36C24519R0111-007.docx

1. SOLICITATION NUMBER

2. TYPE OF SOLICITATION

3. DATE ISSUED

PAGE OF PAGES

4. CONTRACT NUMBER

5. REQUISITION/PURCHASE REQUEST NUMBER

6. PROJECT NUMBER

7. ISSUED BY

CODE

8. ADDRESS OFFER TO

a. NAME

b. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date) 12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.)

12b. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

STANDARD FORM 1442 (REV. 8/2

014)

STANDARD FORM 1442

Prescribed by GSA-FAR (48 CFR) 52.236-1(d)

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

SOLICITATION

SOLICITATION

IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

9. FOR INFORMATION

CALL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SEALED BID (IFB)

NEGOTIATED (RFP)

11. The Contractor shall begin performance within ____________ calendar days and complete it within calendar days after receiving award, notice to proceed. This performance period is mandatory negotiable. (See __________

YES

NO

a.

Sealed offers in original and ___________________copies to perform the work required are due at the place specified in Item 8 by _____________ (hour) local time _____________________ (date). If this is a sealed bid solicitation, offers must be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, the date and time offers are due.

b.

An offer guarantee is, is not required.

c.

All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

d.

Offers providing less than _______________________ calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

36C24519R0111 X 01/ /2020 613-19-119 Department of Veterans Affairs Louis A Johnson, VAMC Contracting Office (90C) 1 Med Center DR Clarksburg WV 26301-4199 Department of Veterans Affairs Louis A Johnson, VAMC Contracting Office (90C) 1 Med Center DR Clarksburg WV 26301-4199 Shawn E. Shafer 304-623-3461 x4146 THIS SOLICITATION IS 100% SET-ASIDE FOR SERVICE-DISABLED VETERAN OWNED SMALL BUSINESS (SDVOSB) IAW Public Law 109-461.

A. Asbestos, Mold, Lead Abatement Indefinite Delivery-Indefinite Quantity (IDIQ), for abatement services at locations within the Network Contracting Office (NCO) 5 area of responsibility.

Contractors are to provide asbestos, mold, and lead abatement services that includes all labor, tools, materials, equipment, supplies, and supervision to perform work as required by individual Task Orders (TO) as assigned under the resulting contract from this solicitation. Task Orders will involve, but will not be limited to, infection control precautions, asbestos abatement, mold abatement, lead abatement, and accompanying demolition. All work inside contaminated areas shall be performed by an asbestos abatement firm licensed to perform asbestos, mold, and lead abatement in the states of Maryland, West Virginia, and the District of Columbia. The area and final air testing inside the work areas shall be performed by a third party, independent, licensed air monitoring firm procured separately by the VA. Informal shop drawings, incidental to the job reflecting the plan of action and completed project, may be required.

B. The Government anticipates award of 2-8 contracts to SDVOSB concerns for each geographic area. Geographic areas are defined as: Maryland, Western West Virginia, Washington D.C., and Central/Eastern West Virginia (See Attachment 1).

C. Primary NAICS Code: 562910 Size Standard: $19.0 Million

D. Project performance period is scheduled for a Base Year plus four (4) one-year Option Periods.

E. Minimum Task Order amoun t: $2,000.00. Maximum Task Order amount: $500,000.00. The maximum contract value shall not exceed $15,000,000.00. The minimum guarantee is $2,000.00. Contract awards will be made based on the best value to the Government.

F. Companies intending to submit a proposal must ensure they have a current SAM Registration and are registered in VETBIZ.GOV at (https://www.vip.vetbiz.gov/). Validation in VETBIZ is MANDATORY and will be considered non-responsive if not CVE Verified at the time proposals are submitted and due.

G. Request for In formation questions related to this solicitation must be submitted in writing via e-mail to shawn.shafer2@va.gov no later than 1:00 PM EST, 0 /0 /2020.

H. See attachment 3 Bid Price Sch edule to complete pricing for the base and option years.

I. Deliver Offers to: Department of Veterans Affairs, 1 Med Center Drive, Rosebud Contracting Office, Clarksburg, WV 26301 prior to the specified offer due date and time listed in block 13.

Per Order X 52.211-10 X Per Task Order 4 Copies

1:00 PM EST

-1 -2020 X

14. NAME AND ADDRESS OF OFFEROR

15. TELEPHONE NUMBER

16. REMITTANCE ADDRESS

CODE

FACILITY CODE

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of the solicitation, if this offer is accepted by the Government in writing within __________ calendar days after the date offers are due.

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19.

ACKNOWLEDGMENT OF AMENDMENTS

AMENDMENT

NUMBER

DATE.

