S02 Self-Performance Worksheet Small Business.pdf
PDF 86 KB Posted
- Solicitation number
- 36C26122Q0427
About this file
This document contains a self-performance worksheet for a small business set-aside contract and details of the related federal opportunity. The self-performance worksheet requires the small business vendor to provide their total proposed price, total amount paid to any non-small business subcontractors, and the difference between the two amounts. It also requests the vendors list intended small business subcontractors along with value of those subcontracts and a list of work activities the small business will self-perform.
The related federal contract opportunity is a solicitation from the Department of Veterans Affairs for medical gases maintenance services for the VA Pacific Islands Health Care System. It provides the solicitation number but no other details on required products or services, response dates, or incumbent.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S02 Past Performance Survey.pdf | ||
| 36C26122Q0427_1.docx | DOCX document | |
| S02 - Wage Determination.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
QUOTOR’s SELF PERFORMANCE WORKSHEET
As a Small Business set-aside in accordance with Federal Acquisition Regulation (FAR) 52.291-6, 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-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
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:
File details come from the government source that posted it. Updated .