36C10G24R0017.docx
DOCX document 17 KB Posted
- Solicitation number
- 36C10G24R0017
About this file
This is a Standard Form 1449 Solicitation/Contract/Order for Commercial Products and Commercial Services issued by the Department of Veterans Affairs (VA) Office of Procurement, Acquisition and Logistics (OPAL) Strategic Acquisition Center. The solicitation number is 36C10G24R0017 for Community Living Centers (CLC) Long Term Care survey services, with an estimated contract value of $24.5 million. The solicitation was issued on April 28, 2026, with an offer due date of June 12, 2026 at 2:00 PM EDT. The acquisition is unrestricted and designated for small business set-asides. The NAICS code is 541611 (Administrative Management and General Management Consulting Services), and the VA contact is Priscilla Burke at 202-236-3526.
The contract incorporates FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5 for commercial items and services. Payment will be made by the VA Financial Services Center in Austin, Texas. The solicitation includes multiple attachments covering survey procedures, corrective action requests, pricing templates, business associate agreements, and detailed guidance documents for VA Community Living Center compliance inspections. Offerors must complete blocks 12, 17, 23, 24, and 30 on the form and provide pricing information as specified in the attached Estimated Quantities and Pricing Sheet and Detailed Price/Cost Sheet.
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PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
RFQ
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
UEI:
EFT:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. NOV 2021)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
36C10G24R0017 04-28-2026 Priscilla Burke 202-236-3526 06-12-2026 14:00
EDT
36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg
VA
22408-2697 X X 541611 $24.5 Million N/A X 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg
VA
22408-2697 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg
VA
22408-2697
VAFSC
U.S. Department of Veterans Affairs Financial Services Center
PO BOX 149971
(see Section B.3 invoicing/payment) Austin
TX
78714-8917 1 (877) 489-6135 See CONTINUATION Page See Attachment 36C10G24R0017 for full solicitation See CONTINUATION Page X See attached document: 36C10G24R0017.
See attached document: Attachment A HATCh Intro VA CLCs.
See attached document: Attachment B List of VA CLCs and SCI-D.
See attached document: Attachment C Corrective Action Request Procedure and Form.
See attached document: Attachment D Survey Observation Record.
See attached document: Attachment E Table of Surveyor Component Guide_updated.
See attached document: Attachment F Updated VA F-Tag-Crosswalk 8.2023.
See attached document: Attachment G Survey Due By Dates.
See attached document: Attachment H VA-Joint Commission LSC Clarifications Document.
See attached document: Attachment I Scope and Severity Ratings.
See attached document: Attachment J Immediate Jeaporday Template.
See attached document: Attachment K CLC Survey Report Template.
See attached document: Attachment L CLC Deidentifed Survey Report Template.
See attached document: Attachment M -Business Associate Agreement.
See attached document: Attachment N Estimated Quantities and Pricing Sheet.
See attached document: Attachment O Detailed Price Cost Sheet.
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