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D.5 Past Performance Questionnaire updated 7.6.2026.docx

Posted: July 6, 2026 • Type: .docx • Size: 0.04MB
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This Past Performance Questionnaire is issued by the Department of Veterans Affairs, Network Contracting Office 10, as part of the competitive selection process for the Ambulance Services program, specifically for Special Mode Travel services.

The purpose of this questionnaire is to gather detailed feedback from organizations that have previously worked with the offerors to assess their past performance on relevant contracts. The information collected will be crucial in evaluating the offerors' capabilities and reliability in fulfilling the requirements of the proposed effort.

The questionnaire outlines specific sections that need to be completed, including contract identification details such as contractor name, contract number, and type, as well as performance information that rates various aspects of the contractor's past work.

Respondents are asked to provide ratings based on a defined scale ranging from "Exceptional" to "Unsatisfactory," along with supporting information for each rating. Additionally, there are inquiries regarding whether the contractor has faced any significant issues during their performance, such as receiving cure or show cause notices.

The completed questionnaires must be submitted by July 16, 2026, at 1 PM EST to ensure timely analysis before proposal evaluations commence.

The document emphasizes the importance of prompt and thorough responses from previous clients to facilitate a successful source selection process. It also provides instructions for electronic submission and includes a signature line for respondents to validate their feedback. This questionnaire serves as a critical tool for assessing contractor reliability and performance history in relation to upcoming contract opportunities within the Department of Veterans Affairs.

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