ATTACHMENT D.2 - CONTRACTOR KEY PERSONNEL AND COI.pdf
PDF 291 KB Posted
- Attached to
- General Surgeon Per Procedure Fayetteville, AR
- Solicitation number
- 36C25624Q0187
About this file
This document contains an attachment for a solicitation from the Department of Veterans Affairs for general surgeon services on a per procedure basis in Fayetteville, Arkansas. The attachment requests key personnel information from offerors, including the names, average weekly hours, expected percentage of total effort to be provided fulfilling VA duties and responsibilities specified in the statement of work, expected percentage of total effort for non-VA obligations, and hourly rate that would be paid for these services for any employees proposed under the contract. Offerors are informed that this attachment should be updated after contract award once employees have been recruited. The solicitation number is provided as 36C25624Q0187.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25624Q0187 .pdf | ||
| ATTACHMENT D.5 Fee Schedule .xlsx | XLSX spreadsheet | |
| ATTACHMENT D.3 -CONTRACTOR CERTIFICATION IMMIGRATION.pdf | ||
| ATTACHMENT D.1 QASP.pdf | ||
| ATTACHMENT D.4 - EXPERIENCE REFERENCE CONTRACT WORKSHEET.pdf |
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NAME TITLE PRIME OR SUBCONTRACTOR
36C25623Q0934
ATTACHMENT D.2
Contractor____________________ represents that the individuals listed below for Key Personnel and Temporary Emergency Substitutions of this solicitation here in have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs (VA) and the VA Medical Center-Fayetteville under the solicitation/contract here in.
None of the employees listed below in this solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs (VA) and the VA medical Center-Fayetteville under the solicitation/contract here in.
Please identify also, if they are an employee of the prime or subcontractor.
ATTACHMENT B
Provide the number of hours worked weekly by each employee. Do not limit the response to the number of hours expended or expected to be spent at VA; provide the total number of hours worked weekly by the staff including time spent in research, clinical, administrative, and other duties.
Provide the expected percentage of total effort for each proposed staff member that will be provided fulfilling the duties and responsibilities specified in the Statement of Work.
Additionally, provide the percentage of total effort that each proposed employee will be expected to spend fulfilling non-VA obligations. This can be expressed as a percentage of the employee's total annual effort.
Lastly, provide the hourly rate that each proposed employee would be paid providing these services.
EMPLOYEE'S
NAME
AVERAGE
WEEKLY
HOURS
PERCENT OF
EFFORT –VA
PERCENT OF
EFFORT –
PRACTICE
GROUP
HOURLY RATE
THAT THE
EMPLOYEE
WILL BE PAID
NOTE: This attachment shall be updated after contract award once the Offeror has had an attempt to recruit existing employees.
File details come from the government source that posted it. Updated .