14 - Operations and Maintenance Plan Acknowledgement_FEB 2026.pdf

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Attached to
X1DB--Canton OH Outpatient Clinic 62, 784 ANSI/BOMA RLP Extension
Solicitation number
36C10F26R0052
Issued by

About this file

This document is a template form for an Operations and Maintenance Plan Acknowledgment and Deviations Statement for VA lease solicitations.

The form requires offerors to acknowledge that they have reviewed and will comply with all Operations and Maintenance (O&M) requirements specified in Factor 5 of the solicitation, except where specifically identified as deviations. Offerors must select one of two options: either confirm they propose no deviations from VA's O&M requirements, or identify proposed deviations or alternative approaches. For any deviations submitted, offerors must provide a separate attachment for each deviation that includes: (1) a specific reference to the VA requirement being modified; (2) a detailed description of the proposed deviation or alternative approach; and (3) a rationale explaining the basis for the deviation and any impacts on service level, cost, or risk. An authorized official of the offering entity must sign and date the statement, certifying that it is complete and accurate and that no deviations other than those attached are included in the proposal. Any O&M obligations not expressly identified as deviations are automatically deemed accepted without exception.

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Text version

OPERATIONS AND MAINTENANCE PLAN

ACKNOWLEDGMENT AND DEVIATIONS STATEMENT

Solicitation Information RLP No.:

City, ST – Facility:

Offer Due Date/Time:

A. Acknowledgment of VA Operations and Maintenance Requirements

By signing below, the Offeror acknowledges that it has reviewed the Operations and Maintenance (O&M) requirements set forth in Factor 5 – Operations and Maintenance Plan (including all associated requirements) and agrees that, if awarded the Lease, it will perform O&M services in accordance with these requirements, except as specifically identified as deviations in Section B of this Statement.

Offeror further acknowledges that any O&M obligations not expressly identified as deviations in Section B below are deemed accepted without exception.

B. Proposed Deviations or Alternative Approaches (if any)

Check one:

☐ No deviations. The Offeror does not propose any deviations from VA’s O&M requirements described in Factor 5.

☐ Deviations proposed. The Offeror proposes the following specific deviations or alternative approaches to VA’s O&M requirements:

For each deviation, provide an attachment to this statement including the following:

1. Reference to VA requirement; each deviation must clearly identify the specific VA requirement being modified (e.g., Factor 5 – Interior & Exterior Maintenance of Building & Grounds),

2. Offeror’s proposed deviation or alternative approach, and

3. Rationale (including any impact on service level, cost, or risk)

C. Signature:

By signing below, the undersigned certifies that this statement is complete and accurate and that no deviations from VA’s O&M requirements, other than the deviations attached to this document (if applicable), are included in the Offeror’s proposal.

Offering Entity Authorized Official Printed Name:

Offering Entity Authorized Official Title:

Offering Entity Authorized Official Signature:

Date:

described in Factor 5: Off
approaches to VAs OM requirements: Off
RLP No:
Project Name:
Date28_af_date:
Name:
Text30:
Date31_af_date:
Check Box33: Off
Check Box34: Off

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