20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER 20b. SIGNATURE 20c. OFFER DATE

21. ITEMS ACCEPTED:

22. AMOUNT

23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT

INVOICES TO ADDRESS SHOWN IN

ITEM

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c)( 41 U.S.C. 3304(a) (

26. ADMINISTERED BY

27. PAYMENT WILL BE MADE BY

PHONE:

FAX:

28.

NEGOTIATED AGREEMENT

29. AWARD

Your Contractor agrees offer on this solicitation is hereby accepted as to the items listed. This to furnish and deliver all items or perform all work requirements identified award consummates the contract, which consists of (a) the Government on this form and any continuation sheets for the consideration stated in solicitation and your offer, and (b) this contract award. No further cont-this contract. The rights and obligations of the p arties to this contract ractual document is necessary.

shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED 31a. NAME OF CONTRACTING OFFICER

TO SIGN

30b. SIGNATURE 30c. DATE 31b. UNITED STATES OF AMERICA 31c. AWARD DATE

BY

OFFER

AWARD

STANDARD FORM 1442 (REV. 8/2014) BACK

(Include ZIP Code) (Include area code) (Include only if different than Item 14.)

(Insert any number equal to or greater than the minimum requirement stated in Item 13d. Failure to insert any number means the offeror accepts the minimum in Item 13d.)

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each) (Type or print) (4 copies unless otherwise specified) (Type or print) (Type or print) (Contractor is required to sign this document and return _______ copies to issuing office.)

(Contractor is not required to sign this document.)

(Must be fully completed by offeror) (To be completed by Government)

CONTRACTING OFFICE

R WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

SEE ATTACHMENT 3 - BID PRICE SCHEDULE

Department of Veterans Affairs Louis A Johnson, VAMC Contracting Office (90C) 1 Med Center DR Clarksburg WV 26301-4199

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135 Angela L. Burger

TABLE OF CONTENTS

PART I - THE SCHEDULE………………………………………………..…………………………………..………………………………..1

SECTION A - SOLICITATION/CONTRACT FORM…………………………………………………………………………………….1

A.1 SF 1442 SOLICITATION, OFFER, AND AWARD (Construction, Alteration, or Repair)…………….1 A.2 SF 1442 SOLICITATION, OFFER, AND AWARD (CONSTRUCTION, ALTERATION, OR REPAIR)– BACK…………………………………………………………………………………………………………………………………………..2

BID PRICE SCHEDULE…………………………………...………………..………………………………………………..…………………5

INSTRUCTIONS, CONDITIONS AND OTHER STATEMENTS TO BIDDERS/OFFERORS……………………………..26

2.1 52.216-1 TYPE OF CONTRACT (APR 1984)…………………………………………………………………………..36

2.2 52.222-5 CONSTRUCTION WAGE RATE REQUIREMENTS—SECONDARY SITE OF THE WORK (MAY 2014)……………………………………………………………………………………………………………………………….36

2.3 52.222-23 NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY FOR CONSTRUCTION (FEB 1999)………………………………………………..37

2.4 52.228-1 BID GUARANTEE (SEP 1996)……………………………………………………………………………….38

2.5 52.233-2 SERVICE OF PROTEST (SEP 2006)………………………………………………………………………..38

2.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)…………….39

2.7 VAAR 852.228-72 ASSISTING SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESSES IN OBTAINING BONDS (DEC 2009)……………………………………………………………..39

2.8 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)…..40

2.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)………………………………………40

REPRESENTATIONS AND CERTIFICATIONS………………………………………………………………………………………….41

3.1 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (OCT 2018)………………………….41

3.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)……………………………………………………………..45

3.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)……………………..46

3.4 52.209-13 VIOLATION OF ARMS CONTROLS TREATIES OR AGREEMENTS—CERTIFICATION (JUN 2018)………………………………………………………………………………………………………………………………..47

GENERAL CONDITIONS………………………………………………………………………………………………………………………49

4.1 52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC 2014)………………………………………………………………………………………………………………………………..76

4.2 52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED ENTITIES (JUL 2018)………76

4.3 52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)………………………………………………………………………………………………………………..78

4.4 52.211-10 COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK (APR 1984)

4.5 52.216-19 ORDER LIMITATIONS (OCT 1995)……………………………………………………………………….79

4.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)…………………………………………………………………….80

4.7 52.216-32 TASK-ORDER AND DELIVERY-ORDER OMBUDSMAN (SEP 2019)………………………….80

4.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)………………………….81

4.9 52.217-9 OPTION TO EXTEND SERVICES (NOV 1999)………………………………………….……………...81

4.10 52.219-13 NOTICE OF SET-ASIDE OF ORDERS (NOV 2011)………………………………………………..81

4.11 52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)…..82

4.12 52.222-30 CONSTRUCTION WAGE RATE REQUIREMENTS—PRICE ADJUSTMENT (NONE OR SEPARATELY SPECIFIED METHOD) (AUG 2018)………………………………………………………………………….83

