ATT D.3 KEY PERSONNEL.docx

DOCX document 17 KB Posted

Attached to
Q999--Onsite Audiologists and Audiology Health Technician Services
Solicitation number
36C25625Q0667
Issued by

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This document is an Attachment D.3 Key Personnel form for a federal contract opportunity involving audiologist services at the Baton Rouge Community-Based Outpatient Clinic (CBOC) under the Southeast Louisiana Veterans Health Care System. The form requires contractors to disclose and represent that proposed key personnel have no present, planned, or past financial, contractual, organizational, or other conflicts of interest related to the solicitation. The document provides a template for listing key personnel names, positions/titles, and their employment status (prime or subcontractor), with the intent of ensuring transparency and potential conflict identification in the staffing approach for the audiologist services contract.

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Other files

File Type Posted
36C25625Q0667 0002.docx DOCX document
36C25625Q0667 0001.docx DOCX document
36C25625Q0667.docx DOCX document
ATT D.1 QASP.docx DOCX document
ATT D.4 CONTRACTOR CERTIFICATION.docx DOCX document
ATT D.2 Wage Determination 20155177 rev 26 12232024.pdf PDF

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ATT D3

Contractor____________________ represents that the individuals listed below for Key Personnel and Temporary Emergency Substitutions of this solicitation here in 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 (Baton Rouge CBOC) under Southeast Louisiana Veterans Health Care System under the solicitation/contract here in.

None of the employees listed below in this 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 (Baton Rouge CBOC) under Southeast Louisiana Veterans Health Care System under the solicitation/contract here in.

Please identify also, if they are an employee of the prime or subcontractor.

NAME of Key Personnel
Position/TITLE
PRIME OR SUBCONTRACTOR

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