Self-Performance Worksheet.pdf

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V231--Lodging Service
Solicitation number
36C25525Q0116
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This is a market research self-performance worksheet issued by the Department of Veterans Affairs (VA) for lodging services with nominal ancillary services. The worksheet is designed to gather information from potential contractors about their hotel services and pricing structure.

The form requires respondents to provide their anticipated nightly rate to be charged to VA (noted as preliminary estimate only), indicate whether they own the hotel or will subcontract, and specify the amount that would be paid to subcontractor hotels. Respondents must identify if they or their subcontracted hotels qualify as small businesses (SDVOSB, VOSB, or WOSB). The form requires hotel name and address information for owned properties and a list of intended subcontractor hotels including their UEI numbers and addresses. The VA emphasizes that firms will not be considered viable sources if the worksheet is not completed in full, and the Contracting Officer may conduct follow-up inquiries about responses.

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Other files

File Type Posted
36C25525Q0116 0001.docx DOCX document
36C25525Q0116 Hoptel Solicitation.docx DOCX document
Attachment 1_MCM 122-06_2019 April 19.docx DOCX document
Attachment 2_ HotelMotel Evaluation Checklist 2024.docx DOCX document

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MARKET RESEARCH

SELF-PERFORMANCE WORKSHEET

This requirement is for lodging with nominal ancillary services. Please complete this worksheet.

Your firm will not be considered a viable source if this worksheet is not completed in full. The Contracting Officer may ask follow-up market research questions about responses on this form.

a) Anticipated Nightly rate charged to VA: $_______________

Note: Your rate identified above is for market research only. This is not considered your quote. It is just a preliminary estimate for VA’s planning purposes.

b) If you do not own the hotel where Veterans will be staying, what amount from a) above will be paid to the place of lodging (i.e., subcontractor hotel) by your business:

- Is the subcontracted hotel owned by an SDVOSB or other small business entity and if so, which type of entity (SDVOSB, VOSB, WOSB,): _____________________

-Is your business a small business concern and if so, which type of entity (SDVOSB, VOSB, WOSB,): __________________________

If you own a hotel that will be used for this requirement, include the hotel name and address:

Hotel Name Address

List of intended subcontractors (hotels) for this requirement, if any, and their addresses:

Company UEI Address

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