Attachment C Vendor Questionnaire.docx

DOCX document 24 KB Posted

Attached to
V225--BS/AMA Air Ambulance
Solicitation number
36C25725R0095
Issued by

About this file

This document is a Vendor Questionnaire for Solicitation 36C25725R0095, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17, related to an Air Ambulance contract for Amarillo and Big Springs. The questionnaire requires vendors to demonstrate technical capability across several critical areas, including ambulance fleet composition, federal/state/local compliance, licensing, registration, safety standards, quality control plan, contingency plan, and dispatch procedures.

Vendors must comprehensively address each technical factor in their quotation package, indicating the specific page number where each factor is detailed. The questionnaire serves as a structured framework for evaluating potential air ambulance service providers, ensuring they meet the comprehensive operational and regulatory requirements outlined in the Performance Work Statement (PWS). The document includes a certification requirement under FAR Clause VAAR 852.219-75, which relates to subcontracting limitations.

View the file

Other files

File Type Posted
36C25725R0095 0002.docx DOCX document
36C25725R0095 0002_1.docx DOCX document
Performance Work Statement_Revised.docx DOCX document
36C25725R0095 0001.docx DOCX document
Vendor Questions.docx DOCX document
36C25725R0095 0001_1.docx DOCX document
WD Amarillo 15-5213 Rev.28.docx DOCX document
Attachment A Cover Letter 36C25725R0095.docx DOCX document
WD Big Springs 15-5269 Rev.29.docx DOCX document
36C25725R0095_1.docx DOCX document
Attachment B - Performance Work Statement PWS.docx DOCX document
36C25725R0095.pdf PDF
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Attachment D – Vendor Questionnaire for 36C25725R0095

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 .