Exhibit B LOS Certification Solicitation Version.doc

DOC document 33 KB Posted

Attached to
BB Correct Patient Privacy Deficiencies 2N/2S Lake City, FL Project # 573A4-18-603
Solicitation number
36C24825R0127
Issued by

About this file

This document is a Limitation of Subcontracting Form for a Department of Veterans Affairs solicitation (36C24825R0127) for correcting patient privacy deficiencies at the Lake City, FL medical facility. The solicitation is a small business set-aside and a resolicitation of a previous Service-Disabled Veteran-Owned Small Business (SDVOSB) opportunity. The form requires contractors to certify their compliance with federal subcontracting regulations, specifically detailing the percentage of work to be self-performed versus subcontracted.

The form mandates that contractors either certify no subcontractors will be used or demonstrate that similarly situated subcontractors will receive at least 50% of the contract value for services and 15% for construction. The document includes a warning about severe penalties for non-compliance, with potential fines up to $500,000 or the amount spent in excess of permitted subcontracting levels. Contractors must be prepared to provide documentation proving compliance, and the completed certification must be emailed to Amber Milton at the VA, with the form dated December 17, 2020.

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Other files

File Type Posted
36C24825R0127 0001.pdf PDF
PRIOR SOLICITATION 36C24825R0067 573A418603 Site Visit.pdf PDF
2025 06 24 Site Visit 573A4-18-603.pdf PDF
RFIs 2025 07 09 36C24825R0127 22N2S.xlsx XLSX spreadsheet
36C24825R0127 CLAUSE SHEET.docx DOCX document
Sheet AE452 Headwall Interior Elevations.pdf PDF
SOLICITATION 36C24825R0127 BB Correct PT Privacy Def 2N 2S LC VAMC.pdf PDF
2024 01 29 Drawings Architectural.pdf PDF
2024 01 29 Drawings Mechanical.pdf PDF
Specifications Vol 2.pdf PDF
Specifications Vol 1.pdf PDF
Exhibit E Performance Relevancy Survey v2.docx DOCX document
Visitor Sign In 36C24825R0067 573A418603.pdf PDF
SOLICITATION 36C24825R0127 BB Correct PT Privacy Def 2N 2S LC VAMC.pdf PDF
2024 01 29 Drawings Electrical.pdf PDF
2024 01 29 Drawings Fire Protection.pdf PDF
2024 01 29 Drawings Plumbing.pdf PDF
AE302.pdf PDF
AE709.pdf PDF
SAM DBA 05_02_25.pdf PDF
Exhibit D Contract Progress Schedule.pdf PDF
Exhibit I Price Matrix.xlsx XLSX spreadsheet
RFIs 36C24825R0067 Correct Patient Privacy.xlsx XLSX spreadsheet
2024 01 29 Drawings Structural.pdf PDF
AE503.pdf PDF
Exhibit C EMR.docx DOCX document
Exhibit F Past and Present Performance Questionnaire.docx DOCX document
RFIs 36C24825R0067 Correct Patient Privacy.pdf PDF
Exhibit A QA RFIs.xlsx XLSX spreadsheet
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Text version

LIMITATION OF SUBCONTRACTING FORM FOR BIDDER/OFFEROR TO COMPLETE & SUBMIT WITH PROPOSAL

Subject: Compliance with 13 C.F.R. 125.6

DATE:

Contractor Point of Contact

Business Name

DUNS #:

Solicitation Number:

Offerors are required to comply with 13 C.F.R. 125.6. Offerors are to check which block applies:

[ ] I certify that no subcontractors are anticipated in performing services under this contract.

[ ] I certify that my company and those anticipated subcontractors that are similarly situated, are estimated to receive at least 50% of the value of this contract for Services and 15% for Construction. I understand that a similarly situated subcontractor must meet the size standard for NAICS assigned by the prime and must be in certified in VIP. Please provide the following information to identify and calculate the cost of the work self-performed and what is subcontracted.

Contractor DUNs Number Description of Work COST of work in %

Total % of value of contract by Prime Contractor ____________ Total % of value of contract by similarly situated subcontractors ____________

WARNING: Severe Penalties for Contractors that violate the Limitations on Subcontracting Rule: If caught during the performance violating the FAR government subcontracting rules or limitations on subcontracting clause under the Code of Federal Regulations 13 C.F.R. 125.6(g), there can be stiff penalties: “Whoever violates the requirements set forth in paragraph (a) of this section shall be subject to the penalties prescribed in 15 U.S.C. 645(d), except that the fine shall be treated as the greater of $500,000 or the dollar amount spent, in excess of permitted levels, by the entity on subcontractors. A party's failure to comply with the spirit and intent of a subcontract with a similarly situated entity may be considered a basis for debarment on the grounds, including but not limited to, that the parties have violated the terms of a Government contract or subcontract pursuant to FAR 9.406-2(b)(1)(i) (48 CFR 9.406-2(b)(1)(i)).” Contracting Officers may require the contractor to demonstrate its compliance with the limitations on subcontracting at any time during the performance of the contract by having the Contractor provide invoices, copies of subcontracts, or a list of the value of tasks performed.

IAW 1001 of Title 18, I certify the above representations are true and correct to the best of my knowledge.

(Contractor)

Date

Return this certification via email to: Amber Milton at amber.milton@va.gov (Version 1 Dec 17, 2020)

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