36C26118Q0132-002.xlsx

XLSX spreadsheet 17 KB Posted Dec 4, 2017

Attached to: Staffing Registry (Nursing Support and General Clinical Tech)
Solicitation number: 36C26118Q0132
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26118Q0132 D.1 Staffing Plan 02.xlsx

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Registered Nurses

Attachment D.1 Sub-factor 2 Staffing Information
Use this Tab to List Registered Nurses. You must provide all information requested for at least 5 RNs. You should identify additional RNs if you have more than 5 available for this project. (Use other tabs for the other labor classifications.) Be sure to provide this completed document with your proposal submission by the due date/time identified in the solicitation.
Name of Employee or Prospective Employee	Start Date with Company or Proposed Start Date with attached Letter of Commitment Signed by Employee	Copy of License Attached and Date of Licensure	Residence of the Employee or Prospective Employee
Jane Do	10/3/17	1/1/13	Concord

Licensed Practical Nurses

Attachment D.1 : Sub-factor 2 Staffing Information
Use this Tab to List Licensed Practical Nurses. You must provide all information requested for at least 5 LPNs. You should identify additional LPNs if you have more than 5 available for this project. (Use other tabs for the other labor classifications.) Be sure to provide this completed document with your proposal submission by the due date/time identified in the solicitation.
Name of Employee or Prospective Employee	Start Date with Company or Proposed Start Date with attached Letter of Commitment Signed by Employee	Copy of License Attached and Date of Licensure	Residence of the Employee or Prospective Employee
Jill Do	10/3/17	1/1/13	Concord

Nursing Assistants

Attachment D.1: Sub-factor 2 Staffing Information
Use this Tab to List Nursing Assistants. You must provide all information requested for at least 5 Nursing Assistants. You should identify additional Nursing Assistants if you have more than 5 available for this project. (Use other tabs for the other labor classifications.) Be sure to provide this completed document with your proposal submission by the due date/time identified in the solicitation.
Name of Employee or Prospective Employee	Start Date with Company or Proposed Start Date with attached Letter of Commitment Signed by Employee	Copy of License Attached and Date of Licensure	Residence of the Employee or Prospective Employee
John Do	10/3/17	1/1/13	Concord

Surgical Technologists

Attachment D.1: Sub-factor 2 Staffing Information
Use this Tab to List Surgical Technologists. You must provide all information requested for at least 4 Surgical Technolgists. You should identify additional Surgical Technologists if you have more than 4 available for this project. (Use other tabs for the other labor classifications.) Be sure to provide this completed document with your proposal submission by the due date/time identified in the solicitation.
Name of Employee or Prospective Employee	Start Date with Company or Proposed Start Date with attached Letter of Commitment Signed by Employee	Copy of License Attached and Date of Licensure	Residence of the Employee or Prospective Employee
Josh Do	10/3/17	1/1/13	Concord

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