S201--WINDWARD CBOC HOUSEKEEPING SVC VA Hawaii

1

Market Research Questionnaire

The purpose of this document is for market research. This document does not commit or obligate the Government in any manner. Please complete all fields and provide documentation to support your responses below. Failure to respond fully to this questionnaire will render your response incomplete and your company s response will not be considered a viable source. Fill in the form completely and send to maria.teodoro-tanksley@va.gov no later than

02 Jul 2021. Refer to Response to SS 36C26121Q0831 in the subject line of your email.

1a. Service Title: Janitorial Services

1b. Service Brief Description Janitorial Services at VA Community Based Outpatient Clinic

at 46-001 Kamehameha Hwy, Kaneohe, HI 96744

Company Information:

Company legal name:

POC: Email: Phone:

DUNS#:

Cage Code:

6. System for Award Management (SAM) Registered? Any exclusions:

7a. NAICS: 7b. Business Size:

7c. If SDVOSB or VOSB, are you registered in Vendor Information Pages (VIP)?

https://www.vip.vetbiz.va.gov/

8a. Any proposed payment terms?

Does Service Contract Act apply? (Y/N)

Any unique terms and conditions required:

Past Experience: (Note past experience is not required to be considered.

List company s past experience providing this service with the Federal government?

Product Contract # Agency Govt POC Name Phone Email

Note: Additional items can be added on continuation page

Service Information:

Price per unit:

Desired line item structure, e.g. what is the unit of measure for invoices? (Per hour, per job, per month, per square foot)

14. Please provide pricing information for previous projects:

Size Status Information:

The primary purpose of this acquisition is to provide the following actions: See attached PWS

15a. Of the service actions listed above, which one(s) will your company perform as the prime contractor using its own personnel without subcontracting?

15b. With respect to the service actions listed above, which action(s) do you intend on subcontracting or using other than your company s own personnel?

15c. Of those services that will be performed by subcontractor(s), approximately what percentage will they perform for each of the actions identified?

15d. What is the size status of the intended subcontractor(s)? (Note, SDVOSB/VOSB subcontractors must also be certified in VIP.) ________________________

15e. If you intend on subcontracting, please detail how you will be in compliance with the Limitations on Subcontracting.