D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx

FAR Clause DOCX document 33 KB Posted

Attached to
V226--NEMT for Cleveland VAMC Follow-on Base 2 Start Date 2/1/2027.
Solicitation number
36C25027R5412
Issued by

About this file

Written by GovTribe AI ·

This file is a Memorandum for Record documenting certification of compliance with FAR 52.219-14 Limitations on Subcontracting requirements. The document pertains to solicitation 36C25027R5412 for Non-Emergency Medical Transportation (NEMT) services at the Cleveland VAMC, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The contractor certifies that its proposal complies with the requirement that at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern, consistent with small business limitations on subcontracting obligations.

The form requires certification signatures from the company owner, CEO, and COO, along with company identifying information including legal name, street address, city, state, zip code, DUNS number, and CAGE code. The memorandum serves as the contractor's formal attestation of compliance with subcontracting limitations prior to contract award. This document is a template or compliance certification form rather than a statement of work or performance requirements.

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Other versions and copies of FAR 52.219-14

68 government files on GovTribe name FAR 52.219-14. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
Attachment 0004 52.219-14 Limitations-on-Subcontracting_May2025.pdf May 2025 Janitorial services at Tri-Lake Project Office, Littleton, Colorado
Attach 3 - FAR 52.219-14- Subcontracting Certification.docx Revision not stated The Dalles Dam, Generator Thrust Bearing Refurbishment
FAR 52.219-14 Limitation on Subcontracting Certification.pdf Revision not stated Z2DA--620-23-206 and 620-20-105 Renovate B. 14 AB and CD
FAR 52.219-14 Limitation on Subcontracting Certification.pdf Revision not stated Z2DA--620-23-206 and 620-20-105 Renovate B. 14 AB and CD
D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx Revision not stated V225--Ambulance Service (Columbus)
D.5 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx Revision not stated J071--RFQ Cancellation | Furniture Movers | Detroit VAMC Resolicit as SDVOSB Base Plus Four | Start: 3/31/26
52.219-14 Limitations on Subcontracting.pdf Revision not stated Z1AA--Bollard Maintenance and Repair | Base 4
D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx Revision not stated V225--Ambulance Service | Follow on Base 3 | Start: 3/1/26
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated Q522--Bluetooth Radiation Dosimetry Services with Direct Ion Technology for Dayton and Cincinnati VAMCs (Occupational Use Only)
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated Q521--Home-Based Sleep Study Services for Cincinnati VAMC
D.3 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx Revision not stated H344--Boiler Plant Inspections | New Base | Start: 7/8/25
D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx Revision not stated R429--Lynx Network Duress and Notification System (Chilli) | Follow on Base+4 | Start: 9/15/25
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated DG11--Patient Satellite Television Service and System Maintenance for Cincinnati VAMC
ATCH-4 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated Video Surveillance System (VSS) Service and Maintenance for Chillicothe VAMC
FAR 52.219-14 Limitations on Subcontracting.pdf Revision not stated PNSY 45' Electric Articulating Boom Lift Rental
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated Q521--Home Based Sleep Study Services for Chalmers P. Wylie VAACC
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated DG11--Patient Television Service for Dayton VAMC
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated Q521--Home-Based Sleep Study Services for Dayton VAMC
Attachment 2 - FAR 52.219-14 Compliance Letter for Sources Sought.pdf Revision not stated R499--Employee Assistance Program (EAP) Services for Dayton VAMC and CBOCs
52.219-14 LIMITATIONS ON SUBCONTRACTING.docx Revision not stated V231--RFQ 554 Hotel Lodging IDIQ at COS and RMR
Show all 20

Who attaches FAR 52.219-14

Agency Files
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10 42
Department of the Air Force Reserve Command 6
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 2
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2 2
Department of Homeland Security Customs and Border Protection 2
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Hood 2
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy 2
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area 1

Other files

File Type Posted
36C25027R5412.docx DOCX document
D.6 Statement of Start Date Confirmation updated.docx DOCX document
D.3 Statement of FAR 52.222-41 - Statement of DoL WD Compliance.docx DOCX document
D.5 Past Performance Questionnaire updated 7.6.2026.docx DOCX document
D.1 Required Compliance Checklist.docx DOCX document
D.2 WD 2015-4727 Rev 31 Cleveland 22 August 2026.docx DOCX document

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D.4 – Statement of FAR 52.219-14 Limitations on Subcontracting Compliance

MEMORANDUM FOR RECORD

____________(Date)

MEMORANDUM FOR RECORD

REFERENCE: 36C25027R5412 NEMT for Cleveland VAMC

TO: Robert Bolcavage (Contracting Specialist), 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” with other language as the LOS requirements are not in Section 6.2 or the Surveillance Checklist of the 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: ______________

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