D.1 Reference Contract Worksheet Nurse Staffing Services.docx
DOCX document 19 KB Posted
- Solicitation number
- 36C26223R0020
About this file
This document contains a reference contract worksheet and information on a related federal contract opportunity for temporary nurse staffing services at the VA Greater Los Angeles Healthcare System. The reference contract worksheet requests details on previous contracts held by the offeror such as the client name, contract number, location, dates of service, average monthly nurse staffing levels broken out by role, and a reference contact. The temporary nurse staffing services RFP seeks to provide the VA Greater Los Angeles Healthcare System with certified nurse assistants, licensed vocational nurses, registered nurses, specialty registered nurses, and nurse practitioners on an as-needed basis. Interested parties should respond by the specified date to be considered for this contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| S06 - Amendment - 36C26223R0020 0002 - Nurse Staffing Services - VAGLA.pdf | ||
| S06 - Amendment - 36C26223R0020 0001 - Questions - Nurse Staffing Services - VAGLA.pdf | ||
| D.2 Price Worksheet.xlsx | XLSX spreadsheet | |
| 36C26223R0020.docx | DOCX document | |
| D.3 DOL Wage Determinations - Los Angeles County.pdf |
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Text version
Attachment D.1 – Reference Contract Worksheet for Offeror’s Response to Factor 1 – Experience Reference Contract Worksheet # ______
| The legal name of entity with whom the Offeror held the contract |
| (examples: Molina Healthcare, VA Long Beach Healthcare system, Dallas Memorial Hospital) |
Contract Number
| In what geographic location the Offeror performed the contract |
| (example: Los Angeles, CA and Dallas, TX) |
The dates during which the Offeror performed the contract
| The average monthly number of nurse staff the Offeror provided under that contract; break out and specify numbers separately for each type of nurse staff (e.g. Certified Nurse Assistants (CNAs), Licensed Vocational Nurses (LVNs), Registered Nurses (RNs), specialty RNs, and Nurse Practitioners (NPs). |
| CNA ________ RN, General __________ |
LVN ________ Specialty RN __________
NP _________
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 .