Attachment D.2 - DSI Form -AITC BPA
Updated
A PDF document (153 KB) attached to AITC Conference System Maintenance and Support, from the Department of Veterans Affairs. Due Oct 28, 2026, 1:00 PM (UTC-5).
File name: S02 - Attachment D.2 - DSI Form -AITC BPA.pdf
The full file is for paid members, or buy this bid alone.
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Deliverable Support Information Form
For VA Use Only:
1. Manufacturer
Multiple
2. Awardee
3. Product Name Description
AITC Conference Systems Maintenance and Support
4. Purchase Type(s)
Hardware
5. Fiscal Year
6. Contract/Task/Delivery
Order #
2026
7. VA Obligation #
8. Performance Start Date
9. Performance End Date
10. End Date (Including All
Options)
11. Contracting Officer Rep
L. Jani Shrout 512-981-4555
12. Requirements Portal ID
13. Change Order #
Vendor Fillable Fields (To Be Completed by Awardee):
14. Coverage
Choose an Item
15. Type of Support
Choose an Item
16. End of Life Date
17. End of Service Life Date
18. Level of Service
Choose an Item
19. Manufacturer Contract #
20. Technical Support Name
21. Technical Support Phone
22. Technical Support Email
23. Technical Support
Website
24. Hardware Serial Numbers
25. Software Serial Numbers
26. SW Licensing Key(s)
27. Comments/Add’l Info
Required for Support
28. Completed By Name
29. Completed By Phone
30. Completed By Email
31. Attachment(s)
IO Software Team Deliverable Support Information Form 03/09/2026
Page: 1 of 2
Instructions – Deliverable Support Information Form
Block 1-13 to be Completed by VA IO SW Team Personnel
Blocks 14-31 to be Completed by Awardee
14. Coverage
List the Coverage being provided as part of this contract (in hours/day-days/weekresponse time in hours format). Example: 24x7, 8x5x2. If coverage varies by CLIN, please attach additional information outlining the coverage for each CLIN and note the attachment in Block 31.
15. Type of Support
List the type of support provided as part of this contract. Example: Telephone, Online, Updates, Upgrades, Email. Choose the most complete response. If the Type of Support varies by CLIN, please attach additional information outlining the Type of Support for each CLIN and note the attachment in Block 31.
16. End of Life Date
Provide the Date the asset will reach its end of life (if applicable).
17. End of Service Life Date
Provide the Date the OEM will no longer provide updates & firmware or will no longer maintain the asset (if applicable).
18. Level of Service
List the level of service being provided. Example: Platinum, Premium, Gold. IF the Level of Service varies by CLIN, please attach addition information outlining the Level of Service for each CLIN and note the attachment in Block 31. (If correct response is not available in pull-down menu, please type in the correct response).
19. Manufacturer Contract #
Provide the Contract number between the Awardee and the OEM (if applicable).
The beginning of the document. Download the full file to read on.