36C24820Q0609-001.docx

36C24820Q0609 SOURCES SOUGHT NOTICE

ATTACHMENT A

1. Submit Response:

a. Digital only, no hard copies of capability statements will be accepted.

b. Participants must submit their capabilities no later than the closing response date of the sources sought notice to rohan.mckenzie@va.gov.

c. Include, “RFI 36C24820Q0609-COVID-19 Cleaning and Disinfection Services OVAHCS”, as the subject title of your e-mail response.

2. Provide the following Information of your organization:

a. Organization Name:

b. Organization Address:

c. Point of Contact (POC):

d. POC Telephone Number:

e. Data Universal Numbering System (DUNS) number:

f. Cage Code:

g. Business size for the anticipated NAICS 561720:

h. Recommended NAICS:

i. Socio-economic Group (SDVOSB, VOSB, 8A…) list all that applies:

j. GSA/FSS or NAC Schedule number, or state “Open Market”:

3. Capability Statement:

a. Provide capability statement to demonstrate your company understanding and ability to perform COVID-19 Cleaning and Disinfection Services for Healthcare Systems as prescribed by the Center for Disease Control (CDC) and Prevention https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fprepare%2Fcleaning-disinfection.html

b. List all certification and licenses required to perform cleaning and disinfection services as prescribed by CDC:

4. Relevant Experience: Provide Government or Commercial agency relevant experience within the last two (2) years:

a. Contract Number:

b. Point of contact name:

c. Point of contact phone number:

d. Point of contact e-mail address:

5. Subcontracting:

a. Provide subcontractor business name, address, phone number and DUNS If utilizing subcontractors, joint ventures, or teaming arrangements.

b. Identify the percentage and the specific task(s) to be performed by each subcontractor.