36C26320R0023-007.pdf
PDF Posted
- Attached to
- Opticians- Specialty Care - Mpls Federal contract opportunity
- Solicitation number
- 36C26320R0023
About this file
This document contains a pre-solicitation notice for optician services. The Department of Veterans Affairs Medical Center in Minneapolis is seeking proposals for a firm-fixed price contract to provide three opticians to dispense and fit eyeglasses and frames for veterans. The base period of the contract is 12 months, with four additional 12-month option periods. Services are required at the Minneapolis VA Health Care System location. Opticians will verify prescriptions, measure patients, make repairs and adjustments, perform measurement tasks, document records, and provide patient education. Questions regarding the pre-solicitation notice must be submitted in writing by the specified dates. The solicitation is scheduled for release on October 25, 2019 and will be posted on FedBizOpps.
36C26320R0023 6. D.6 Organizational Conflict of Interest.pdf
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C26320R0023-006.pdf | ||
| 36C26320R0023-005.pdf | ||
| 36C26320R0023-004.pdf | ||
| 36C26320R0023-003.pdf | ||
| 36C26320R0023-001.docx | DOCX document | |
| 36C26320R0023-002.pdf | ||
| 36C26320R0023-002.pdf | ||
| 36C26320R0023-001.docx | DOCX document | |
| 36C26320R0023-000.docx | DOCX document | |
| 36C26320R0023-000.docx | DOCX document |
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Text version
D.6 – Attachment 6
Organizational Conflicts of Interest
[CONTRACTOR NAME]
[ADDRESS]
SOLICITATION # 36C26320R0023, Optician Services, Minneapolis VAHCS
CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT
[ ] ____[CONTRACTOR NAME]________________ represents that the individuals listed in the Key Personnel section of the solicitation 36C26320R0023, Optician Services, have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Minneapolis VA Health Care System under the referenced solicitation.
None of the employees listed in the solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Minneapolis VA Health Care System under the referenced solicitation.
OR
[ ] Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.
NAME OF CERTIFYING OFFICIAL TITLE
SIGNATURE DATE
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