ATT D4 KEY PERSONNEL- Conflict of Interest.docx

DOCX document 16 KB Posted

Attached to
Q515--Contract Staffing Medical Technologist(s) Federal contract opportunity
Solicitation number
36C25622Q0569
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document is an attachment for a solicitation listing key personnel for a contract staffing medical technologists. The attachment represents that the individuals listed for key personnel and temporary emergency substitutions have no present or planned conflicts of interest relating to the services provided to the Southeast Louisiana Veterans Health Care System under the contract. It requires identification of whether the key personnel are employees of the prime contractor or subcontractor.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 to provide medical technologist/clinical laboratory scientist contract staffing. The solicitation number is 36C25622Q0569 and is for contract staffing of medical technologists.

View the file

Other files for this federal contract opportunity

Other files attached to Q515--Contract Staffing Medical Technologist(s), newest first.
File Type Posted
ATT D2 QASP MT-CLS.docx DOCX document
ATT D1 VA Equipment listing for MT-CLS.xlsx XLSX spreadsheet
ATT D3 CONTRACTOR CERTIFICATION IMM.docx DOCX document
ATT D5 Wage Det 2015-5189 rev 22 dtd 3-15-2022.pdf PDF
36C25622Q0569.docx DOCX document

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Text version

ATTACHMENT D4

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 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 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 .