D.1 Reference Contract Worksheet.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C26221R0120
About this file
This document provides details for an upcoming federal contract opportunity to provide in-home oxygen and ventilator services for patients of the New Mexico VA Healthcare System. The solicitation seeks a contractor to manage government-owned oxygen and ventilator equipment for over 3,100 patients receiving in-home oxygen services and 2 patients receiving in-home ventilator services. This includes storage, delivery, set-up, instruction, and maintenance of the equipment. The contract will be an Indefinite Delivery/Indefinite Quantity agreement with Firm-Fixed Prices. The impending solicitation is scheduled for release on or about August 10, 2021, with no questions accepted prior to release. All offerors must be registered in the System for Award Management and verified in Vet-Biz for certain offerors.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26221R0120 0003.docx | DOCX document | |
| Updated D.3 Pricing Worksheet NMVAHCS.xlsx | XLSX spreadsheet | |
| D.5 VHA Directive 1193 COVID 2019 Vaccination Program.pdf | ||
| 36C26221R0120 0002.docx | DOCX document | |
| 36C26221R0120 0001.docx | DOCX document | |
| 36C26221R0120_1.docx | DOCX document | |
| D.3 Price Worksheet NMVAHCS.xlsx | XLSX spreadsheet | |
| D.2 Listing of DOL Wage Determinations_NMVAHCS.xlsx | XLSX spreadsheet | |
| D.4 Geographic Coverage Area - NMVAHCS.docx | DOCX document |
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Text version
Attachment D.1 – Reference Contract Worksheet for Offeror’s Response to Factor 1 – Experience Reference Contract Number ______
| The legal name of entity with whom the Offeror held the contract |
| (examples: Molina Healthcare, VA Long Beach Healthcare system, VISN 22 |
Contract Number
Whether the contract was for in-home oxygen services, in-home ventilator services or both
A description providing details of the specific tasks the Offeror performed under that Contract
| In what geographic location the Offeror performed these services |
| (example: Los Angeles and Orange counties) |
The dates during which the Offeror performed the contract
| The number of patients to whom the Offeror provided in-home oxygen services or in-home ventilator services, or both, under that contract – break out and specify numbers separately for in-home oxygen services and in-home ventilator services |
| Number of in-home oxygen patients served each month __________ |
Number of in-home ventilator patients served each month __________
Whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s
Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract who can verify the information the Offeror provides in the narrative description for this factor
File details come from the government source that posted it. Updated .