S02 ATTACHMENT 6 CONTRACTOR CHANGE FORM.doc
DOC document 55 KB Posted
- Attached to
- R702--DQ Technical Analysis & Functional Support Federal contract opportunity
- Solicitation number
- 36C77625Q0232
About this file
The document is a Contractor Personnel Change Form template for managing personnel modifications within a federal contract. The form allows contractors to add new personnel or replace existing staff, requiring details such as work address, project role, labor category, hourly rate, and hour cap. Critical administrative requirements include updating background investigation templates within five business days after personnel changes, with mandatory submission to the contracting officer and completion of fingerprinting within the same timeframe.
This form is associated with a Request for Information (RFI) by the Department of Veterans Affairs' Veterans Health Administration for Digital Health Office Technical Analysis & Functional Support services. The RFI seeks qualified contractors for a near-future solicitation in administrative management and general management consulting services (NAICS 541611), with a response deadline of December 20, 2024 at 1:00 PM Eastern. Interested vendors must submit a 20-page response detailing past experience, capabilities, qualifications, business size, and potential teaming partners, with responses to be emailed to specific VA contracting personnel.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02 ATTACHMENT 3 QASP DQ v2 061225.docx | DOCX document | |
| S02 ATTACHMENT 5 CONTRACTOR ROSTER.doc | DOC document | |
| S02 ATTACHMENT 2 Business Associate Questionnaire.pdf | ||
| 36C77625Q0232.docx | DOCX document | |
| S02 ATTACHMENT 7 Labor Cat and Descr Ex.xlsx | XLSX spreadsheet | |
| S02 ATTACHMENT 4 VAAR 852 219 75.docx | DOCX document | |
| S02 ATTACHMENT 1 PWS DQ v3 061225.docx | DOCX document |
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Text version
Contractor Personnel Change Form
| Contractor/Vendor: |
| Purchase Order # /Contract #: |
| Project: |
| Vendor POC: |
| Vendor POC Phone No: |
| Date Submitted: |
| Personnel to be Added |
| New Personnel Work Address and Phone Number (If working remote, state remote address and telephone number). |
| Personnel to be Replaced |
| Proposed Effective Date |
| Project Role |
| Labor Category |
| Hourly Labor Rate |
| Hour Cap (amount) |
| Resume Meets Qualifications? |
Reason:
Comments/Special Instructions:
The contractor is responsible for updating the background investigation template as personnel are added to the order. The contractor must submit the updated template to the contracting officer within five business days after the added personnel are approved by the PM and COTR. The background investigation forms and fingerprinting must be completed within five (5) business days of the personnel being added to the order.
File details come from the government source that posted it. Updated .