S02 - Attachment_4 - LOS CERTIFICATION (FILL-IN_MANDATORY) Vs-12-17-20_DB_672-21-000_(1 Page).doc

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Attached to
Z2DA--Hurricane Recovery Project Phase 2
Solicitation number
36C24822R0038
Issued by

About this file

This solicitation package concerns a design-build contract for hurricane recovery work at VA facilities in Puerto Rico. The Department of Veterans Affairs Network Contracting Office 8 is seeking proposals for Phase 2 of the Hurricane Recovery Project at the VA Caribbean Healthcare System in San Juan. Services include design and construction to repair damages from Hurricanes Irma and María in 2017, following recommendations from the VA Central Office Damage Assessment Team. The estimated value of construction is between $5 million and $10 million. The solicitation will be issued on or around December 29, 2021 via beta.SAM.gov. The response deadline is January 28, 2022 at 4:30pm Atlantic Standard Time. This requirement is set aside exclusively for Service-Disabled Veteran-Owned Small Businesses. Interested firms must be registered in the System for Award Management.

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Other files

File Type Posted
S02 - Solicitation 36C24822R0038_Final Version 1-19-2022.pdf PDF
S02 - Attachment_2 Mechanical Final Referenced Drawings_DB_672-21-000_(2 Pages).pdf PDF
S02 - Attachment_12_Proposed Staging Area - Site Plan - Hurricane Recovery Ph2 (1 Page).pdf PDF
S02 - Attachment 13 VHA Supplemental Contract Req Combatting COVID-19 REV_12-14-21 (2 Pages).docx DOCX document
S02 - Attachment_6_Experience Information Sheet_(MANDATORY) DB_672-21-000_(4 Pages).docx DOCX document
S02 - Attachment_11_ VACHS Operational Requirements for Hurricane Recovery Efforts Ph2 (2 Pages).pdf PDF
S02 - Attachment_8_ Base Offer Cost Breakdown_(MANDATORY)_DB_672-21-000_(2 Pages).pdf PDF
S02 - Attachment_14_Station_672_Local Protocols for COVID-19 (1 Page).docx DOCX document
S02 - Attachment_9_ Release of Claim (ROC) Form DB_672-21-000_(2 Pages).doc DOC document
S02 - SPECIFICATION - 01 00 00_DB_672-21-000_(24 Pages).docx DOCX document
S02 - SPECIFICATION - 01 42 19_DB_672-21-000_(9 Pages).docx DOCX document
S02 - Attachment_10_ Infection Control Guidelines on Construction and Renovation 11B-17-05 (11 Pages).docx DOCX document
S02 - Attachment_1 Architectural Final Referenced Drawings_DB_672-21-000_(16 Pages).pdf PDF
S02 - SPECIFICATION - 01 32 16 17_DB_672-21-000_(34 Pages).docx DOCX document
S02 - SPECIFICATION - 01 35 26_DB_672-21-000_(27 Pages).docx DOCX document
S02 - Attachment_7_EMR_(MANDATORY)_DB_672-21-000_(1 Page).docx DOCX document
S02 - SPECIFICATION - 01 32 16 16_DB_672-21-000_(23 Pages).docx DOCX document
S02 - SPECIFICATION - 01 33 23_DB_672-21-000_(8 Pages).docx DOCX document
S02 - Attachment_3 Electrical Final Referenced Drawings_DB_672-21-000_(7 Pages).pdf PDF
S02 - Attachment_5_Past Performance_(MANDATORY)_DB_672-21-000_(4 Pages).pdf PDF
S03 - 36C24822R0038_2_MODIFIED PRE-SOLICITATION NOTICE 1-19-2022.docx DOCX document
S02 - SPECIFICATION - 00 11 21_DB_672-21-000_(11 Pages).docx DOCX document
36C24822R0038_1.docx DOCX document
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Text version

ATTACHMENT: 4

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

DATE:

Contractor Point of Contact

Business Name

DUNS #:

Solicitation Number: 36C24822R0038 Offerors are required to comply with 13 C.F.R. 125.6. Offerors are to check which block applies:

[ ] I certify that no subcontractors are anticipated in performing services under this contract.

[ ] I certify that my company and those anticipated subcontractors that are similarly situated, are estimated to receive at least 15% 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.

Contractor DUNs Number Description of Work COST of work in %

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.

IAW 1001 of Title 18, I certify the above representations are true and correct to the best of my knowledge.

(Prime Contractor Name and Signature)

Date

Return this certification via email attention to: Rey F. Clemente at rey.clemente@va.gov SOLICITATION 36C24822R0038 (Version 1 Dec 17, 2020)

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