ATTACHMENT 3 KEY PERSONNEL LISTING.docx

DOCX document 302 KB Posted

Attached to
Q509--BOI Acute Bedside Dialysis Contract 5-Year IDIQ: 06/01/2026 - 05/31/2031
Solicitation number
36C26026Q0204
Issued by

About this file

This is a Key Personnel Listing template attachment requiring contractors to identify and document their proposed staff for the contract award. The template requests last name, first name, title, and function for each key personnel member. Contractors must provide qualification documents for any credentialing licenses applicable to the proposed staff. Additionally, all proposed staff must be verified as not appearing on the Office of Inspector General (OIG) Exclusions Program list in accordance with Social Security Act Section 1128 (42 U.S.C. 1320a-7), with certification required through the Online Searchable Database available at https://exclusions.oig.hhs.gov. The file includes a reference image indicating where to access the OIG exclusions database for verification purposes.

This is a standard federal contracting compliance document applicable to the Q509 Acute Bedside Dialysis Contract IDIQ (Solicitation 36C26026Q0204) being procured by the Department of Veterans Affairs Network Contracting Office 20 for the Boise VA Medical Center. The attachment ensures that vendors proposed for key positions meet credentialing requirements and pass federal exclusion screening, which is mandatory for healthcare service contracts under VA authority.

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Other files

File Type Posted
ATTACHMENT 5 CONTRACTOR EMPLOYEE LEGAL STATUS.docx DOCX document
ATTACHMENT 1 PERFORMANCE WORK STATEMENT.docx DOCX document
36C26026Q0204.docx DOCX document
ATTACHMENT 7 CONTRACTOR RULES OF BEHAVIOR.docx DOCX document
ATTACHMENT 8 PRICE COST SCHEDULE.docx DOCX document
ATTACHMENT 6 ORGANIZATIONAL CONFLICT OF INTEREST STATEMENT.docx DOCX document
ATTACHMENT 4 PAST PERFORMANCE REFERENCES.docx DOCX document
ATTACHMENT 2 QASP .docx DOCX document

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ATTACHMENT 3: KEY PERSONNEL LISTING

LAST NAME
FIRST NAME
TITLE
FUNCTION

Note: Please include the following:

1. Qualification documents for credentialing licenses, if applicable.

2. Office of Inspector General (OIG) Exclusions Program: require certification that proposed staff have been verified as not appearing on OIG list (from Online Searchable Database): https://oig.hhs.gov/exclusions/index.asp – in accordance with Social Security Act 1128, 42 U.S.C. § 1320a-7.

click https://exclusions.oig.hhs.gov image1.png

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