E.4 Responsibility Questionnaire.pdf

PDF 106 KB Posted

Attached to
Recovery Audit Contractor (RAC) Regions 3, 4, & 5 Federal contract opportunity
Solicitation number
75FCMC25RJ003
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

This is a Responsibility Questionnaire (Attachment E.4) for solicitation 75FCMC25RJ003 for Recovery Audit Contractor (RAC) services in Regions 3, 4, & 5. The questionnaire requires detailed responses from offerors to demonstrate their capability and responsibility to perform the contract.

The document contains seven questions addressing: financial resources and capability, ability to meet delivery/performance schedules while managing existing commitments, past performance record, integrity and business ethics status (including verification of non-debarment), organizational experience and controls, technical equipment and facilities, and overall eligibility under applicable regulations. Offerors must provide substantive responses beyond yes/no answers and include supporting documentation references such as proposals and websites. The questionnaire is designed to help the Contracting Officer make responsibility determinations in accordance with FAR 9.104-3(a).

View the file

Other files for this federal contract opportunity

Other files attached to Recovery Audit Contractor (RAC) Regions 3, 4, & 5, newest first.
File Type Posted
Solicitation - 75FCMC25RJ003.zip ZIP file
J.1 Statement of Work RAC 3-5.pdf PDF
Solicitation - 75FCMC25RJ003.pdf PDF
J.1 Statement of Work (SOW) RAC 3-5 (track changes Q&A 01).pdf PDF
E.2 Q&A - Responses to Draft RFP, Amend.01.pdf PDF
E.7 Section L - Instructions, Conditions, and Notices to Offerors or Respondents.pdf PDF
E.8 Section M – Evaluation Factors for Award.pdf PDF
E.2 Q&A Template, Draft RFP Amend.01.xlsx XLSX spreadsheet
E.1 Proposed Contingency Fee.xlsx XLSX spreadsheet
Att. A Draft RFP 75FCMC25RJ003, Amend. 01.pdf PDF
J.2 Contractor-Offeror Conflict of Interest.pdf PDF
Draft RFP Amend. 01 Notice.pdf PDF
E.3 Virus Detection Certification.pdf PDF
E.6 Subcontractor Proposal Checklist.pdf PDF
E.5 Prime Proposal Checklist.pdf PDF
J.1 Statement of Work (SOW) RAC 3-5.pdf PDF
J.1 Statement of Work (SOW) RAC 3-5 (track changes for Q&A).docx DOCX document
E.2 Q&A Template.xlsx XLSX spreadsheet
E.2 Q&A- Responses to Draft RFP.pdf PDF
Draft RFP Notice.pdf PDF
J.1 Statement of Work (SOW) RAC 3-5.docx DOCX document
Draft RFP 75FCMC25RJ003.docx DOCX document
E.2 Q&A Template.xlsx XLSX spreadsheet
Show all 23

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Text version

Attachment E.4

75FCMC25RJ003

RAC REGION 3, 4, & 5

Responsibility Questionnaire

The Offeror must provide detailed responses (not just yes/no) to support their answer.

Solicitation Number: 75FCMC25RJ003

Offeror Name/Address:

In order to facilitate the Contracting Officer’s determination of responsibility as required in accordance with FAR 9.104-3(a), please provide responses to the questions below. Responses shall be supported by appropriate explanations and where substantiating information can be found, i.e. proposal, websites, etc.

1. Does your firm have adequate financial resources to perform the contract, or the ability to obtain them (see 9.104-3(a)?

Offeror Response:

2. Does your company have ability to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments?

3. Does your company has a satisfactory performance record (see 9.104-3(b) and Subpart

42.15) and/or address any negative past performance ratings received?

4. Does your company have a satisfactory record of integrity and business ethics (for example, see Subpart 42.15); support your confirmation by indicating that your firm is not on a debarred list, OIG list, or the Federal Contractor Misconduct Database?

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/09.htm#P34_4819#P34_4819 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/42.htm#P741_105200 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/42.htm#P741_105200 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/42.htm#P741_105200

B9XI

Draft

Attachment E.4

75FCMC25RJ003

RAC REGION 3, 4, & 5

5. Does your company have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them to provide the services to be performed (See 9.104-3 (a)?

6. Does your company have the necessary technical equipment and facilities, or the ability to obtain them (see 9.104-3(a)); to provide the required services?

7. Is your company otherwise qualified and eligible to receive an award under applicable laws and regulations?

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