QUOTER SELF PERFORMANCE 36C25720Q0943 _ COVID Door Screener.pdf
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- Solicitation number
- 36C25720Q0943
About this file
This document outlines a solicitation for COVID door screening services at multiple Department of Veterans Affairs locations in Texas. The solicitation seeks quotes for providing door screening employees at nine VA sites for one year periods. Quotes are due by July 10, 2020 and must include pricing for individual screening employees at each location, broken into CLIN line items. The solicitation is a 100% small business set-aside for NAICS code 561320, with a size standard of $30 million. The contractor must demonstrate compliance with applicable limitations on subcontracting. The award is a firm-fixed price contract for one base year from August 1, 2020 to July 31, 2021.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25720Q0943_2.docx | DOCX document | |
| 36C25720Q0943_1.docx | DOCX document | |
| Performance Work Statement COVID Door Screeners VANTHCS (Updated).pdf | ||
| Performance Work Statement (COVID Door Screeners).pdf | ||
| WAGE AND DETERMINATION(S).pdf | ||
| 36C25720Q0943.docx | DOCX document | |
| PREVAILING WAGE CERTIFICATION 36C25720Q0943 _ COVID Door Screener.pdf |
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QUOTER’S SELF PERFORMANCE WORKSHEET
As a 100% Total Small Business Set-Aside in accordance with VA Acquisition Regulation
(VAAR) 852.219-10, Limitations on Subcontracting – Monitoring and Compliance applies. To demonstrate compliance please complete this worksheet and submit by no later than Friday, July 10, 2020 at 10:00am CST to Victoria.Rone3@va.gov and ensure that it accompanies the quote/offer. The Contracting Officer may ask questions about responses on this form. Any such questions will be communications related to responsibility; it will not be considered discussions.
All vendors are required to complete this Worksheet and submit it to the Contracting Officer.
a. Quotor’s total proposed price (should be same amount shown in price worksheet for the total):
b. Total amount to be paid to subcontractors (Non-Small Business):
c. The difference of the amount shown in a) minus the amount shown in b:
List of intended subcontractors for this project and the value of those subcontracts:
COMPANY: DUNS: AMOUNT: SIZE STANDARD:
List of “Self-Performed” work activities by the Small Business (this should be consistent with the response in the technical evaluation factor):
List of Subcontracted Work Activities:
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