Attachment 4 - Organizational Conflict of Interest.pdf
PDF 3 MB Posted
- Attached to
- VISN 23 Laboratory Referral Testing Services Federal contract opportunity
- Solicitation number
- 36C26324R0072
About this file
This document is an Organizational Conflict of Interest (OCI) Certification Statement for a federal contract opportunity. The document requires the contractor to certify that there are no present, planned, or past financial, contractual, organizational, or other interests that would create an actual or potential conflict of interest relating to the services to be provided under the referenced solicitation. Alternatively, the contractor can provide a statement describing any relevant facts about past, present, or planned interests that could create a conflict of interest.
The related federal contract opportunity is for VISN 23 Laboratory Referral Testing Services. The Department of Veterans Affairs (VA) intends to procure medical laboratory and testing analysis services for the VISN 23 Midwest Healthcare System. The contract will be a single-award, five-year, fixed-price, Indefinite Delivery/Indefinite Quantity contract, with an ordering period from November 1, 2024 to October 31, 2029. The solicitation will be evaluated using a tiered approach, with priority given to SDVOSB, VOSB, and other small business concerns. The NAICS code is 621511 for Medical Laboratories, and the PSC codes are Q301 and/or Q515. All interested businesses, including large businesses, are encouraged to submit proposals during the open solicitation period.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02 - VISN 23 Lab Referral Service 36C26324R0072_0001 Update 05302024.pdf | ||
| Attachment 1 - QASP VISN Lab Referral Testing 2024_Updated.pdf | ||
| S02 - 36C26324R0072 0001 Solicitation Amendment.pdf | ||
| Attachment 6 - VA Memorandum VA Technical Reference Model_WebCIMS 447341.pdf | ||
| S02 - VISN 23 Lab Referral Service 36C26324R0072_05212024.pdf | ||
| Attachment 1 - QASP VISN Lab Referral Testing 2024.pdf | ||
| Attachment 2 - Contractor Rules of Behavior.pdf | ||
| Attachment 7 - VA Updated Security Requirement for Network Connected Medical Devices and Systems_7566605.pdf | ||
| Attachment 5 - 2024 VISN 23 Schedule of Services.xlsx | XLSX spreadsheet | |
| Attachment 3 - Immigration and Nationality Act Certification.pdf |
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Text version
SOLICITATION #:
CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT
] ____________________________________ represents that no individuals involved with the solicitation ________________________________ 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 Nebraska-Western Iowa VA Health Care System under the referenced solicitation.
None of the employees listed in the 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 Nebraska- Western Iowa VA Health Care System under the referenced solicitation.
OR
[ ] Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.
NAME OF CERTIFYING OFFICIAL
TITLE
SIGNATURE DATE
Organizational Conflicts of Interest Contractor Certification
CONTRACTOR NAME:
ADDRESS:
Attachment 4: Organizational Conflict of Interest
| Text3: |
| Contractor Company: |
| Solicitation#: |
| Address: |
| No COI affirmation: Choice1 |
| Date7_af_date: |
File details come from the government source that posted it. Updated .