Sources Sought Questionnaire.pdf

Sources Sought Questionnaire 36C24221R0016

Completed forms should be emailed to heather.schrader@va.gov by February 12, 2021 by 16:00 ET

Please complete this form in its entirety. Do not provide additional documents or capability statements.

FTE, position requirements and qualifications are defined in the attached DRAFT PWS.

Company Name

Address

Point of Contact

Phone Email

DUNS number Business Size

1. Is your company primarily a staffing agency or do you specialize in a particular medical specialty?

Staffing Agency Medical Specialty

2. If you are not a staffing agency, what medical specialty specific services does your company provide?

NA

3. Have you ever provided all of the following types of positions under one contract/at the same location/at the same time: Senior Therapeutic Medical Physicist, Certified Medical Dosimetrists, Therapeutic Radiation Therapists?

Yes No

4. If you answered yes to question #3, how many FTE (full time equivalent) did you provide?

Senior Therapeutic Medical Physicist

Certified Medical Dosimetrists

Therapeutic Radiation Therapists

5. Have you ever provided multiple Senior Therapeutic Medical Physicists and Certified Medical Dosimetrists under one contract/at the same location/at the same time?

mailto:heather.schrader@va.gov

Completed forms should be emailed to heather.schrader@va.gov by February 12, 2021 by 16:00 ET

6. If you answered yes to question #5, how many FTE did you provide?

Certified Medical Dosimetrists

7. Have you ever provided multiple Therapeutic Radiation Therapists under one contract/at the same location/at the same time?

8. If you answered yes to question #7, how many FTE did you provide?

9. Do you currently have staff that meet the qualification in the attached DRAFT PWS readily available?

10. If you answered no to question #9, explain your ability to recruit for each of the 3 positions (Senior Therapeutic Medical Physicist, Certified Medical Dosimetrists, Therapeutic Radiation Therapists):

11. How many years of experience does your company have in providing Senior Therapeutic

Medical Physicists, Certified Medical Dosimetrists, Therapeutic Radiation Therapists for Radiation Oncology?

12. Explain your capability to continuously fulfill these critical patient care services positions without a break in service/position vacancies:

Completed forms should be emailed to heather.schrader@va.gov by February 12, 2021 by 16:00 ET

If you have provided any of these positions for the VA in the past, please list the contract number and a point of contact:

Contract Number

Point of Contact Name Email Address