S02 Att 11 Subcontractor Info Consent 578-26-007.docx
DOCX document 23 KB Posted
- Attached to
- Z1DZ--578-26-007-FY26 Network Cable Installation
- Solicitation number
- 36C25226R0013
About this file
This is a Subcontractor or Teaming Partner Information and Consent Form used as a solicitation attachment for the Department of Veterans Affairs IDIQ contract for network cable installation (RFP 36C25226R0013, Project 578-26-007). The form requires major subcontractors and teaming partners in the categories of Electrical, Telecom, Security, and Fire Protection to provide written consent allowing the Government to disclose their past and present performance information to the prime contractor during source selection. This consent is necessary because the Government cannot release subcontractor performance data to private parties without authorization.
The form requires each participating subcontractor or teaming partner to complete a sample consent statement, provide company contact information, and list up to four reference contracts. For each reference, the subcontractor must document the contract number, project title and location, describe their role and work performed, identify the value provided, and supply the reference point of contact with phone and email. The form emphasizes that references should be from entities other than the prime contractor associated with the solicitation, enabling the Government to conduct performance confidence assessments during the source selection process for this $1 Million maximum value IDIQ contract covering network cabling installation at the Edward Hines Jr. VA Hospital in Illinois.
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Text version
SOURCE SELECTION SENSITIVE
FAR 2.101 & 3.104-5
Solicitation Attachment F Subcontractor or Teaming Partner Information and Consent Form
Subcontractor 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 this consent form be completed by the major subcontractors/teaming partners identified in your proposal.
Major subcontractors include:
1.) Electrical
2.) Telecom
3.) Security
4.) Fire Protection
SAMPLE FORM from SUBCONTRACTOR or TEAMING PARTNER:
__________________________(company name) is currently planning on participating as a (Subcontractor or Teaming Partner) with ___________________________________________ (prime contractor or name of entity providing proposal) for the Department of Veterans Affairs RFP 6C25226R0013 for Project 578-26-007 IDIQ Replace Network Cabling.
We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order 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 as well as our recommended references as listed on the attachment.
| __________________________________ | ___________________________________ | |
| Name | Title of individual with authority to sign for, | |
| and legally bind the company |
| ___________ | ____ | __________________ | |
| Phone |
Address of Record
** See listed attachments on following page(s) **
Reference List (company OTHER THAN with prime contractor associated with this solicitation):
1. Contract # __________________________________________________________ Project # and Title: __________________________________________________________ Project Location: __________________________________________________________ Describe your role (Prime/Sub) work performed and value: __________________________ __________________________________________________________________________ Reference POC Name______________________________ Phone_____________________ Email address: ______________________________________________________________
2. Contract # __________________________________________________________ Project # and Title: __________________________________________________________ Project Location: __________________________________________________________ Describe your role (Prime/Sub) work performed and value: __________________________ __________________________________________________________________________ Reference POC Name______________________________ Phone_____________________ Email address: ______________________________________________________________
3. Contract # __________________________________________________________
Project Location: __________________________________________________________ Describe your role (Prime/Sub) work performed and value: __________________________ __________________________________________________________________________ Reference POC Name______________________________ Phone_____________________ Email address: ______________________________________________________________
4. Contract # __________________________________________________________
Project Location: __________________________________________________________ Describe your role (Prime/Sub) work performed and value: __________________________ __________________________________________________________________________ Reference POC Name______________________________ Phone_____________________ Email address: ______________________________________________________________
Solicitation 36C25226R0013 Project 578-26-007 IDIQ Replace Network Cabling Attachment F – Subcontractor Info Consent Page 2 of 5
File details come from the government source that posted it. Updated .