36C26118R0080-005.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- Temporary Nursing Staff for San Francisco VA Medical Center and VA Northern California Health Care System
- Solicitation number
- 36C26118R0080
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36C26118R0080 Sol Attachment B Staffing Plan.xlsx
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Registered Nurses
| Attachment B: Sub-factor 2 Staffing Information | ||||
| Use this Tab to List Registered Nurses. You must provide all information requested for at least 10 RNs. You should identify additional RNs if you have more than 10 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 | Which Facility(ies) | Residence of the Employee or Prospective Employee |
| Jane Do | 10/3/17 | 1/1/13 | Martinez, Mather, Travis AFB | Concord |
Licensed Practical Nurses
| Attachment B: Sub-factor 2 Staffing Information | ||||
| Use this Tab to List Licensed Practical Nurses. You must provide all information requested for at least 10 LPNs. You should identify additional LPNs if you have more than 10 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 | Which Facility(ies) | Residence of the Employee or Prospective Employee |
| Jill Do | 10/3/17 | 1/1/13 | Martinez, Mather, Travis AFB | Concord |
Nursing Assistants
| Attachment B: Sub-factor 2 Staffing Information | ||||
| Use this Tab to List Nursing Assistants. You must provide all information requested for at least 20 Nursing Assistants. You should identify additional Nursing Assistants if you have more than 20 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 | Which Facility(ies) | Residence of the Employee or Prospective Employee |
| John Do | 10/3/17 | 1/1/13 | Martinez, Mather, Travis AFB | Concord |
Surgical Technologists
| Attachment B: Sub-factor 2 Staffing Information | ||||
| Use this Tab to List Surgical Technologists. You must provide all information requested for at least 10 Surgical Technolgists. You should identify additional Surgical Technologists if you have more than 10 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 | Which Facility(ies) | Residence of the Employee or Prospective Employee |
| Josh Do | 10/3/17 | 1/1/13 | Martinez, Mather, Travis AFB | Concord |
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