D.65 Organizational Conflicts of Interest Attachment (852.209-70).pdf

VAAR Clause PDF 91 KB Posted

Attached to
Q201--Primary Care and Tele-health Services at the Durango, CO CBOC in support of the New Mexico VA Health Care System (NMVAHCS).
Solicitation number
36C25820R0031
Issued by

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S02 - Attachment D4 - 852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST _OCT 2020.pdf Oct 2020 Q301--Board-Certified Diagnostic Medical Physicist Services for Richard L. Roudebush, VAMC in Indianapolis, IN
Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest _ OCT 2020.pdf Oct 2020 Laser Rental & Technician Services - Cleveland VAMC
Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest (OCT 2020).pdf Oct 2020 Radiation Oncology Physician Services
S02 - ATTACHMENT 7 - VAAR 852.209-70 Organizational Conflicts of Interest OCT 2020.docx Oct 2020 DA10--WMC Application Management System Re-Compete - Shelko/Rhodes (VA-24-00059799)
Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest _ OCT 2020.pdf Oct 2020 HCHV Housing for Male and Female Veterans
S02 - ATTACHMENT 7 - VAAR 852.209-70 Organizational Conflicts of Interest OCT 2020.docx Oct 2020 DA10--WMC Application Management System Re-Compete - Rios/Rhodes (VA-24-00059799)
S02 - Attachment D1 - 852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020).pdf Oct 2020 Q522--Radiation Oncology Services for the VA Northern Indiana Health Care System in Fort Wayne, IN.
Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest (OCT 2020).pdf Oct 2020 HCHV CERS – Ft. Wayne – NIHCS
Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest (OCT 2020).pdf Oct 2020 IONM Technician Services - Indianapolis VAMC
852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST (1).pdf Revision not stated Q401--On-Site Acute Dialysis Nursing Service
S02 - Attachment D6 - 852.209-70 ORGANIZATIONAL CONFLICT OF INTEREST.pdf Revision not stated G004--Pre-Solicitation Notice for Healthcare for Homeless Veterans Contracted Residential Services for the Battle Creek VA Medical Center in Battle Creek, Michigan
D.3 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST.pdf Revision not stated Q501--Certified Registered Nurse Anesthetist (CRNA) Staffing Syracuse VA Medical Center
S02 - Attachment D6 - 852.209-70 ORGANIZATIONAL CONFLICT OF INTEREST.pdf Revision not stated G004--Solicitation Notice for Healthcare for Homeless Veterans Medical Respite Care for the Richard L Roudebush, VA Medical Center in Indianapolis, Indiana
D.32 Organizational Conflicts of Interest 852.209-70 .docx Revision not stated Q201--MSO-2021-COM-0056 Amend to Respond to Questions CBOC Truth or Consequences, NM
D14_Organizational_Conflicts_of_Interest_with_fillable_form_(852.209-70).pdf Revision not stated CNH IDC NMVAHCS State Wide
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Who attaches VAAR 852.209-70

