About this file

This document is a certification form for a solicitation seeking special mode transportation services. The solicitation number is 36C24821Q0591 and was posted on April 9, 2021 by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8, with an original response date of May 7, 2021. The solicitation is set aside as a SDVOSB set-aside for NAICS code 485991 with a size standard of $16.5 million. The form requires the contractor to certify whether subcontractors are anticipated and to provide details on work self-performed and subcontracted, including the contractor's DUNS number, description of work, and cost of work. Severe penalties are outlined for any contractors found violating limitations on subcontracting.

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SOLICITATION (Version 1 Dec 17, 2020)

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. 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 Signature Date

Return this certification via email to: daniel.dove@va.gov

Contractor 1:
Contractor 2:
Contractor 3:
Contractor 4:
DUNs Number 1:
DUNs Number 2:
DUNs Number 3:
DUNs Number 4:
Description of Work 1:
Description of Work 2:
Description of Work 3:
Description of Work 4:
COST of work in 1:
COST of work in 2:
COST of work in 3:
COST of work in 4:
1:
2:
Date:
Check Box1: Off
Check Box2: Off
Text2:
Text3:
Text4:
Text5:
Text6:

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