Attachment 0001 - DSI Rocket-INCOMPLETE.docx

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Attached to
DA10--22-SW0022 CCA (Rocket)(SW0668-SW0670) -Maintenance Recompete Renewal) (VA-22-00001478)
Solicitation number
36C10B21Q0408
Issued by

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File Type Posted
JA Rocket revised for brand name Final to post.pdf PDF
36C10B21Q0408 0001.pdf PDF
36C10B21Q0408_2.docx DOCX document
36C10B21Q0408 FINAL to Post.pdf PDF
JA Rocket to post with RFQ.pdf PDF
36C10B21Q0408_1.docx DOCX document

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Text version

Deliverable Support Information Form For VA Use Only:

1. Manufacturer

Computer Corporation of America CCA) - Rocket

2. Awardee

3. Product Name Description

22-SW0022 CCA (Rocket) (SW0668-SW0670) -Maintenance Recompete (Renewal)

4. Purchase Type(s)

Software

5. Fiscal Year

6. Contract #

7. Task/Delivery Order #

8. VA Purchase Order #

9. Performance Start Date

10/1/2021

10. Performance End Date

9/30/2022

11. End Date (Including All Options)

12. Contracting Officer Rep

Sharlana Dillard Sharlana.Dillard@va.gov (512) 326-6299

13. Customer Portal (TAC ID)

VA-22-00001478

14. Change Order #

Not Applicable

Vendor Fillable Fields (To Be Completed by Awardee):

15. Coverage

Choose an item.

16. Type of Support

Choose an item.

17. End of Life Date

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18. End of Service Life Date

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19. Level of Service

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20. Manufacturer Contract #

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21. Technical Support Name

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22. Technical Support Phone

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23. Technical Support Email

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24. Technical Support Website

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25. Hardware Serial Numbers

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26. Software Serial Numbers

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27. SW Licensing Key(s)

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28. Comments/Add’l Info Required for Support

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29. Completed By Name

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30. Completed By Phone

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31. Completed By Email

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32. Attachment(s)

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Instructions – Deliverable Support Information Form Block 1-14 to be Completed by VA ITAM SW Team Personnel

Blocks 15-32 to be Completed by Awardee

15. Coverage
List the Coverage being provided as part of this contract (in hours/day-days/week-response time in hours format). Example: 24x7, 8x5x2. If coverage varies by CLIN, please attach additional information outlining the coverage for each CLIN and note the attachment in Block 32.
16. Type of Support
List the type of support being provided as part of this contract. Example: Telephone, Online, Updates, Upgrades, Email. Chose the most complete response. If the Type of Support varies by CLIN, please attach additional information outlining the Type of Support for each CLIN and note the attachment in Block 32.
17. End of Life Date
Provide the Date the asset will reach its end of life (if applicable).
18. End of Service Life Date
Provide the Date the OEM will no longer provide updates & firmware or will no longer maintain the asset (if applicable).
19. Level of Service
List the level of service being provided. Example: Platinum, Premium, Gold. IF the Level of Service varies by CLIN, please attach addition information outlining the Level of Service for each CLIN and note the attachment in Block 32. (If correct response is not available in pull-down menu, please type in the correct response).
20. Manufacturer Contract #
Provide the Contract number between the Awardee and the OEM (if applicable).
21. Technical Support Name
Provide the name of the technical support contact.
22. Technical Support Phone
Provide the telephone number that VA personnel should use to contact the OEM for support. Include appropriate extensions (if applicable).
23. Technical Support Email
Provide the email address that VA personnel can contact for support (if applicable).
24. Technical Support Website
Provide the Web address that VA personnel can use to access support (if applicable).
25. Hardware Serial/Part #(s)
List the Serial numbers by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.
26. Software Serial/SKU#(s)
List the Serial numbers by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.
27. SW Licensing Key(s)
List the Software Licensing Key(s) by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.
28. Comments/Addl. info required to contact support
Add any additional information that the will be required for VA personnel to obtain support.
29. Completed By (Name)
List the Name of the person that provided the information contained on this form and who can be contacted in case additional information is needed.
30. Completed By (Phone)
Provide the telephone number of the person completing this form.
31. Completed By (Email)
Provide the email address of the person completing this form.
32. Attachment(s)
Provide any additional attachments that may be needed to obtain support and/or any attachments referenced in in Blocks 15-31.

ITAM SW Deliverable Support Information Form v1.0 10/04/2018 Page: 2 of 2

ITAM SW Deliverable Support Information Form v1.0 10/04/2018 Page: 2 of 2

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