DRAFT Attachment B Vendor Questionnaire.docx

DOCX document 25 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 template for wheelchair transportation services solicitation 36C25726R0014. Vendors responding to this pre-solicitation must complete the questionnaire and include all responses in their quotation package with corresponding page numbers. The questionnaire requires vendors to address technical capability factors including evidence of federal, state, and local compliance; driver licensing and registration; safety standards; quality control plans; contingency procedures; and dispatch procedures. Vendors must certify their ability to meet all areas and specifications outlined in the Performance Work Statement (PWS) or clearly indicate any inability to meet specific requirements. The questionnaire also requires certification of compliance with VA Notice of Limitations on Subcontracting (FAR Clause VAAR 852.219-75) for services and construction.

The underlying solicitation 36C25726R0014 is for non-emergency wheelchair transportation services supporting the Dallas VA Medical Center across a 47-county service area in North Texas and southern Oklahoma. Services must be available 24/7 including weekends and holidays on an as-needed basis, with the contractor providing all vehicles, personnel, management, supplies, equipment, and reporting. This is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside with a pre-solicitation conference scheduled for February 18, 2026, and the formal Request for Proposals anticipated for March 1, 2026. Interested vendors must email Anitra Carter and Astrid McKinney by February 13, 2026 at noon CT to attend the conference.

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Other files

File Type Posted
DRAFT RFP 36C25726R0014.pdf PDF
DRAFT Attachment A Cover Letter.docx DOCX document
36C25726R0014_4.docx DOCX document
36C25726R0014_3.docx DOCX document

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Text version

Attachment B – Vendor Questionnaire for 36C25726R0014

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

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

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

Technical Factors

· Technical Capability

· Evidence of federal, state, and local compliance and driver requirements

· LicensingPage Number: ____________
· RegistrationPage Number: ____________
· Safety standardsPage Number: ____________
· Quality Control PlanPage Number: ____________
· Contingency PlanPage Number: ____________
· Dispatch ProceduresPage Number: ____________

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

FAR CLAUSE VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION certification is required.

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