D.7 Request for Extension of Per Diem Form.docx
DOCX document 16 KB Posted
- Attached to
- G004--Q&A Amendment ABH 64-Bed- 2
- Solicitation number
- 36C26225R0062
About this file
This document is a Request for Extension of Per Diem Form for veterans' residential services, detailing the protocol for extending a veteran's authorized housing period. The form requires contractors to submit a comprehensive written request that includes seven key components: justification for the extension, steps taken to house the veteran, identified barriers, mitigation strategies, implementation plan with timeline, minimum two housing plans, and veteran agreement.
The related federal contract opportunity is a solicitation (36C26225R0062) by the Department of Veterans Affairs Veterans Health Administration for Contracted Emergency Residential Services (CERS). The solicitation seeks a 64-bed emergency transitional housing tent at the VA Greater Los Angeles Healthcare System, with a focus on providing comprehensive support and housing solutions for veterans in need of temporary residential assistance.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26225R0062 0002_1.docx | DOCX document | |
| 36C26225R0062 0001.docx | DOCX document | |
| D.10 Residential Treatment Exit Form Worksheet.doc | DOC document | |
| D.9 Referral Tracker Spreadsheet.xlsx | XLSX spreadsheet | |
| D.6 HCHV Incident Report.docx | DOCX document | |
| S02- 36C26225R0062 ABH 64 Beds- Final.pdf | ||
| D.5 Contractor Rules of Behavior Agreement Form.pdf | ||
| D.4 ADA accessibility checklist.pdf | ||
| 36C26225R0062_2.docx | DOCX document | |
| D.11 Quality Assurance Surveillance Plan QASP-.docx | DOCX document | |
| D.8 Appendix additional forms.pdf |
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Text version
Extensions request protocol:
Extensions of the Veteran initial authorized period shall be requested in writing by the Contractor, with justification of the Veteran’s need and updated treatment plan. Approvals shall be authorized in writing by the VA Grant and Per Diem Program Manager/Contracting Officer Representative (COR).
Please complete the following and provide to the program liaison for review.
1. Justification of Veteran’s need for extension:
2. Steps taken to date to house veteran:
3. Barriers identified:
4. Plan to mitigate barriers:
5. Plan to be implemented during extension period: (please include timeline)
6. Housing plan: (please give a minimum of 2 housing plans)
7. Is veteran in agreement with plan?
File details come from the government source that posted it. Updated .