Attachment B Vendor Questionnaire Amended1 dtd 5-19-2026.pdf

PDF 132 KB Posted

Attached to
V999--Wheelchair Transportation Services for Dallas VA Medical Center
Solicitation number
36C25726R0014
Issued by

About this file

This is a Vendor Questionnaire (Attachment B) for federal contract opportunity 36C25726R0014 that requires vendors to provide detailed responses addressing three primary technical factors outlined in the Performance Work Statement (PWS).

Vendors must describe their phase-in transition plan to prepare for service startup within a required 30-day period following contract award, including specific actions and timelines. The questionnaire requires submission of a proposed fleet breakdown with accompanying staffing plan and dispatch procedures in accordance with PWS paragraphs 4.4 and 4.5, as well as a detailed Quality Control Plan per PWS paragraph 6.1. Additionally, vendors must provide written attestation that contractor personnel will comply with personnel requirements specified in PWS paragraph 4.3. All proposal responses must include page number references indicating where each factor is addressed. The questionnaire also requires two separate certifications: one certifying full compliance with VAAR 852.216-75 regarding economic price adjustment for fuel surcharge, with the signatory confirming readiness to monitor fuel prices and implement adjustments; and a second certification for VAAR 852.219-75 regarding VA limitations on subcontracting for services and construction. Both certifications require printed name, title, signature, and date of the authorized signee.

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Text version

Attachment B – Vendor Questionnaire for 36C25726R0014

Please indicate if the vendor is unable to meet the area/standard/specification within the

PWS.

All areas must be included in the Proposal package, including the page number where the factor is addressed.

Describe, in detail, the vendor's approach/response to the technical factors as they relate to the PWS.

Technical Factors a.) Upon Award, the awardee will have a “30-day phase-in period” to get ready to start services.

Provide a phase-in transition plan describing the actions that will be taken to get ready to start services on time. Page Number(s): _______ b.) Proposed Fleet Breakdown including Staffing Plan and Dispatch Procedures IAW PWS paragraphs 4.4 & 4.5. Page Number(s): ____ c.) Quality Control Plan IAW PWS paragraph 6.1 Page Number(s): ____

Attestation of knowledge that personnel will adhere to requirements in PWS paragraph 4.3 Contractor Personnel Requirements.

(Signature)

Certification for VAAR 852.216-75 Economic Price Adjustment – Fuel Surcharge (NOV 2021).

I hereby certify that this proposal fully complies with VAAR 852.216-75. I further certify that I confirm readiness to monitor fuel prices, submit timely notifications, and implement adjustments as prescribed in VAAR 852.216-75 Economic Price Adjustment – Fuel Surcharge (NOV 2021).

Printed Name of Signee: ____________________

Printed Title of Signee: ______________________

Signature: _________________________

Date: ______________

FAR CLAUSE VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON

SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND

CONSTRUCTION certification is required.

/ / / / / / / End of Questionnaire / / / / / / /

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