D.4 Responsibility Questionnaire.docx

DOCX document 18 KB Posted

Attached to
RAC Region 2 Federal contract opportunity
Solicitation number
75FCMC21R0018
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

This document contains a responsibility questionnaire for a recovery audit program contract opportunity with the Department of Health and Human Services Centers for Medicare and Medicaid Services. The recovery audit program aims to reduce Medicare fee-for-service improper payments through efficient detection and correction of such payments. The responsibility questionnaire requires the offeror to provide detailed responses regarding its financial resources, ability to meet delivery schedules, past performance history including any negative ratings, record of integrity and business ethics including verification of no debarment, necessary organization and operational controls to perform the required services, and technical equipment and facilities or ability to obtain them. The offeror must also verify it is otherwise qualified and eligible to receive an award according to applicable laws and regulations.

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Text version

Attachment D.4

75FCMC21R0018

RAC Region 2 Responsibility Questionnaire

The Offeror must provide detailed responses (not just yes/no) to support their answer.

Solicitation Number: 75FCMC21R0018

Offeror Name/Address:

In order to facilitate the Contracting Officer’s determination of responsibility as required in accordance with FAR 9.104-3(a), please provide responses to the questions below. Responses shall be supported by appropriate explanations and where substantiating information can be found, i.e. proposal, websites, etc.

1. Does your firm have adequate financial resources to perform the contract, or the ability to obtain them (see 9.104-3(a)?

Offeror Response:

2. Does your company have ability to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments?

3. Does your company has a satisfactory performance record (see 9.104-3(b) and Subpart 42.15) and/or address any negative past performance ratings received?

4. Does your company have a satisfactory record of integrity and business ethics (for example, see Subpart 42.15); support your confirmation by indicating that your firm is not on a debarred list, OIG list, or the Federal Contractor Misconduct Database?

5. Does your company have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them to provide the services to be performed (See 9.104-3 (a)?

6. Does your company have the necessary technical equipment and facilities, or the ability to obtain them (see 9.104-3(a)); to provide the required services?

7. Is your company otherwise qualified and eligible to receive an award under applicable laws and regulations?

File details come from the government source that posted it. Updated .