Self-Performance Worksheet.docx
DOCX document 14 KB Posted
- Attached to
- J042-- New Service Request Fire Suppression Systems Service Base + 4 Option Yr| Engineering (VA-21-00020822)
- Solicitation number
- 36C26121Q0315
About this file
This document includes a self-performance worksheet and information on a related federal contract opportunity. The self-performance worksheet is intended for use by service-disabled veteran-owned small businesses bidding on a Department of Veterans Affairs contract. It requires bidders to provide their total proposed price, total amount paid to non-SDVOSB subcontractors, and the difference. Bidders must also list SDVOSB self-performed work activities and any subcontracted work activities.
The related federal contract opportunity is a solicitation from the VA Network Contracting Office 21 for fire testing and maintenance services for VA facilities in Las Vegas. Interested parties can review the attached performance work statement and request for quote for advance information, but should monitor the contracting website for the official RFQ, numbered 36C26121Q0315. The anticipated period of performance includes a one-year base period and four one-year options.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26121Q0315 0003.docx | DOCX document | |
| 36C26121Q0315 0002.docx | DOCX document | |
| TOTAL EQPT INV TYPE CLASS AND LOC.pdf | ||
| 36C26121Q0315 0001.docx | DOCX document | |
| EQPT INVENTORY LIST.xlsx | XLSX spreadsheet | |
| WAGE DETERMINATION.pdf | ||
| 36C26121Q0315.docx | DOCX document |
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Text version
QUOTER’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) Quoter’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 .