Attachment E - Contractor Personnel Change Form.docx

DOCX document 26 KB Posted

Attached to
R499--Request for Information - OMLA Review Panelists Federal contract opportunity
Solicitation number
36C10X22R0040
Issued by
Department of Veterans Affairs Strategic Acquisition Center Frederick

About this file

This document contains a federal contract opportunity solicitation for review panelists. The solicitation is seeking proposals from Service-Disabled Veteran-Owned Small Businesses, Veteran-Owned Small Businesses, Small Businesses with priority for HUBZone and 8(a) participants, and other than small businesses to provide review panelists for the Department of Veterans Affairs Strategic Acquisition Center Frederick. Proposals will be evaluated using a tiered approach with priority first given to Service-Disabled Veteran-Owned Small Businesses, then Veteran-Owned Small Businesses, Small Businesses, and other than small businesses. To be eligible, offerors must be registered in the System for Award Management and meet the applicable size standard and ownership criteria for the tier under which they are proposing. Award will be made to the responsible offeror whose proposal meets the requirements of the solicitation and offers the best overall value to the government based on price and other factors.

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Other files for this federal contract opportunity

Other files attached to R499--Request for Information - OMLA Review Panelists, newest first.
File Type Posted
36C10X22R0040 0002 MLRM QA 6-21.docx DOCX document
Copy of Attachment C - MLRM Historical Data.xlsx XLSX spreadsheet
ATTACHMENT J- PRICING SPREADSHEET.xls XLS spreadsheet
Attachment F - MLRM Weekly Report Sample.docx DOCX document
Attachment B - WSEC Template.docx DOCX document
Copy of Attachment G- VA Reconciliation Report.xlsx XLSX spreadsheet
MLRM RFP 36C10X22R0040__ 6_13_2022.docx DOCX document
Copy of Attachment C - MLRM Historical Data.xlsx XLSX spreadsheet
ATTACHMENT I - PPQ MLRM.docx DOCX document
Attachment D - CPP Specialties and Estimated Tasks Tier 1-2-3.docx DOCX document
Attachment A - WSEC Sample.docx DOCX document
Show all 11

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Text version

Contractor Personnel Change Form Request

Date:

From:

To:

Re:Contract Personnel Assigned To Contract
ADD: ☐Remove: ☐Replace: ☐

Provide the name and administrative position or specialty/profession of person requested to be added, removed or replaced.

Contractor Name:

Expected End Date:

Administrative Position or CPP Specialty:

Replacement / Additional Contractor Name: (if applicable)

Replacement / Additional Administrative Position or CPP Specialty: (if applicable)

Current Tasks assigned to Contractor:

Task Notification Number
Due dateStatus
Mxx-xxx-Nxx-xxx
Enter due dateEnter status

Replacement/Additional Contractor:

Days projected when to expect replacement
Does Contractor have PIV Card?
Current EMR Access?
Yes ☐ No ☐
Yes ☐ No ☐

By submitting this form, Contractor XXX assures that this change will have no negative effect on cost on the contract or continued ability to meet the contract requirements.

Notes:

_________________________________________________________________________________________
Contractor XXXX RepresentativeCOR, OMLA: Approved ☐ Not Approved ☐

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File details come from the government source that posted it. Updated .