16. Operations and Maintenance Plan Acknowledgement_FEB 2026.pdf

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X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Solicitation number
36C24W26R0077
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OPERATIONS AND MAINTENANCE PLAN

ACKNOWLEDGMENT AND DEVIATIONS STATEMENT

Solicitation Information RLP No.:

City, ST – Facility:

Offer Due Date/Time:

A. Acknowledgment of VA Operations and Maintenance Requirements

By signing below, the Offeror acknowledges that it has reviewed the Operations and Maintenance (O&M) requirements set forth in Factor 5 – Operations and Maintenance Plan (including all associated requirements) and agrees that, if awarded the Lease, it will perform O&M services in accordance with these requirements, except as specifically identified as deviations in Section B of this Statement.

Offeror further acknowledges that any O&M obligations not expressly identified as deviations in Section B below are deemed accepted without exception.

B. Proposed Deviations or Alternative Approaches (if any)

Check one:

☐ No deviations. The Offeror does not propose any deviations from VA’s O&M requirements described in Factor 5.

☐ Deviations proposed. The Offeror proposes the following specific deviations or alternative approaches to VA’s O&M requirements:

For each deviation, provide an attachment to this statement including the following:

1. Reference to VA requirement; each deviation must clearly identify the specific VA requirement being modified (e.g., Factor 5 – Interior & Exterior Maintenance of Building & Grounds),

2. Offeror’s proposed deviation or alternative approach, and

3. Rationale (including any impact on service level, cost, or risk)

C. Signature:

By signing below, the undersigned certifies that this statement is complete and accurate and that no deviations from VA’s O&M requirements, other than the deviations attached to this document (if applicable), are included in the Offeror’s proposal.

Offering Entity Authorized Official Printed Name:

Offering Entity Authorized Official Title:

Offering Entity Authorized Official Signature:

Date:

described in Factor 5: Off
approaches to VAs OM requirements: Off
RLP No:
Project Name:
Date28_af_date:
Name:
Text30:
Date31_af_date:
Check Box33: Off
Check Box34: Off

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