Attachment I_Award Site Survey.docx

DOCX document 51 KB Posted

Attached to
U006--Chapter 31 Vocational Rehabilitation and Employment Services
Solicitation number
36C10D22R0001
Issued by

About this file

This document contains an award site survey form and information for a related federal contract opportunity solicitation. The site survey form requests information to verify a contractor's proposed location meets requirements for accessibility, proximity to veterans, provision of private office space, accessibility to public transportation, and business hours. It requires a narrative description of survey findings and certification of accuracy.

The related solicitation is for nationwide Chapter 31 Vocational Rehabilitation and Employment Services. Request for Proposals number 36C10D22R0001 was issued by the Department of Veterans Affairs, with questions due by July 14, 2022 and proposals due August 1, 2022. The attached RFP provides complete details on the required services.

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Other files

File Type Posted
36C10D22R0001 0002.docx DOCX document
07-18-2022 _ REVISED FINAL - Attachment D_Contracts Price _ Cost.xlsx XLSX spreadsheet
07-22-2022 _ REVISED FINAL - Chapter 31 Q and A.docx DOCX document
07-22-2022 _ REVISED FINAL - CH31 National Contract Performance Work Statement (PWS).docx DOCX document
36C10D22R0001 0001.docx DOCX document
Attachment G_ Invoicing Instructions Training Manual.docx DOCX document
Attachment H _ Contract Referral.docx DOCX document
Attachment E_Report Templates.docx DOCX document
Attachment N _ Professional Compensation Plan Excel Spreadsheet.xls XLS spreadsheet
Attachment D_Contracts Price _ Cost.xlsx XLSX spreadsheet
Attachment C _Background Investigation.docx DOCX document
Attachment F_Quality Assurance Review of Reports.docx DOCX document
Attachment L _Past Performance Questionnaire.docx DOCX document
CH31 National Contract Performance Work Statement (PWS) Revised 06-28-2022.docx DOCX document
Attachment B_Key Personnel Checklist.docx DOCX document
36C10D22R0001.docx DOCX document
Attachment K_Rules of Behavior.docx DOCX document
Attachment A_VR_E Directory.docx DOCX document
Attachment J_Proof of Citizenship Requirements.docx DOCX document
Attachment M _Past Performance Data Sheet.doc DOC document
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Text version

AWARD SITE SURVEY

Question
Yes
No

1. Does Contractor’s site meet requirements for accessibility mandated by the American with Disabilities Act of 1990, PWS Section IV, D-4?

2. Is Contractor location available to provide service within major population no more than 50 miles one way and 100 miles one way for rural area from veteran’s location, PWS SECTION IV, D-4?

3. Does Contractor location provide private professional office space, PWS, Section IV,D-4?

4. Is Contractor’s site accessible to public transportation (if available), PWS Section IV, D-4?

5. Does Contractor have more than one business location, if so have you completed a separate form for each location?

6. Are Contractor’s business hours posted, PWS Section IV, D-4?

Office Address (Must be a physical address, not a mailing address):

Please include a narrative description of the site survey findings:

I hereby certify that the information above is true and accurate to the best of my knowledge.

Signed:

Print Name and Title:

Date:__________________
Award Site SurveyNovember 16, 2021Page 1 of 1

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