Form 2A (Alternate for Attachment L).docx

DOCX document 23 KB Posted

Attached to
Q201--Amendment 7- Integrated Critical Staffing Program (ICSP)- File Size Update
Solicitation number
36C10X23R0058
Issued by

About this file

This document contains a template form for offerors to demonstrate capability for staffing various occupational categories under a federal contract opportunity. The form requires offerors to identify their small business status and describe their technical capability and relevant past performance for one of three occupational categories: clinical occupations, non-clinical occupations, or program support services. The related federal contract opportunity is solicitation number 36C10X23R0058 from the Department of Veterans Affairs for the Integrated Critical Staffing Program to provide file size updates. Offerors must complete the template to qualify for staffing various medical and administrative positions across three occupational categories for the VA under the terms of this indefinite delivery, indefinite quantity contract.

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Other files

File Type Posted
36C10X23R0058_9.docx DOCX document
36C10X23R0058_8.docx DOCX document
Phase_II_Contact_Information (Final).docx DOCX document
36C10X23R0058_7.docx DOCX document
RFP 36C10X23R0058 ICSP - (Updated for Amendment 0004).docx DOCX document
Attachment H - Onboarding Task Order ICSP_8 (Updated for Amendment 4).docx DOCX document
Phase II Contact Information.docx DOCX document
Attachment A - VHA ICSP Labor Categories_1 (Updated for Amendment 4).docx DOCX document
36C10X23R0058_6.docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet_14 (Updated for Amendment 4).xlsx XLSX spreadsheet
Attachment O - RTO Pricing Spreadsheet _15 (Updated for Amendment 4).xlsx XLSX spreadsheet
Attachment G - Representative Task Order ICSP - Centralized Staffing_7 (Updated for Amendment 4).docx DOCX document
ICSP Questions and Answers - Phase II.xlsx XLSX spreadsheet
Attachment L - Phase II Proposal Forms_12 (Updated for Amendment 0004).pdf PDF
RFP 36C10X23R0058 ICSP - (Updated for Amendment 0003).docx DOCX document
Attachment L - Phase II Proposal Forms_12 (Updated for Amendment 0003).pdf PDF
36C10X23R0058_5.docx DOCX document
Attachment M - VIT Coverage (Robustness)_13 (Updated for Amendment 2).xlsx XLSX spreadsheet
RFP 36C10X23R0058 ICSP - (Updated for Amendment 2).docx DOCX document
36C10X23R0058_4.docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet_14 (Updated for Amendment 1).xlsx XLSX spreadsheet
36C10X23R0058_3.docx DOCX document
Attachment K - Phase I Submission Forms_11 (Updated for Amendment 1).pdf PDF
RFP 36C10X23R0058 ICSP - (Updated for Amendment 1).docx DOCX document
Attachment G - Representative Task Order ICSP - Centralized Staffing_7 (Updated for Amendment 1).docx DOCX document
Attachment A - VHA ICSP Labor Categories_1 (Updated for Amendment 1).docx DOCX document
Attachment O - RTO Pricing Spreadsheet _15 (Updated for Amendment 1).xlsx XLSX spreadsheet
Amendment Attachment A- ICSP Questions and Answers.xlsx XLSX spreadsheet
Attachment M - VIT Coverage (Robustness)_13 (Updated for Amendment 1).xlsx XLSX spreadsheet
Attachment O - RTO Pricing Spreadsheet _15.xlsx XLSX spreadsheet
Attachment A - VHA ICSP Labor Categories_1.docx DOCX document
Attachment F - Occupational Categories_NAICS Code Crosswalk_6.xlsx XLSX spreadsheet
Attachment M - VIT Coverage (Robustness)_13.xlsx XLSX spreadsheet
Attachment D - Integrated Team Model Definitions_4.docx DOCX document
Attachment H - Onboarding Task Order ICSP_8.docx DOCX document
Attachment B - Contract Discrepancy Report_2.docx DOCX document
Attachment K - Phase I Submission Forms_11.pdf PDF
Attachment C - VA Information and Information System Security and Privacy Requirements_3.docx DOCX document
Attachment L - Phase II Proposal Forms_12.pdf PDF
Attachment J - RFP Question Form_10.xlsx XLSX spreadsheet
Attachment E - Facility Listings_5.xlsx XLSX spreadsheet
Attachment J - RFP Question Form_10 02.xlsx XLSX spreadsheet
Attachment G - Representative Task Order ICSP - Centralized Staffing_7.docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet_14.xlsx XLSX spreadsheet
Attachment I - Business Associate Agreement_9.pdf PDF
36C10X23R0058_2.docx DOCX document
Attachment M - VIT Coverage (Robustness).xlsx XLSX spreadsheet
RFP 36C10X23R0058 ICSP - Final.docx DOCX document
Attachment A - VHA ICSP Labor Categories.docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet.xlsx XLSX spreadsheet
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Full Mission Capability (One form per company) Offerors shall complete the below to demonstrate capability for VITAL or named partner (one form per partner per OC)

OFFEROR (VITAL) NAME:

PROPOSED PARTNER:

(ENTER “N/A” if VITAL)

SBA Certified SDVOSB?
|_| YES |_| NO
NAICS Applied to Subcontract:
NAICS: Partner small under NAICS? |_| YES |_| NO
OCCUPATIONAL CATEGORY (check one addressed on this form)
|_| OC1 (Clinical Occupational Series)

|_| OC2 (Non-Clinical Occupational Series) |_| OC3 (Program Support Service Categories)

VITAL/ PARTNER CAPABILITY DESCRIPTION- TECHNICAL (3,000 Characters!!!)

Describe the capability of the firm to support staffing needs from within the OC selected above. If multiple OCs apply to a particular partner, form should be replicated to address each OC with separate description.

OFFEROR (VITAL) NAME:

PROPOSED PARTNER: (ENTER “N/A” if VITAL)

OCCUPATIONAL CATEGORY (auto filled)
|_| OC1 (Clinical Occupational Series)

|_| OC2 (Non-Clinical Occupational Series) |_| OC3 (Program Support Service Categories)

Most Relevant Past Performance Example (Associated with the OC selected above)

COMPANY that performed the work:

Work Performed as the:
PRIME SUBCONTRACTOR

Total Awarded Price/Cost and Contract No.:

Final or Projected Final Total Price/Cost:

Delivery date/Period of performance (including base and options if applicable):

Contracting Officer’s Name, Email, and Telephone Number:

Program Manager’s Name, Email & Phone #:

NAICS of contract/subcontract agreement:

Was a CPARS/PPIRS Completed? :

VITAL/ PARTNER CAPABILITY DESCRIPTION- PAST PERFORMANCE (3,000 Characters!!!)

Describe the performance supporting staffing needs from within the OC selected above. If multiple OCs apply to a particular partner, form should be replicated to address each OC with separate description. Narrative should include details of performance, breadth of experience, or other information to permit clear alignment of experience to staffing needs and understanding of relevance to future staffing needs.

File details come from the government source that posted it. Updated .