub-Contractor FORMCHECKBOX Key Personnel

Project Title and Brief Description of Work:

*Note: If Contractor holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

2.) RESPONDENT CLIENT INFORMATION

(Person providing comments on Contractor Performance)

Respondent Name: Title:

Address of Record:

3.) TRANSMITTAL INSTRUCTIONS: E-mail completed survey to Ricky Bond and Kristi Kluck, Network Contracting Office 12 (NCO 12) at [email protected] and [email protected].

4.) PERFORMANCE INFORMATION: Choose the appropriate adjectival rating that most accurately describes the contractor’s performance.