S02-ATTACHMENT 3- Self-Performance Worksheet.docx

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Attached to
Elevator Maintenance Services for the SFVAMC Federal contract opportunity
Solicitation number
36C26120Q0504
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

This self-performance worksheet is required to be submitted with quotes for elevator maintenance services for the San Francisco Veterans Affairs Medical Center. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses in accordance with VA acquisition regulations. Bidders must complete the worksheet to demonstrate compliance with limitations on subcontracting, providing their total proposed price, total amount to be paid to non-SDVOSB subcontractors, and the difference which represents the self-performed amount. Bidders must also list intended SDVOSB and non-SDVOSB subcontractors with dollar values, as well as self-performed work activities which should be consistent with the technical evaluation factor response. Subcontracted work activities should also be listed.

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Other files for this federal contract opportunity

Other files attached to Elevator Maintenance Services for the SFVAMC, newest first.
File Type Posted
S02- RFQ 36C26120Q0504.pdf PDF
S02-ATTACHMENT 1- Elevator listing.pdf PDF
S02-Attachment 7-QASP.pdf PDF
S02-Attachment 2-Price Schedule (detailed).xlsx XLSX spreadsheet
P07- Attachment 6- WD1980-0841 rev 56 dated 02-11-2020.pdf PDF
S02- ATTACHMENT 5-CPSR .docx DOCX document
S02- RFQ 36C26120Q0504.pdf PDF
S02-ATTACHMENT 4 Past Performance Survey.pdf PDF

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Text version

QUOTOR’s SELF PERFORMANCE WORKSHEET

As a Service-Disabled Veteran-Owned Small Business set-aside in accordance with VA Acquisition Regulation (VAAR) 852.219-10, Limitations on Subcontracting – Monitoring and Compliance applies in accordance with VAAR 852.219-74. To demonstrate compliance please complete this worksheet and submit with quote. 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.

Vendors are required to complete this Worksheet and submit with quote.

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-SDVOSBs): $_______________

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:

CompanyDUNSAmount
_____________________________________________$_____________
_____________________________________________$_____________

List of “Self-Performed” work activities by the SDVOSB (this should be consistent with the response in the technical evaluation factor):

List of subcontracted work activities:

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