Att D4 - Key Personnel and COI.docx

DOCX document 17 KB Posted

Attached to
Onsite Phlebotomy Services- Houston, TX
Solicitation number
36C25626Q0476
Issued by

About this file

This is a Key Personnel and Conflict of Interest (COI) certification attachment for a federal contract solicitation. The document requires the contractor to certify that all Key Personnel and Temporary Emergency Substitutes identified for the phlebotomy services contract have no present, planned, or past financial, contractual, organizational, or other conflicts of interest relating to the services to be provided to the Michael E. DeBakey VA Medical Center (MEDVAMC). The certification must comply with VAAR 852.209-70 regarding Organizational Conflict of Interest requirements. The attachment includes a table format for contractors to list phlebotomist positions by name and title, and to identify whether each individual is employed by the prime contractor or a subcontractor.

The underlying solicitation (36C25626Q0476) is for Onsite Phlebotomy Services in Houston, Texas, requiring 33,280 phlebotomist hours per year with an option to increase by an additional 11,050 hours through contract modification to support health care services for Veterans at the Michael E. DeBakey VA Medical Center. The work is being procured by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.

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ATTACHMENT D4- Key Personnel and COI 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 Michael E. DeBakey VAMC under the solicitation/contract here in and in accordance with VAAR 852.209-70 Organizational Conflict of Interest (COI).

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 MEDVAMC under the solicitation/contract here in.

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

NAME (Phlebotomists)
Position/TITLE
PRIME OR SUBCONTRACTOR

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