D.3 - Statement of FAR 52.219-14 Limitations on Subcontracting.pdf

FAR Clause PDF 194 KB Posted

Attached to
V225--AMBULANCE TRANSPORTATION | Base + 4 | Start Date: 12/1/23
Solicitation number
36C25023Q0890
Issued by

About this file

This document is a certification memorandum for a federal contract opportunity with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The solicitation is for ambulance transportation services under number 36C25023Q0890 with a start date of December 1, 2023. Companies responding to the solicitation must certify that at least 50% of the contract costs for personnel will be expended on their own employees, as required by FAR 52.219-14 Limitations on Subcontracting. The certification must be signed by the company owner, CEO, and COO.

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Text version

D.1 52.212-2 (Addendum C) – Statement of FAR 52.219-14 Limitations on Subcontracting Compliance

MEMORANDUM FOR RECORD

____________(Date)

MEMORANDUM FOR RECORD

REFERENCE: _______________________(Solicitation Number)

TO: Robert J. Bolcavage III (Contracting Officer), NCO-10

FROM: ___________________________________(Company Name) ___________________________________(Company Street Address) ___________________________________(City, State and Zip Code) ___________________________________(DUNS Number and CAGE Code)

SUBJECT: Statement of FAR 52.219-14 (Limitations on Subcontracting) Compliance

I do hereby certify that the offer submitted by our company in response to the subject solicitation is fully compliant with the requirements of FAR 52.219-14 (Limitations on Subcontracting) that “at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern” as specified in the Performance Requirements Summary (PRS) section of the Performance Work Statement (PWS) if a contract was awarded to our company.

Company OWNER Full Legal Name (PRINT): ________________________________

Company OWNER Signature: _______________________________ Date: ______________

Company CEO Full Legal Name (PRINT): ________________________________

Company CEO Signature: __________________________________ Date: ______________

Company COO Full Legal Name (PRINT): ________________________________

Company COO Signature: __________________________________ Date: ______________

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