Attachment A - Quoters Self Performance Worksheet.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C24825Q0148
About this file
This is a self-performance worksheet template (Attachment A) required for quoters to demonstrate compliance with FAR 52.219-14 Limitations on Subcontracting requirements for a Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside contract for duct cleaning services at Bay Pines VA Healthcare System.
The worksheet requires vendors to provide their total proposed price, amount to be paid to non-small business subcontractors, and the difference between these amounts. Vendors must list intended subcontractors with their Unique Entity IDs and subcontract values, specify work activities to be self-performed by the small business, and identify subcontracted work activities. The worksheet must be submitted with quotes even if no subcontracting is planned, and while the Contracting Officer may ask questions about responses, such communications are related to responsibility determinations rather than discussions.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24825Q0148 0003.docx | DOCX document | |
| 36C24825Q0148 0002.docx | DOCX document | |
| Attach A - Drawings Bldg 71 -2a.pdf | ||
| 36C24825Q0148 0001.docx | DOCX document | |
| Attach B - Drawings Bldg 101-all sections.pdf | ||
| WD 2015-4571 Rev 24 Dtd 7.22.24.pdf | ||
| 36C24825Q0148_1.docx | DOCX document |
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Text version
Attachment A QUOTOR’s SELF PERFORMANCE WORKSHEET
As a Small Business set-aside under Federal Acquisition Regulation (FAR) 52.219-14, Limitations on Subcontracting, Veterans Affairs Acquisition Regulation (VAAR) Limitations on Subcontracting – Monitoring and Compliance applies to this contract. To demonstrate compliance please complete this worksheet and submit with quote. The Contracting Officer may ask questions about responses on this form. Any such questions will be communications related to responsibility; it will not be considered discussions.
Vendors are required to complete this Worksheet and submit with quote. Even if you do not plan on sub-contracting out any work, you must complete this worksheet.
a) Quoter’s total proposed price (should be same amount shown in price worksheet for the total): $_______________
b) Total amount to be paid to subcontractors (non-small business): $_______________
c) The difference of the amount shown in a) minus the amount shown in b): $_____________
List of intended subcontractors for this project and the value of those subcontracts:
| Company | UEI | Amount | ||
| ________________________________ | ____________ | _$_____________ | ||
| ________________________________ | ____________ | _$_____________ |
List of “Self-Performed” work activities by the Small Business:
List of subcontracted work activities:
File details come from the government source that posted it. Updated .