Sample UB-04.pdf

PDF 112 KB Posted

Attached to
Q402--Community Nursing Home-VISN15
Solicitation number
36C25521R0016
Issued by

About this file

This document provides details of a federal contract opportunity to provide Community Nursing Home Care Services. The Department of Veterans Affairs, Veterans Integrated Service Network 15 is seeking to award multiple single award Indefinite Delivery, Indefinite Quantity contracts to provide all facilities, space, equipment, services, supplies, administration, management, materials, furnishings, insurance and labor necessary to provide Nursing Home Care Services to VA Medical Centers and beneficiaries in VISN 15, which includes parts of Kansas, Missouri, Arkansas, Illinois, Indiana and Kentucky. This is an open and continuous solicitation under solicitation number 36C25521R0016. Solicited offers may be received at any time during the open period to determine if requirements exist, and offers may be solicited by Contracting Officers for specific requirements.

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Other files

File Type Posted
Subcontracting Plan Template_A0002.pdf PDF
36C25521R0016 0002.pdf PDF
36C25521R0016 0001.pdf PDF
SubcontractingPlan.pdf PDF
CapabilitiesQuestionnaire.pdf PDF
Sample QASP.pdf PDF
Capabilities Questionnaire.pdf PDF
Supplement to Invoices.pdf PDF
INFORMATION ON WAGE DETERMINATION.pdf PDF
Contract Deficiency Report.pdf PDF
VISN 15 Placement.pdf PDF
Subcontracting Plan.pdf PDF
AOR Maps.pdf PDF
36C25521R0016_3.pdf PDF
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Text version

Attachment 6, Sample Form UB-04 Invoice

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