Attachment 4 - Subcontractor Consent Form.pdf

ATTACHMENT 4 – SUBCONTRACTOR INFORMATION AND CONSENT

FORM

12444126Q0022

Subcontractor and/or Teaming Partner Consent for the Release of Past Performance Information to the Prime Contractor and Reference Information

Past performance information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent.

Because a prime contractor is a private party, the Government will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime during exchanges. In an effort to assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal. The completed consent forms should be submitted to the offering contractor for submission with past performance volume.

___________________ (Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner) with ___________________(prime contractor or name of entity providing proposal) in responding to the Request for Quote 12444126Q0022 for Blanket Purchase Agreement (BPA) for Andrew Pickens RD Janitorial & Trash Services for recreational sites and office/work center space.

We understand that the Government is placing increased emphasis on past performance to obtain best value in source selections. To facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature) (Title of Individual with authority to sign for and Legally bind the company)

Company Name: _____________________ Telephone #____________________

Address: ______________________________

City/State/Zip Code: ______________________ Date: _____________________

Reference List (required and not to be from proposing prime contractor):

1. Contract No. And Title__________________________________________________

Describe your role (Prime/Sub) and work Performed

Reference POC Name____________________ Phone______________________

ATTACHMENT 4 – SUBCONTRACTOR INFORMATION AND CONSENT

FORM

12444126Q0022 Email address: ________________________________________________________

2. Contract No. And Title__________________________________________________

Describe your role (Prime/Sub) and work Performed

Reference POC Name____________________ Phone___________________

Email address: ________________________________________________________

3. Contract No. And Title___________________________________________________

Describe your role (Prime/Sub) and work Performed

Reference POC Name____________________ Phone_______________________

Email address: ________________________________________________________

Each major subcontractor and or Teaming Partner must complete an Attachment(s) 4, “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify three references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposed Offeror are not acceptable.