Supplemental Checklist .docx
DOCX document 19 KB Posted
- Attached to
- M1LZ--Patient-assisted Parking Services
- Solicitation number
- 36C24227Q0014
About this file
This is a supplemental checklist form for vendors responding to a Request for Quotation (RFQ) for patient-assisted parking services at Northport VA Medical Center in Northport, New York (Solicitation Number 36C24227Q0014). The checklist serves as an acknowledgment and documentation tool for contractors to demonstrate compliance with contract requirements.
Contractors must provide detailed information regarding their experience, including the number of years operating as a prime contractor and any subcontractor experience in NAICS 812930 (parking services), along with relevant references. The form requires submission of a complete Excel spreadsheet detailing proposed employee hours and coverage, using specified notation to indicate working hours, breaks, and lunch periods. Additionally, vendors must confirm via checkmark which supplies and equipment they will provide at their own expense, including signage, cones, podium, lock boxes, communication devices, claim check systems, a contractor-owned gas-powered golf cart with maintenance and fuel included, and employee uniforms with name badges and seasonal/reflective outerwear. The checklist must be signed by an authorized vendor representative. This acquisition is set-aside for small business concerns and is being conducted by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 15-4157.pdf | ||
| Proposed schedule parking.xlsx | XLSX spreadsheet | |
| 36C24227Q0014.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
?.## SUPPLEMENTAL CHECKLIST:
Please complete and acknowledge that your company is providing the following in performance of this contract:
Experience:
Number of years of Prime Contractor experience in NAICS 812930__________________ Number of years of Subcontractor experience in NAICS 812930 (if applicable) Reference(s) for contractor experience__________________________________________ Employee experience: ___________________ Complete Excel Spreadsheet with proposed hours for each employee. Add more lines if needed.
1) Use an “X” to indicate the employee will be working that ½ hour block.
2) Use “15” to indicate the employee will be taking a break during that ½ hour block
3) Use “30” to indicate the employee will be taking lunch during that ½ block. (This does not have to be a final schedule, just a basic idea of coverage) Supplies/Equipment:
The vendor confirms (with a check mark) that they shall supply (at their expense):
Signage ____ Cones ____ Podium ____ Lock Box (for keys) ____ Walkie-talkies or cell phones ____ App Based Claim Checks/Paper claim checks (if needed) ____ Contractor owned, Gas-powered golf cart to expedite employee travel between lots (this shall include maintenance, gas, and a lockable flammable storage cabinet) ____ Uniforms w/ name badges, seasonal/reflective outerwear ____ Vendor’s Signature
File details come from the government source that posted it. Updated .