4.13 52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)……………………………………………83

4.14 52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR RELATIONS ACT (DEC 2010)…………………………………………………………………………………………………………………………84

4.15 SUPPLEMENTAL INSURANCE REQUIREMENTS…………………………………………………………………85

4.16 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)……………………………………….86

4.17 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)………………89

4.18 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)………………………………….90

4.19 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2019) (DEVIATION)……………………………………………………………………………90

4.20 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)…………………………………………………………………………………………………………………………………92

4.21 VAAR 852.228-70 BOND PREMIUM ADJUSTMENT (JAN 2008)…………………………………………93

4.22 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)………….93

4.23 VAAR 852.236-71 SPECIFICATIONS AND DRAWINGS FOR CONSTRUCTION (APR 2019)……94

4.24 VAAR 852.236-79 CONTRACTOR PRODUCTION REPORT (APR 2019)…………………………………95

4.25 VAAR 852.236-80 SUBCONTRACTS AND WORK COORDINATION (APR 2019)……………………95

4.26 VAAR 852.242-70 GOVERNMENT CONSTRUCTION CONTRACT ADMINISTRATION (APR 2019)…………………………………………………………………………………………………………………………………………96

4.27 VAAR 852.243-70 CONSTRUCTION CONTRACT CHANGES—SUPPLEMENT (SEP 2019)……..97

4.28 MANDATORY WRITTEN DISCLOSURES……………………………………………………………………………….98

4.29 IT CONTRACT SECURITY…………………..……………………………………………………………………………….98

CONTINUATION (BLOCK 17 OF SF1442): SCHEDULE SUPPLIES/SERVICES

This is a Firm-Fixed Price, Indefinite Delivery- Indefinite Quantity (IDIQ) type contract which encompasses removal of asbestos, mold, and lead paint materials located at the VA Medical Center Martinsburg, VA Maryland Health Care System, VA Medical Center Washington DC, VA Medical Center Beckley, WV, Louis A. Johnson Medical Center Clarksburg, WV, and Hershel “Woody” Williams VA Medical Center Huntington, WV. Task Orders shall be based on individual projects and may be issued for a base period of one (1) calendar year and 4 one (1) year options from date of award.

AWARD STATEMENT: The award will be made based on best value source selection conducted in accordance with Federal Acquisition Regulation 15.3, Source Selection.

BASE YEAR: DOA- 12/31/2020

PROPOSAL ITEM #1

ASBESTOS ABATEMENT MATERIALS/EQUIPMENT — UNIT PRICING (Attachment 3) Note Quantities are for evaluation purposes only, submitted pricing shall become the accepted rates upon award of contract for all follow-on Task Orders.

No. 0A

Note to CONTRACTOR: Asbestos abatement in the medical center often occurs in the evenings and weekends to accommodate patients and staff. Identify a multiplier (if any) to be applied to base unit prices for work beyond normal hours (8 am. — 4:30 pm.).

(insert multiplier)

* Line items that do not require time and one half have been identified via asterisks on the rate schedule.

LEAD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING BASE YEAR

Note to Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm).

_________________(insert multiplier)

MOLD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING BASE YEAR

Note To Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm) _______________(insert multiplier)

OPTION YEAR 1: 1/01/2021- 12/31/2021

PROPOSAL ITEM #1

ASBESTOS ABATEMENT MATERIALS/EQUIPMENT — UNIT PRICING

No. 00A

Note to CONTRACTOR: Asbestos abatement in the medical center often occurs in the evenings and weekends to accommodate patients and staff. Identify a multiplier (if any) to be applied to base unit prices for work beyond normal hours (8 am. — 4:30 pm.).

* Line items that do not require time and one half have been identified via asterisks on the rate schedule.

LEAD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 1

Note to Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm).

_______________ (insert multiplier)

MOLD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 1

Note To Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm) __________________(insert multiplier)

OPTION YEAR 2: 1/01/2022- 12/31/2022

PROPOSAL ITEM #1

ASBESTOS ABATEMENT MATERIALS/EQUIPMENT — UNIT PRICING

Units

Qty

$/Unit

Total

Note to CONTRACTOR: Asbestos abatement in the medical center often occurs in the evenings and weekends to accommodate patients and staff. Identify a multiplier (if any) to be applied to base unit prices for work beyond normal hours (8 am. — 4:30 pm.).

* Line items that do not require time and one half have been identified via asterisks on the rate sc schedule.

LEAD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 2

Note to Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm).

