D.4 Reference Contract Worksheet Demonstrating VA Experience Attached.docx

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Attached to
Q401--Veteran Affairs San Diego Healthcare System (VASDHS) Nurse Staffing Services Amendment 0001
Solicitation number
36C26223R0068
Issued by

About this file

This solicitation notice is for nurse staffing services for the Veteran Affairs San Diego Healthcare System. The agency seeks to contract with one or more vendors to provide registered nurses, nurse practitioners, licensed vocational nurses, certified nurse assistants, and specialty nurses on an as-needed basis. Offerors must complete worksheets demonstrating their experience providing each nursing specialty to the Department of Veterans Affairs, including references for past contracts. Pricing will be evaluated using an attached price worksheet. The solicitation includes wage determinations for San Diego County and offers are due by a specified date.

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D.4 Reference Contract Worksheet Demonstrating VA 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 and that Offeror (or Offeror’s proposed subcontractor) has provided these staffing services to the Department of Veterans Affairs. Offerors are only required to provide one reference contract for each nursing specialty. Offerors must complete each Table entry.

Reference Contract Worksheet Demonstrating Offeror’s (or Offeror’s proposed subcontractor’s) Experience Providing Nurse Staffing Services to the Department of Veterans Affairs

Nursing Specialty
VA Medical Center Where Services are / were Provided
VA Contract Number
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 .