ATTACHMENT D.2 - CONTRACTOR KEY PERSONNEL AND COI.pdf

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Attached to
Annual Diagnostic Physicist Survey Federal contract opportunity
Solicitation number
36C25624Q0094
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document is an attachment to a solicitation providing details on key personnel and potential conflicts of interest (COI). The solicitation is for annual diagnostic physics surveys from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The attachment requires offerors to provide names, titles, and whether employees listed are from the prime contractor or subcontractor. It also requires average weekly hours, the percentage of each employee's total effort expected to be spent fulfilling duties under the statement of work and non-VA obligations, and the hourly rate each employee would be paid. Offerors must update this attachment after award to provide actual recruited personnel information.

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Text version

NAME TITLE PRIME OR SUBCONTRACTOR

36C25624Q0094

ATTACHMENT D.2

Contractor____________________ represents that the individuals listed below for Key Personnel and Temporary Emergency Substitutions of this solicitation here in have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs (VA) under the solicitation/contract here in.

None of the employees listed below in this solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs (VA) under the solicitation/contract here in.

Please identify also, if they are an employee of the prime or subcontractor.

ATTACHMENT D.2

Provide the number of hours worked weekly by each employee. Do not limit the response to the number of hours expended or expected to be spent at VA; provide the total number of hours worked weekly by the staff including time spent in research, clinical, administrative, and other duties.

Provide the expected percentage of total effort for each proposed staff member that will be provided fulfilling the duties and responsibilities specified in the Statement of Work.

Additionally, provide the percentage of total effort that each proposed employee will be expected to spend fulfilling non-VA obligations. This can be expressed as a percentage of the employee's total annual effort.

Lastly, provide the hourly rate that each proposed employee would be paid providing these services.

EMPLOYEE'S

NAME

AVERAGE

WEEKLY

HOURS

PERCENT OF

EFFORT –VA

PERCENT OF

EFFORT –

PRACTICE

GROUP

HOURLY RATE

THAT THE

EMPLOYEE

WILL BE PAID

NOTE: This attachment shall be updated after contract award once the Offeror has had an attempt to recruit existing employees.

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