MOLD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 2

No. 000C

Work Description

Units

Qty

$/Unit

Total

Note To Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm) ___________________(insert multiplier)

OPTION YEAR 3: 1/01/2023- 12/31/2023

ASBESTOS ABATEMENT MATERIALS/EQUIPMENT — UNIT PRICING

Note to CONTRACTOR: Asbestos abatement in the medical center often occurs in the evenings and weekends to accommodate patients and staff. Identify a multiplier (if any) to be applied to base unit prices for work beyond normal hours (8 am. — 4:30 pm.).

* Line items that do not require time and one half have been identified via asterisks on the rate schedule.

LEAD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 3

Note to Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm).

MOLD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 3

Note To Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm) ______________(insert multiplier)

OPTION YEAR 4: 1/01/2024- 12/31/2024

ASBESTOS ABATEMENT MATERIALS/EQUIPMENT — UNIT PRICING

Note to CONTRACTOR: Asbestos abatement in the medical center often occurs in the evenings and weekends to accommodate patients and staff. Identify a multiplier (if any) to be applied to base unit prices for work beyond normal hours (8 am. — 4:30 pm.).

* Line items that do not require time and one half have been identified via asterisks on the rate schedule.

LEAD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 4

Note to Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm).

MOLD ABATEMENT MATERIALS/EQUIPMENT- UNIT PRICING OPTION YEAR 4

Note To Contractor- Identify multiplier (if any) to be applied to the base unit prices for work beyond normal hours (8am-4:30pm)

INSTRUCTIONS, CONDITIONS AND OTHER STATEMENTS TO BIDDERS/OFFERORS

STATEMENT OF WORK

The Louis A. Johnson VA Medical Center Clarksburg WV, Beckley VA Medical Center Beckley WV, Hershel “Woody” Williams VA Medical Center Huntington WV, Martinsburg VA Medical Center Martinsburg WV, Washington VA Medical Center Washington DC, and the Maryland Health Care System have a requirement for a general contractor to provide asbestos/mold/lead abatement services and furnish all labor, tools, materials, equipment, supplies and supervision to perform work as required by individual Task Orders (TO) as assigned under the resulting Indefinite-Delivery/Indefinite Quantity (IDIQ) contract from this solicitation. Minimum Task Order limitation is $2,000.00, maximum Task Order limitation is $500,000.00. Construction is required by independent contractors.

Conditions effecting this acquisition are the geographic separation of WV, MD, and DC facilities. As a result, to minimize geographic barriers for services required, the proposed solicitation will result in a minimum of 2 and a maximum of 8 contract awards, as the Contracting Officer deems to be in the best interest of the Government, for geographic area’s (Maryland, Washington D.C., Eastern and Central West Virginia, and Western West Virginia). The offerors will choose one and/or a combination of geographic areas to be considered for award.

Task orders issued will be for any VA facility located at the following eight campuses:

Louis A. Johnson VA Medical Center 1 Med Center Drive Clarksburg, WV 26301 304-623-3461

Martinsburg VA Medical Center 510 Butler Avenue Martinsburg, WV 25405 304-263-0811

Hershel “Woody” Williams VA Medical Center 1540 Spring Valley Drive Huntington, WV 25704 304-429-6755

Beckley VA Medical Center 200 Veterans Avenue Beckley, WV 25801 304-255-2121

Washington DC VA Medical Center 50 Irving Street, NW Washington, DC 20422 202-745-8000

VA Maryland Health Care System

Baltimore VA Medical Center 10 North Greene Street Baltimore, MD 21201

Perry Point VA Medical Center VA Medical Center Perry Point, MD 21902 410-642-2411

Loch Raven VA Community Living & Rehabilitation Center 3900 Loch Raven Boulevard Baltimore, MD 21218 410-605-7000

CONTRACTOR CERTIFICATION

The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

The Contractor agrees to obtain a similar certification from its subcontractors.

Signature: _____________________________________________ Date: _________________________________________________ Typed Name and Title: ___________________________________ Company Name: _______________________________________ This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

INSTRUCTIONS TO OFFERORS

1. All proposals shall be submitted by the date and time specified in the solicitation or otherwise specified in any amendment issued thereafter. Proposals shall be submitted in three parts, Section I: Technical Proposal, Section II: Past Performance Questionnaire and Section III: Price Proposal. The Past Performance Questionnaire shall be submitted directly from requested references via email to Contract Specialist Shawn.Shafer2@VA.GOV. Your submittal must include a one-sided original and three (4) copies of the Technical Proposal, and a one-sided original and three (4) copies of the Price Proposal. The Price Proposal shall be sealed in a single, labeled package, separate from the Technical Proposal. An electronic version of the package submission shall be included via compact disc (CD). Submissions should be sent to 1 Med Center Drive Clarksburg, WV 26301 attention Shawn E. Shafer (Rosebud Plaza).

1. All pages containing text shall be consecutively numbered, type-written on 8-1/2x11 inch paper with margins of at least one inch and created using a font no smaller…