D.3.4 EXTENSION EXAMPLE.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C26224Q1360
About this file
This document contains an Extension Request Protocol for a Veteran housing and recuperative care services contract under the Department of Veterans Affairs (VA) Grant and Per Diem Program. The protocol outlines the process for requesting extensions to the initial authorized period, including requirements to provide justification of the Veteran's need, updated treatment plan, steps taken to date to house the Veteran, identified barriers, and a detailed plan to be implemented during the extension period. The Veteran's agreement with the plan is also required.
The related federal contract opportunity is a Request for Quote (RFQ) issued by the VA Network Contract Office 22 for housing and recuperative care services within a 15-mile radius of the West Los Angeles Veterans Administration Medical Center. This is a Firm Fixed Price Indefinite Delivery Indefinite Quantity (IDIQ) contract with a 5-year ordering period. Responses to the RFQ are due by 10:00 AM Pacific Daylight Time on August 30, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26224Q1360 0002_1.docx | DOCX document | |
| 36C26224Q1360 0001_1.docx | DOCX document | |
| 36C26224Q1360_FINAL.docx | DOCX document | |
| D.3.2 CONTRACTOR RULES OF BEHAVIOR AGREEMENT.pdf | ||
| 36C26224Q1360_1.docx | DOCX document | |
| D.2 Price Worksheet.xlsx | XLSX spreadsheet | |
| D.3 Reference Contract Worksheet.docx | DOCX document | |
| D.3.6 ADMISSION DENIAL REFERRAL TRACKER.xlsx | XLSX spreadsheet | |
| D.3.1 ADA Checklist for Emergency Shelters.pdf | ||
| D.3.5 SQUARES.pdf | ||
| D.3.3 HCHV INCIDENT REPORT BLANK.docx | DOCX document |
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Text version
Extensions request protocol:
Extensions of the Veteran initial authorized period shall be requested in writing by the Contractor, with justification of the Veteran’s need and updated treatment plan. Approvals shall be authorized in writing by the VA Grant and Per Diem Program Manager/Contracting Officer Representative (COR).
Please complete the following and provide to the program liaison for review.
1. Justification of Veteran’s need for extension:
2. Steps taken to date to house veteran:
3. Barriers identified:
4. Plan to mitigate barriers:
5. Plan to be implemented during extension period: (please include timeline)
6. Housing plan: (please give a minimum of 2 housing plans)
7. Is veteran in agreement with plan?
File details come from the government source that posted it. Updated .