36C77619R0010-012.docx
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- Attached to
- Synopsis for Human Factor Services Federal contract opportunity
- Solicitation number
- 36C77619R0010
About this file
This document provides a contractor personnel change form template and synopsis for a solicitation seeking human factors engineering support services. The Department of Veterans Affairs seeks proposals for multiple awards of indefinite delivery indefinite quantity contracts to provide human factors engineering support for initiatives including the Electronic Health Record Modernization, Connected Care tools, and various VISN and field office digital solutions. Offerors must be verified as Service Disabled Veteran Owned Small Businesses. The anticipated contract period is five years. The solicitation numbered 36C77619R0010 is expected to be posted on September 3, 2019, with proposals due via email.
36C77619R0010 Attachment H - Contractor Personnel Change Form.docx
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Text version
CONTRACTOR PERSONNEL CHANGE FORM
| Contractor/Vendor: |
| Purchase Order # /Contract #: |
| Project: |
| Vendor POC: |
| Vendor POC Phone No: |
| Date Submitted: |
| Personnel to be Added |
| New Personnel Work Address and Phone Number (If working remote, state remote address and telephone number). |
| Personnel to be Replaced |
| Proposed Effective Date |
| Project Role |
| Labor Category |
| Hourly Labor Rate |
| Hour Cap (amount) |
| Resume Meets Qualifications? |
Reason:
Comments/Special Instructions:
The contractor is responsible for updating the background investigation template as personnel are added to the order. The contractor must submit the updated template to the contracting officer within five business days after the added personnel are approved by the PM and COTR. The background investigation forms and fingerprinting must be completed within five (5) business days of the personnel being added to the order.
File details come from the government source that posted it. Updated .