36C25620Q0018-002.pdf

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Annual Physics Survey Imaging Equipment | MEDVAMC Houston
Solicitation number
36C25620Q0018
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This combined synopsis and solicitation is seeking quotes for annual physics survey services of imaging equipment at the Michael E. DeBakey VA Medical Center in Houston, Texas. Quotes are due by November 15, 2019 for a one-year contract to inspect all radiographic equipment and provide necessary labor, materials, documentation and personnel. The contract includes four one-year option periods. The requirement is set aside exclusively for Service-Disabled Veteran Owned Small Businesses. Quotes must include completed forms for contract administration, pricing, and relevant experience. The associated NAICS code is 541690 and the small business size standard is $16.5 million.

36C25620Q0018 ATTACHMENT A Relevant Experience Form - 36C25620Q0018.pdf

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36C25620Q0018 Michael E. DeBakey VA Medical Center (MEDVAMC) Annual Physics Survey Imaging Equipment

Attachment A Relevant Experience Form

Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing contracts that began more than 5 years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Number and Effective Date

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request For Quote documents. Attach separate sheet if additional space is needed.)

Contract #2

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request

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