D.4 - Reference Contract Worksheet Demonstrating Nurse Staffing Services Experience.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C26223R0066
About this file
This document is a reference contract worksheet requiring offerors to demonstrate experience providing various nurse staffing specialties. Offerors must complete the table listing at least one reference contract for each nursing specialty of nurse practitioner, registered nurse general, registered nurse specialty, licensed vocational nurse, and certified nurse assistant. The specialties are required to evaluate proposals for a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22 to provide nurse staffing services. Offerors must include the entity nurse staffing services were provided to, optional contract number, period of performance, and point of contact information for each nursing specialty reference contract listed.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP Amendment - 36C26223R0066 0002 - Nurse Staffing Services - VALBHS.pdf | ||
| 36C26223R0066 0002_1.docx | DOCX document | |
| 36C26223R0066 0001_1.docx | DOCX document | |
| RFP Amendment - 36C26223R0066 0001 - Nurse Staffing Services - VALBHS.pdf | ||
| Solicitation 36C26223R0066 - Nurse Staffing Services - VALBHS.pdf | ||
| 36C26223R0066_2.docx | DOCX document | |
| D.1 - Reference Contract Worksheet Nurse Staffing Services.docx | DOCX document | |
| D.3 - DOL Wage Determination - Los Angeles County.pdf | ||
| D.2 - Price Worksheet.xlsx | XLSX spreadsheet |
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D.4 Reference Contract Worksheet Demonstrating Nurse Staffing Services Experience
The information collected by this Worksheet will be used to evaluate proposals for STEP 1 of proposal evaluations. Offerors submitting proposals to provide nurse staffing services for this procurement must complete the below Table demonstrating that Offeror (or Offeror’s proposed subcontractor) has experience providing nursing staff in each of the nurse specialties required for this procurement. Offerors are only required to identify one reference contract for each nursing specialty. Offerors must complete each Table entry unless marked as “Optional”.
Reference Contract Worksheet Demonstrating Offeror’s (or Offeror’s proposed subcontractor’s) Experience Providing Nurse Staffing Services
| Nursing Specialty |
| Entity for Whom Nurse Staffing Services Are/Where Provided |
| Contract Number |
(Optional)
| Period of Performance |
| Point of contact (name, phone and email) for verification |
Nurse Practitioner
Registered Nurse - General
Registered Nurse - Specialty
Licensed Vocational Nurse
Certified Nurse Assistant
File details come from the government source that posted it. Updated .