D.4.4 EXTENSION EXAMPLE.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C26225Q0773
About this file
The file is an extension request protocol document for a Veteran housing and care services contract. It outlines a detailed seven-step process for contractors to request extensions of a Veteran's initial authorized period, requiring written justification and comprehensive documentation. The extension request must include specific elements such as the veteran's need for extension, steps taken to house the veteran, identified barriers, mitigation plans, implementation timeline, housing options, and veteran agreement.
This document is directly related to the Department of Veterans Affairs (VA) Request for Quote (RFQ) 36C26225Q0773 for Emergency Residential Services, which seeks a 10-bed Medical Respite Care facility within 15 miles of the West Los Angeles Veterans Administration Medical Center. The contract is a Firm Fixed Price Single-Award Indefinite Delivery Indefinite Quantity (IDIQ) with five one-year ordering periods, soliciting unrestricted competition with responses due by 10:00 AM Pacific Time on June 16, 2025. The point of contact is Ben Bayoneta, Contract Specialist, who can be reached at benjumar.bayoneta@va.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26225Q0773 0001_1.docx | DOCX document | |
| 36C26225Q0773_RFQ_FINAL.pdf | ||
| D.4.6 ADMISSION DENIAL REFERRAL TRACKER.xlsx | XLSX spreadsheet | |
| D.4.5 SQUARES.pdf | ||
| D.4.8 QUALITY ASSURANCE.docx | DOCX document | |
| D.4.3 HCHV INCIDENT REPORT BLANK.docx | DOCX document | |
| D.4.7 RESIDENTIAL TREATMENT EXIT FORM WORKSHEET.doc | DOC document | |
| 36C26225Q0773_1.docx | DOCX document | |
| D.4.2 CONTRACTOR RULES OF BEHAVIOR AGREEMENT.pdf | ||
| D.4.1 ADA Checklist for Emergency Shelters.pdf |
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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 .