D.1 CANDIDATE PACKAGE COVER PAGE.docx
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- Attached to
- Q522--41 FTE Radiology Service Technologists (DRT & MIT) for VAPAHCS Satellite and CBOCs (RFP AMENDMENT #3)
- Solicitation number
- 36C26123R0027
About this file
This cover page template is to be included with candidate packets submitted in response to solicitation number 36C26123R0027, which seeks proposals for qualified Radiology Service Technologists (DRT & MIT) to provide services at the Veterans Affairs Palo Alto Health Care System satellite clinics and community-based outpatient clinics on a single award IDIQ contract. The cover page requests confirmation that the candidate's resume, references, summary of licensure and certifications, evaluation statement, and criminal background check statement are included as part of the proposal, as well as a copy of any current relevant certifications. Details on the positions, locations, and period of performance are provided in the related solicitation document.
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Text version
ATTACHMENT 1
CANDIDATE PACKAGE COVER PAGE
CANDIDATE NAME:
CONTRACTOR:
AVAILABILITY DATE:
VET-PRO CERTIFIED: ☐ Y ☐ N
RESUME / CV INCLUDED: ☐ Y ☐ N
(includes detailed list of education and training)
THREE (3) REFERENCES INCLUDED? ☐ Y ☐ N
SUMMARY LISTED INCLUDED? ☐ Y ☐ N
(shows evidence of license, certification and/or registration, with expiration dates)
EVALUATION STATEMENT? ☐ Y ☐ N
(contractor statement assuring the individual’s knowledge, experience and competence are appropriate for his/her assigned responsibilities as required by this task order)
CRIMINAL CHECK STATEMENT? ☐ Y ☐ N
(contractor statement assuring the individual’s knowledge, experience and competence are appropriate for his/her assigned responsibilities as required by this task order)
COPY OF CURRENT CERTIFICATION(S)? ☐ Y ☐ N
NOTE: This cover page must be included for every candidate packet submitted with proposal.
File details come from the government source that posted it. Updated .