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VendorResponse

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A Word document (178 KB) attached to RFP-797-FSS-00-0115-R4: 621I Professional & Allied Healthcare Staffing Services, from the Department of Veterans Affairs. Due Dec 23, 2026, 5:00 PM (UTC-6).

File name: 621I-R4_02_VendorResponse_20211001.docx

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02 - VENDOR RESPONSE DOCUMENT

ALL OFFERORS MUST COMPLETE THIS DOCUMENT.

PLEASE PAY ATTENTION TO THE APPLICABILITY NOTES

PROVIDED IN THE TABLE OF CONTENTS

AND AT THE BEGINNING OF EACH SECTION.

PLEASE UTILIZE THE PROPOSAL CHECKLIST

AT THE END OF THIS DOCUMENT.

VENDOR RESPONSE

Signatory Authority Form (Sep 2021) 3
HYPERLINK \l "AgntAuth"Agent Authorization (Mar 2021) 4 SF1449 5
Continuation of SF1449 Blocks 19-21, Schedule of Items (Mar 2021) 7 552.238-74 Introduction of New Supplies/Services (INSS) (Nov 2020) 10 Scope of Solicitation (Sep 2021) 11
Business Size Determination and NAICS Code Designation (Feb 2020) 16 552.238-113 Scope of Contract (Eligible Ordering Activities) (May 2019, Tailored) 16 Utilization of Subcontractors (Mar 2021) 18
52.216-19 Order Limitations (Oct 1995) 18
Minimum Acceptable Order Proposal (Jul 2021) 18
K-FSS-1 Authorized Negotiators (Mar 1998) 19
G-FSS-900-C Contact for Contract Administration (Dec 2019, Tailored) 19 Alternate Contact for Contract Administration (Aug 2017) 19 Contact for Sales Administration (Mar 2011) 20
Ordering Contact (Mar 2018) 20
Compliance Confirmation (Mar 2021) 20
52.209-7 Information Regarding Responsibility Matters (Oct 2018) 21 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment 22 Recovery Purchasing Election 24
Public Health Emergencies Participation Election 24

PROPOSED PRICING & COMMERCIAL SALES PRACTICES

Proposed Pricing and Commercial Sales Practices (CSP) Disclosures (Mar 2021) 26 Additional Discounts/Concessions Offered to the Government (Mar 2021) 30 Commercial Sales Practices Format (Tailored, Notes - Aug 2021) 31

CONTRACTOR QUALIFICATIONS (Mar 2021) 33

PAST PERFORMANCE REFERENCES (Mar 2021) 37

Only complete this section if this is a new Federal Supply Schedule (FSS) offer and you do not have a current FSS contract with either General Services Administration (GSA) or Department of Veterans Affairs (VA).

SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE (Sep 2021) 41

Only complete this section if you are classified as an “other than small business” (or are affiliated with an other than small business).

PROPOSAL CHECKLIST (Mar 2021) 49

SIGNATORY AUTHORITY FOR OFFERS AND CONTRACTS / COMPANY INFORMATION

The purpose of this document is to clearly identify who has been delegated the authority to sign your Federal Supply Schedule (FSS) offer or contract documents on behalf of the named firm as well as identify pertinent company information. Pursuant to our policy, the only person(s) with the ability to delegate authority is an officer of the company. Therefore, please list the officers of the company in block 6 of the form. In block 7, please list any additional persons to whom authority has been delegated to sign. Finally, blocks 15, 16, 17 must be signed by an officer of the company (individual listed in block 6) in order for our office to accept the authority. If you require additional space, you may use a properly titled attachment.

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