Attachment C Vendor Questionnaire.docx

DOCX document 20 KB Posted

Attached to
Central Texas VA- BLS, CCT and ALS Ambulance Transportation
Solicitation number
36C25725R0077
Issued by

About this file

This document is a Vendor Questionnaire for Solicitation 36C25725R0077, issued by the Veterans Affairs West Texas VA Health Care System for Central Texas Veterans Health Care System (CTVHCS) Ambulance Transportation services. The solicitation is a Total Service-Disabled Veterans Owned Small Business (SDVOSB) set-aside for commercial ambulance services, with a NAICS code of 621910 and a small business size standard of $22.5 Million.

The Vendor Questionnaire requires detailed responses across several technical factors, including ambulance fleet composition, federal/state/local compliance, licensing, registration, safety standards, quality control plan, contingency plan, and dispatch procedures. Vendors must indicate their ability to meet each area specified in the Performance Work Statement (PWS) and provide page references for where each factor is addressed in their quotation package. The procurement is for a Firm-Fixed Price Service contract, and vendors must complete a certification of compliance for services.

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Text version

Attachment D – Vendor Questionnaire for 36C25725R0077

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

· LicensingPage Number: ____________
· RegistrationPage Number: ____________
· Safety standardsPage Number: ____________
· Quality Control PlanPage Number: ____________
· Contingency PlanPage Number: ____________
· Dispatch ProceduresPage 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 .