S02-Self-Performance Worksheet.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C26121Q0751
About this file
This is a self-performance worksheet for a service-disabled veteran-owned small business set-aside contract opportunity with the Department of Veterans Affairs to provide special mode nonambulatory transportation services to eligible veterans. The contractor must complete the worksheet to demonstrate compliance with limitations on subcontracting, listing the total proposed price, total amount to be paid to non-SDVOSB subcontractors, and the difference that represents the self-performed amount. The contractor must also list any intended subcontractors, their DUNS numbers, and subcontract amounts, as well as the self-performed work activities consistent with the technical evaluation factor response. Subcontracted work activities should also be detailed. The solicitation number for this opportunity is 36C26121Q0751.
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Other files
| File | Type | Posted |
|---|---|---|
| Self-Performance Worksheet.docx | DOCX document | |
| S02- Sol 36C26121Q0751 to ktr for quote.pdf | ||
| WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| Experience Factor Worksheet-1.xlsx | XLSX spreadsheet | |
| Business Associate Agreement.pdf | ||
| 36C26121Q0751 0001.docx | DOCX document | |
| Past Performance Survey-1.docx | DOCX document | |
| Past Performance Survey.docx | DOCX document | |
| 36C26121Q0751.docx | DOCX document | |
| P07-WD 2015-5689 rev 13 dated 12-21-2020.pdf | ||
| S02- Experience Factor Worksheet.xlsx | XLSX spreadsheet |
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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): $_____________
List of intended subcontractors for this project and the value of those subcontracts:
| Company | DUNS | Amount | ||
| ________________________________ | ____________ | _$_____________ | ||
| ________________________________ | ____________ | _$_____________ |
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 .