36C26120Q0384-004.docx

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S201--Janitorial Service for San Bruno Community-Based Outpatient Clinic (CBOC)
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36C26120Q0384
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This document includes a worksheet for service-disabled veteran-owned small businesses to demonstrate compliance with limitations on subcontracting for a janitorial services requirement. The Department of Veterans Affairs Network Contracting Office 21 is soliciting quotes for janitorial services at the San Bruno Community-Based Outpatient Clinic located at 1001 Sneath Lane in San Bruno, California. Interested service-disabled veteran-owned small businesses and veteran-owned small businesses must respond by February 26th with their socioeconomic status, DUNS and CAGE codes, capabilities statement demonstrating similar experience, and anticipated percentage of work to be subcontracted. Solicitation number 36C26120Q0384 should be referenced in all correspondence regarding this announcement.

36C26120Q0384 Self-Performance Worksheet.docx

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36C26120Q0384-0001000.docx DOCX document
36C26120Q0384-0001001.docx DOCX document
36C26120Q0384-007.pdf PDF
36C26120Q0384-003.docx DOCX document
36C26120Q0384-005.docx DOCX document
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QUOTOR’s SELF PERFORMANCE WORKSHEET

As a Service-Disabled Veteran-Owned Small Business set-aside in accordance with VA Acquisition Regulation (VAAR) 852.219-10, Limitations on Subcontracting – Monitoring and Compliance applies in accordance with VAAR 852.219-74. To demonstrate compliance please complete this worksheet and submit with quote. The Contracting Officer may ask questions about responses on this form. Any such questions will be communications related to responsibility; it will not be considered discussions.

Vendors are required to complete this Worksheet and submit with quote.

a) Quotor’s total proposed price (should be same amount shown in price worksheet for the total): $_______________

b) Total amount to be paid to subcontractors (non-SDVOSBs): $_______________

c) The difference of the amount shown in a) minus the amount shown in b): $_____________

List of intended subcontractors for this project and the value of those subcontracts:

CompanyDUNSAmount
_____________________________________________$_____________
_____________________________________________$_____________

List of “Self-Performed” work activities by the SDVOSB (this should be consistent with the response in the technical evaluation factor):

List of subcontracted work activities:

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