LOS certification.pdf

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Attached to
4310--Dental Vacuum Replacement
Solicitation number
36C24125Q0589
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About this file

This document is a Compliance Certification form for subcontracting requirements under 13 C.F.R. 125.6, specifically related to a Dental Vacuum Replacement contract (Solicitation Number 36C24125Q0589) with the VA Connecticut Healthcare System. The form requires contractors to certify either that they will perform 100% of the contract work themselves or that they and similarly situated subcontractors will receive at least 50% of the contract's value, with detailed documentation requirements for any subcontractors.

The solicitation is set aside for Veteran-Owned Small Businesses (VOSB) in the Dental Equipment and Supplies Manufacturing sector (NAICS code 339114), with a small business size standard of 750 employees. The project involves replacing dental vacuum compressors at the VA Medical Center in Newington, Connecticut, with a 60-calendar day performance period. Quotes are due by July 8, 2025 at 3:00 PM, with questions accepted until July 3, 2025 at 12:00 PM EST. The award will be based on a comparative evaluation using Simplified Acquisition Procedures, with the goal of selecting the quote most advantageous to the government.

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WD 2015 4119 Newington Rev30.pdf PDF
Past Performance Worksheet.xlsx XLSX spreadsheet
36C24125Q0589.docx DOCX document

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Subject: Compliance with 13 C.F.R. 125.6

DATE:

Contractor Point of Contact Business Name

DUNS #:

Solicitation Number

Offerors are required to comply with 13 C.F.R. 125.6. Offerors are to check which applies block applies:

[ ] I certify that no subcontractors are anticipated in performing services under this contract. My Company receives 100% of the cost of this contract.

[ ] I certify that my company and those subcontractors that are similarly situated are estimated to receive at least 50% of the value of this contract. I understand that a similarly situated subcontractor must meet the size standard for NAICS assigned by the prime and must be in certified in VIP. Please provide the following information to identify and calculate the cost of the work self‐performed and what is subcontracted.

For each subcontractor provide the flowing: business name, DUNs number, description of work, Percentage COST of

Contract.

Value of work in %

Contractor DUNs Number Description of Work Contract Services

Total % of value of contract by Prime Contractor ____________

Total % of value of contract by similarly situated subcontractors ____________

WARNING: Severe Penalties for Contractors that violate the Limitations on Subcontracting Rule: If caught during the performance violating the FAR government subcontracting rules or limitations on subcontracting clause under the Code of Federal Regulations 13 C.F.R. 125.6(g), there can be stiff penalties: “Whoever violates the requirements set forth in paragraph (a) of this section shall be subject to the penalties prescribed in 15 U.S.C. 645(d), except that the fine shall be treated as the greater of $500,000 or the dollar amount spent, in excess of permitted levels, by the entity on subcontractors. A party's failure to comply with the spirit and intent of a subcontract with a similarly situated entity may be considered a basis for debarment on the grounds, including but not limited to, that the parties have violated the terms of a Government contract or subcontract pursuant to FAR 9.406‐2(b)(1)(i) (48 CFR 9.406‐2(b)(1)(i)).” Contracting Officers may require the contractor to demonstrate its compliance with the limitations on subcontracting at any time during the performance of the contract by having the Contractor provide invoices, copies of subcontracts, or a list of the value of tasks performed.

I certify the above representations are true and correct to the best of my knowledge.

(Contractor) Date Return this certification via email to: CO NAME

VHAPROPereiR1 Text Box 36C24125Q0589

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