EXHIBIT G LIST OF RETURNABLES.docx

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Z1DA--Installation of Additional Environmental Monitors Federal contract opportunity
Solicitation number
36C25621R0131
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document outlines requirements for a federal solicitation seeking installation of additional environmental monitoring equipment. The solicitation will be issued by the Department of Veterans Affairs Veterans Health Administration seeking offers from Service-Disabled Veteran-Owned Small Businesses to install additional environmental monitors at the Southeast Louisiana Veterans Health Care System facility in New Orleans. Offerors must be verified in the Vendor Information Pages database and System for Award Management, and the prime contractor must perform a minimum of 15-25% of the work depending on subcontractor use. The construction cost is estimated between $500,000 to $1 million. Technical, past performance and price proposals are due by June 4, 2021 in response to solicitation number 36C25621R0131 as posted on beta.SAM.gov. The contracting officer is Bill Geary.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 629-21-102 Installation of Additional Environmental Controls 36C25621R0131

EXHIBIT G

LIST OF RETURNABLES

The solicitation proposal shall contain the below minimum documents including, but not limited to the following:

1. Documents for Evaluation – The proposal(s) shall be submitted in three parts, Technical, Past Performance, and Price.

A. Volume 1 & 2

1. In addition to providing the required Technical (Volume 1) and Past Performance (Volume 2) submissions, the below documents are incorporated within the Technical (Volume 1) and Past Performance (Volume 2) sections and are required as part of the proposal(s):

a. Commitment Letters, if applicable (does not count towards page limitations)

b. Exhibit A – Past Performance Relevancy Surveys (does not count towards page limitations)

c. Exhibit B – Past and Present Performance Questionnaire (does not count towards page limitations). Note: Must be submitted directly to Contracting Officer by offeror’s references—not by the offerors themselves.

d. Exhibit C – Subcontractor Information and Consent Form (does not count towards page limitations)

e. Exhibit E – Surety Form (does not count towards page limitations) B. Price (Volume 3)

1. In addition to providing the required Price (Volume 3) submissions, the below documents are incorporated within the Price (Volume 3) section and are required as part of the proposal(s):

a. Standard Form 1442 I. Submit completed/signed SF1442/SF1442 BACK (Blocks 20a, 20b, and 20c) with acknowledgement of Amendments (Block 19) II. Acknowledge and return individual Amendments if not using SF1442 BACK (Block 19) III. Schedule of Offer Items completed with completed Block 17 & Continuation (Divisions) located in Sections A.3 and A.4

b. Exhibit D – Contractor Evaluation Form – Construction Safety & OSHA Forms 300 and 300a (does not count towards page limitations)

C. See Section A.5 and A.6, of RFP, for General Proposal Information and for Preparation and Submission requirements.

D. Representations & Certifications in:

1. 52.209-7 Information Regarding Responsibility Matters (Oct 2018)

2. 52.209-13 Violation of Arms Control Treaties or Agreements—Certification (Feb 2021)

3. 52.204-8 Annual Representations and Certifications (Mar 2020) (Jul 2020) (Deviation) (unless offeror already has an active System for Award Management (SAM) registration)

4. 52.204-24 Representations Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) (unless offeror represents that it does not provide covered communications equipment or services as a part of its offered products or services to the Government) 2 | Page

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