Self-Performance Worksheet.docx
DOCX document 14 KB Posted
- Attached to
- Legionella Water Testing Federal contract opportunity
- Solicitation number
- 36C26124Q0344
About this file
This document is a Self-Performance Worksheet for a Service-Disabled Veteran-Owned Small Business (SDVOSB) responding to a federal contract opportunity.
The worksheet requires the vendor to provide their total proposed price, the total amount to be paid to subcontractors who are not SDVOSBs, and the difference between those two amounts. The vendor must also list their intended subcontractors and the value of those subcontracts, as well as identify the work activities they will self-perform versus subcontract. This is to demonstrate compliance with the SDVOSB set-aside requirements under VAAR 852.219-10 and 852.219-74.
The related federal contract opportunity is for Legionella Prevention Services at various VA facilities in Honolulu, Hawaii. The solicitation number is 36C26124Q0344, and the contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Vendor-Requests-for-Information.docx | DOCX document | |
| 36C26124Q0344 0001.pdf | ||
| WD-Honolulu- No 2015-5691-Rev20-12262023.txt | TXT text file | |
| Site Layout Plan.pdf | ||
| 36C26124Q0344.pdf |
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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 .