Att D4 - Key Personnel and COI- VHSO.docx

DOCX document 17 KB Posted

Attached to
Q522--VHSO Teleradiology Services- Fayetteville (564) SDVOSB competitive
Solicitation number
36C25626Q0022
Issued by

About this file

Attachment D4 is a key personnel and conflicts of interest (COI) document for a teleradiology services contract with the Veterans Health Care System of the Ozarks (VHSO). The document requires the contractor to disclose and certify that the listed radiologists have no present, planned, or past financial, contractual, organizational, or other conflicts of interest related to the services being provided.

The document is part of Solicitation 36C25626Q0022, a competitive service contract for an SDVOSB (Service-Disabled Veteran-Owned Small Business) seeking to provide professional teleradiology services for radiology examinations at the Fayetteville Arkansas Health Care System. The solicitation is issued by the Department of Veterans Affairs, Network Contracting Office 16 (NCO 16), and requires contractors to identify whether key personnel are from the prime or subcontractor organization while ensuring no conflicts of interest exist.

View the file

Other files

File Type Posted
36C25626Q0022 0006.docx DOCX document
36C25626Q0022 0005.docx DOCX document
Tribal Providers - NAICS - Notice Orderch.pdf PDF
36C25626Q0022 0004.docx DOCX document
36C25626Q0022 0003.docx DOCX document
36C25626Q0022 0002.docx DOCX document
36C25626Q0022 0001.docx DOCX document
S02 RFQ 36C25626Q0022- FAYETTEVILLE TELERADIOLOGY 12 1 25 .pdf PDF
Att D7- VAAR 852.219-75.docx DOCX document
Att D6 - VHA Teleradiology Handbook.pdf PDF
Att D2 Past Performance Reference rv.pdf PDF
Att D1 Final- 36C25626Q0022 Telerad VHSO QASP 12-01.docx DOCX document
Att D5 - CONTRACTOR CERTIFICATION IMM.docx DOCX document
Att D3 - Contractor Rules of Behavior.pdf PDF
36C25626Q0022.docx DOCX document
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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 Veterans Health Care System of the Ozarks (VHSO) 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 VHSO under the solicitation/contract here in.

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

NAME (Radiologists)
Position/TITLE
PRIME OR SUBCONTRACTOR

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