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File Type Posted
36C25820R0031 0004.docx DOCX document
36C25820R0031 0003.docx DOCX document
36C25820R0031 0002.docx DOCX document
36C25820R0031 0001.docx DOCX document
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D.34 VA-DOD Clinical Practice Guideline for Substance Use Disorders.pdf PDF
D.31 Suicide Risk Assessment (policy) MCP 116-8.docx DOCX document
D.63 Durango CBOC - PPQ 36C25820R0031.docx DOCX document
D.26 Lab Attachment A - Laboratory specimen collection processing and preservative materials and point of care testing supplies provided by the Contractor_JUN20.docx DOCX document
D.23 VHA Directive 1033 Anticoagulation Therapy Management.pdf PDF
D.49 VHA Directive 1608 Comprehensive Environment of Care.pdf PDF
D.11 Contractor Certification Immigration and Nationality Act of 1952 as Amended.pdf PDF
D.47 VA Handbook 0730 Appendix B.pdf PDF
D.45 National Center for Patient Safety Handbook.pdf PDF
D.66 VHA Handbook 1100.19 Credentaling and Privileging.pdf PDF
D.54 VA Handbook 5005-120 Part II Appendix G39.pdf PDF
D.39 VHA Directive 1230 Outpatient Scheduling Processes and Procedures.pdf PDF
D.20 VHA Directive 2009-038 VHA National Dual Care Policy.pdf PDF
D.24 (local policy) Multidisciplinary Outpatient Anticoagulation Clinics.docx DOCX document
D.44 VHA Directive 1605.01 Privacy and Release of Information.pdf PDF
D.17 VHA Directive 1330.02 Woman Veterans Program Manager.pdf PDF
D.29 Ancillary Testing Policy 113-14.docx DOCX document
D.13 VHA Handbook 1101.10(1) Patient Aligned Care Team (PACT).pdf PDF
D.03 VA Handbook 5005-4 Part II Appendix G6.pdf PDF
D.68 NMVAHCS MCP 116-8 Suicide Risk Assessment.pdf PDF
D.69 NMVAHCS SOP Identificaton and Care of Patients at High Risk for Suicide.pdf PDF
D.72 Standards Alert SA-017 (02252020).pdf PDF
D.05 VA Handbook 5005-3 Part II Appendix G13.pdf PDF
D.09 VHA Directive 1306 Querying State Prescription Drug Monitoring Programs (PDMP).pdf PDF
D.06 VHA Directive 2012-030 Credentialing of Health Care Professionals.pdf PDF
D.30 VHA Handbook 1106.01 P_LMS Procedures.pdf PDF
D.36 VHA Clinic Based Telehealth Operations Manual.pdf PDF
D.22 Policy Memorandum No. 119-20.pdf PDF
D.38 VHA Directive 2007-033 Telephone Service for Clinical Care.pdf PDF
D.40 VHA Directive 1232(1) Consult Processes and Procedures.pdf PDF
D.14 VHA Directive 1330.01(2) Health Care Services for Women Veterans.pdf PDF
36C25820R0031.docx DOCX document
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D.42 VA 24VA19 Patient Medical Records-VA 24VA10P2.pdf PDF
D.73 DBA General Decision Number CO202000001 Dated 08282020.docx DOCX document
D.12 VHA Handbook 1101.11(3) Coordinating Care for Traveling Veterans.pdf PDF
D.07 5 USC 552a Privacy Act of 1974 (as amended).pdf PDF
D.10 VHA Handbook 1660.03 Conflict of Interest for the Aspects of Contacting for Sharing of Health-Care Resources.pdf PDF
D.64 VA Handbook 6500 Appendix D Rules of Behavior.pdf PDF
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D.35 VHA Handbook 1162.01(1) Grant and Per Diem (GPD) Program.pdf PDF
D.52 DOL WD 2015-5435 Rev NO. 12 07012020.docx DOCX document
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852.209-70.ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

All healthcare contracts require response to the following provision as prescribed in VAAR 809.507-1(b).

Please use the form in APPENDIX A to provide response.

852.209-70.ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

(a) It is in the best interest of the Government to avoid situations which might create an organizational conflict of interest or where the offeror’s performance of work under the contract may provide the contractor with an unfair competitive advantage. The term “organizational conflict of interest” means that because of other activities or relationships with other persons, a person is unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or the person has an unfair competitive advantage.

(b) The offeror shall provide a statement with its offer which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

(c) Based on this information and any other information solicited or obtained by the contracting officer, the contracting officer may determine that an organizational conflict of interest exists which would warrant disqualifying the contractor for award of the contract unless the organizational conflict of interest can be mitigated to the contracting officer's satisfaction by negotiating terms and conditions of the contract to that effect. If the conflict of interest cannot be mitigated and if the contracting officer finds that it is in the best interest of the United States to award the contract, the contracting officer shall request a waiver in accordance with FAR 9.503 and 48 CFR 809.503.

(d) Nondisclosure or misrepresentation of actual or potential organizational conflicts of interest at the time of the offer, or arising as a result of a modification to the contract, may result in the termination of the contract at no expense to the Government.

https://www.acquisition.gov/far/current/html/Subpart%209_5.html#wp1078823

APPENDIX A

[CONTRACTOR NAME]

[ADDRESS]

SOLICITATION #

CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT

[ ] ____[CONTRACTOR NAME]________________ represents that the individuals listed in the Key

Personnel and Temporary Emergency Substitutions section of the solicitation [____Solicitation # and

Service Type___] in have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the

___[NAME OF VAMC] _________ Veterans Administration under the referenced solicitation.

None of the employees listed in the solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the___NAME OF VAMC _________ Veterans Administration under the referenced solicitation.

OR

[ ] Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

NAME OF CERTIFYING OFFICIAL

TITLE

SIGNATURE DATE

NAME OF VAMC:
CONTRACTOR NAME:
Personnel and Temporary Emergency Substitutions section of the solicitation:
Contractor Name and Address:
Solicitation #:
Text3:
Name of VAMC:
Check Box5: Off
Check Box6: Off

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