36C77619R0010-012.docx
DOCX document Posted
- Attached to
- Synopsis for Human Factor Services Federal contract opportunity
- Solicitation number
- 36C77619R0010
About this file
This document contains a pre-solicitation notice and performance work statement for human factors engineering support services. The Department of Veterans Affairs seeks proposals for an indefinite delivery indefinite quantity multiple award contract to Service Disabled Veteran Owned Small Businesses. The scope of work includes human factors engineering support across initiatives such as the Electronic Health Record Modernization, Connected Care tools, and various VA administrations and programs. The contract period is for five years with an anticipated award date of September 3, 2019. Offerors must submit proposals via email and be registered in the System for Award Management database and VA's Vendor Information Pages registry.
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.
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