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 Federal contract opportunity
- Solicitation number
- 36C10X23R0058
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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Text version
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 .