D.1 Reference Contract Worksheet Mohs Histotechnician Services - Attached.pdf
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- Solicitation number
- 36C26224R0075
About this file
This document is a reference contract worksheet that is required as part of the response to a Request for Proposal (RFP) for Veteran Affairs Mohs Histotechnician Services, Solicitation Number 36C26224R0075.
The reference contract worksheet requests specific information from the offeror to demonstrate their experience providing Mohs Histotechnician services, including the legal name of the entity with whom the offeror or proposed subcontractor held the contract, the contract number, the geographic location where the services were performed, the dates of performance, the average monthly number of Mohs Histotechnician cases provided, whether the experience was as a prime contractor or subcontractor, and contact information for a person who can verify the information. Failure to provide this detailed information may be viewed as a lack of relevant experience. The RFP also includes a Statement of Objectives, Price Worksheet, and Medical Staff Bylaws for the VA medical facilities.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26224R0075_2.docx | DOCX document | |
| D.2 Price Worksheet Attached.xlsx | XLSX spreadsheet | |
| b. Medical Staff Bylaws - VASDHS.pdf | ||
| c. Medical Staff Bylaws - VALLHS.pdf | ||
| 36C26224R0075 - SOL Mohs Histotechnician Services Final.pdf | ||
| a. Medical Staff Bylaws - VALBHS.pdf |
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Text version
Attachment D.1 – Reference Contract Worksheet Mohs Histotechnician Services for Offeror’s Response to STEP 2, Factor 1 – Experience
Reference Contract Worksheet # ______
The legal name of entity with whom the Offeror
(or Offeror’s proposed subcontractor) held the contract
(examples: Molina Healthcare, VA Long Beach Healthcare system, Dallas Memorial
Hospital)
Contract Number
In what geographic location the Offeror (or
Offeror’s proposed subcontractor) performed the contract
(example: Los Angeles, CA and Dallas, TX)
The dates during which the Offeror (or Offeror’s proposed subcontractor) performed the contract
The average monthly number of Mohs
Histotechnician cases the Offeror (or Offeror’s proposed subcontractor) provided for each referenced contract.
Whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s. If the claimed experience is for a proposed subcontractor, provide the full legal name of the proposed subcontractor.
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
Note: The information that is requested above is required for the Government to evaluate proposals for the
Experience evaluation factor under STEP 2 -Tradeoff Analysis of Acceptable Proposals. General statements claiming experience providing contracted Mohs Histotechnician services that do not include specific references to prior contract work, or that do not include the information required above, are not acceptable. FAILURE TO
SUBMIT THE INFORMATION REQUIRED ABOVE TO SUPPORT THE OFFEROR’S CLAIMED EXPERIENCE MAY BE
VIEWED BY THE GOVERNMENT AS EVIDENCE THAT THE OFFEROR (OR OFFEROR’S PROPOSED
SUBCONTRACTOR) LACKS EXPERIENCE PROVIDING MOHS HISTOTECHNICIAN SERVICES WHEN EVALUATING
PROPOSALS FOR THE EXPERIENCE EVALUATION FACTOR.
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