D.5 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx

DOCX document 33 KB Posted

Attached to
J071--RFQ Cancellation | Furniture Movers | Detroit VAMC Resolicit as SDVOSB Base Plus Four | Start: 3/31/26
Solicitation number
36C25026Q0253
Issued by

About this file

This is a memorandum template for documenting compliance with FAR 52.219-14 Limitations on Subcontracting requirements. The document serves as a certification statement that must be completed and submitted by companies bidding on the solicitation 36C25026Q0253 for Furniture Movers services. The template requires the offeror to certify that at least 50 percent of the cost of contract performance incurred for personnel will be expended for employees of the concern, as specified in the Performance Requirements Summary section of the Performance Work Statement. The document must be signed and dated by the company owner, CEO, and COO, and includes spaces to identify occupational codes and titles relevant to the contract performance.

The template is part of the solicitation package issued by the Department of Veterans Affairs Network Contracting Office (NCO-10) for a Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside. While this particular document is a compliance certification template rather than substantive solicitation requirements, it is a mandatory submission component for all respondents to demonstrate adherence to small business subcontracting limitations before contract award consideration.

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Other files

File Type Posted
36C25026Q0253 0001 Cancellation Amendment.docx DOCX document
36C25026Q0253_2.docx DOCX document
36C25026Q0253_1.docx DOCX document
D.4 Furniture Repair Experience Questionnaire.docx DOCX document
D.1 WD 2015-4839 Rev 29 Wayne 03 Dec 2025.docx DOCX document
36C25026Q0253.docx DOCX document
D.3 Past Performance Questionnaire.docx DOCX document
D.2 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx DOCX document

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Text version

D.5 – Statement of FAR 52.219-14 Limitations on Subcontracting Compliance

MEMORANDUM FOR RECORD

____________(Date)

MEMORANDUM FOR RECORD

REFERENCE: _______________________(Solicitation Number)

TO: Elizabeth Koses (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” as specified in the Performance Requirements Summary (PRS) section of the Performance Work Statement (PWS) if a contract was awarded to our company.

· (insert Occupational Code and title)

· (insert Occupational Code and title)

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 .