Attachment 2 Veteran Beneficiary Responsibilities .docx
DOCX document 14 KB Posted
- Attached to
- V231--York FY21 HOPTEL Program LT 626
- Solicitation number
- 36C24921Q0025
About this file
This is a solicitation for hotel rooms to support a Veteran patient care lodging program. The Alvin C. York VA Medical Center seeks a vendor to provide 40 hotel rooms per week within 10 miles of its facility, with estimated daily room quantities provided. The base period of performance is from January 1, 2021 through September 30, 2021, with four optional one-year extensions. Services include fully furnished rooms meeting accessibility and building requirements, with breakfast, parking, and on-call transportation included in the daily room rate. Quotes are due by November 10, 2020 and award will be made based on best value considering technical acceptability, past performance, and price. The solicitation is set aside for Service-Disabled Veteran Owned Small Businesses and is subject to limitations on subcontracting and past performance requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24921Q0025 0001.docx | DOCX document | |
| 36C24921Q0025.docx | DOCX document | |
| Attachment 1 HOPTEL Voucher.docx | DOCX document |
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Text version
Attachment 2
VETERAN BENEFICIARY RESPONSIBILITIES
By signing this form, I am confirming that I have read and understand the responsibilities listed below:
1. I am personally responsible for expenses incurred beyond the terms of the contract (i.e. room service, damages, entertainment purchases, laundry services, long distance calls, etc.)
2. Disruptive behavior (i.e. too much noise, theft, vandalism, etc.) could result in my removal from the ACYVAMC HOPTEL Program.
3. I understand that if have an allowed guest(s), the ACYVAMC will not be responsible for any expenses incurred (i.e. meals, supplies, any other costs, etc.)
4. I understand that my pets cannot stay with me at the hotel, except for a Licensed Service Animal.
5. If for any reason, I am admitted to the ACYVAMC or any medical center for medical care, the authorized stay is no longer valid and any allowed guest(s) that are residing with me during the authorized period / stay may remain at the contractor’s motel / hotel but at his or her own expense.
6. I understand that I am personally responsible for my own valuables and clothing.
7. If I require emergency medical care while being lodged, I am responsible for taking appropriate action, such as calling 911 or reporting to the TN Valley Healthcare System VAMC’s Emergency Department.
8. I understand that I must provide my own transportation to and from my appointments while being lodged unless provided by the motel / hotel. By law, VA transportation can only be provided for those Veterans who meet the eligibility and medical criteria for special mode transportation.
Veteran Beneficiary Printed Name:
Veteran Beneficiary Signature: ___________________________________________
File details come from the government source that posted it. Updated .