Attachment B - Vendor Questionnaire.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C25726R0009
About this file
This is a Vendor Questionnaire template for a federal ambulance transportation services contract. The questionnaire requires vendors to address specific technical factors and compliance areas in their quotation packages, including ambulance fleet composition, federal/state/local compliance documentation (licensing, registration, safety standards), quality control plans, contingency plans, and dispatch procedures. Vendors must indicate the page number in their proposal where each factor is addressed and provide detailed descriptions of their approach and response to each technical requirement as outlined in the associated Performance Work Statement (PWS).
The questionnaire is part of solicitation 36C25726R0009 for BLS Ambulance Transportation Services for the Department of Veterans Affairs Texas Valley Coastal Bend Healthcare System, a Service-Disabled Veterans-Owned Small Business (SDVOSB) set-aside contract using NAICS code 621910 (Ambulance Services) with a small business size standard of $22.5 million. All areas identified in the questionnaire must be included in the complete quotation package. The template also references FAR clause VAAR 852.219-75 regarding limitations on subcontracting for services and construction, which requires vendor certification.
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Text version
Attachment B – Vendor Questionnaire for 36C25726R0009
Please indicate if vendor is unable to meet area/standard/specification within the PWS.
All areas must be included in the Quotation package including the page number where the factor is addressed.
Describe, in detail, vendor approach/response to the technical factors as they relate to the PWS.
Technical Factors
· Technical Capability
· Ambulance fleet composition Page Number: ____________
· Evidence of federal, state, and local compliance
| · Licensing | Page Number: ____________ | |
| · Registration | Page Number: ____________ | |
| · Safety standards | Page Number: ____________ |
| · Quality Control Plan | Page Number: ____________ |
| · Contingency Plan | Page Number: ____________ |
| · Dispatch Procedures | Page Number: ____________ |
/ / / / / / / End of Questionnaire / / / / / / /
FAR CLAUSE VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION certification is required.
File details come from the government source that posted it. Updated .