ATTACHMENT 3 KEY PERSONNEL LISTING.docx

This is a Key Personnel Listing template attachment for a federal solicitation requiring bidders to identify and document their proposed key personnel for contract performance.

The template requires contractors to submit a table listing the last name, first name, title, and function of all key personnel assigned to the contract. Accompanying the personnel listing, bidders must provide: (1) qualification documents including any required credentialing licenses applicable to the proposed staff, and (2) certification that all proposed personnel have been verified as not appearing on the Office of Inspector General (OIG) Exclusions Program list, as required under Social Security Act Section 1128 (42 U.S.C. 1320a-7). The OIG verification must reference the Online Searchable Database accessible at https://exclusions.oig.hhs.gov. This attachment applies to the VA Portland Healthcare System's solicitation for supplemental teleradiology provider services (Solicitation 36C26026Q0869), set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), with performance period September 1, 2026 through August 31, 2027.