Attachment A - Quoters Self Performance Worksheet.docx

DOCX document 14 KB Posted

Attached to
9340--Exterior Glass Panel Replacement for Lee County VA Health Care Clinic
Solicitation number
36C24825Q0400
Issued by

About this file

Attachment A is a Quoters Self Performance Worksheet for a small business set-aside contract related to exterior glass panel replacement at a Lee County VA Health Care Clinic. The worksheet requires vendors to demonstrate compliance with federal subcontracting limitations by documenting their total proposed price, amounts to be paid to subcontractors, and listing intended subcontractors and self-performed work activities.

The solicitation (36C24825Q0400) is specifically designated as a Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside opportunity issued by the Department of Veterans Affairs Veterans Health Administration. Potential contractors must be registered in the System for Award Management (SAM) and VetCert database, with free registration available at https://www.sam.gov and https://veterans.certify.sba.gov/#home. Compliance with registration requirements is mandatory for contract award eligibility.

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Other files

File Type Posted
36C24825Q0400 0002.docx DOCX document
Appendix B.pdf PDF
East End Windows.pdf PDF
Records Management Contract Language.pdf PDF
36C24825Q0400 0001.docx DOCX document
Windows_Picture.pdf PDF
App A PO Comments-Contractor on Site Training Not Required.pdf PDF
36C24825Q0400_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:

CompanyUEIAmount
_____________________________________________$_____________
_____________________________________________$_____________

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 .