S02 SOL_Att03 Sub-contractor Info Consent.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C25227R0001
About this file
This is a Subcontractor Information and Consent Form template required as part of a Department of Veterans Affairs (VA) solicitation for a Multiple Award Task Order Contract (MATOC). The form serves as a consent mechanism that allows the Government to disclose subcontractor and teaming partner past performance information to prime contractors during source selection, which would otherwise be prohibited under Federal Acquisition Regulation (FAR) provisions without explicit written consent.
The form requires major subcontractors and teaming partners to provide written authorization for performance information sharing and to submit a minimum of three (3) references from previous work. References must be identified owners if the subcontractor served as a prime contractor on past projects, or other prime contractors they have worked for, and cannot include references from the proposing prime contractor. The form requests standard company information including name, address, telephone number, and signature authority, along with detailed reference documentation for each cited project including contract number, project title, description of role performed, and point of contact information. Completion and submission of this consent form by all major subcontractors and teaming partners is mandatory for consideration in the solicitation for bathroom renovations at VA Illiana Health Care System in Danville, Illinois (Solicitation 36C25227R0001).
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Other files
| File | Type | Posted |
|---|---|---|
| S02 SOL_Att05 SEED PROJECT Specs.pdf | ||
| S02 SOL_Att07_SEED PROJECT WD IL20250002 05.1.2026.pdf | ||
| 36C25227R0001_2.docx | DOCX document | |
| S02 SOL_Att08 Contractor Safety and EMR.docx | DOCX document | |
| S02 SOL_Att06 SEED PROJECT Drawings.pdf | ||
| S02 SOL_Att01_SEED PROJECT SOW Renovate Bathrooms B103 RRTP.pdf | ||
| S02 SOL_Att09 VAAR 852.219-75 Certification 550-MATOC.docx | DOCX document | |
| S02 SOL_Att04 Past Performance Client Questionnaire.docx | DOCX document | |
| S02 SOL_Att02 Contractor General Information.docx | DOCX document |
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Text version
SOURCE SELECTION SENSITIVE
FAR 2.101 & 3.104-5
Solicitation Attachment 5 Subcontractor Information and Consent Form
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 this 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.
SAMPLE FORM:
__________________________(Company name of Subcontractor or Teaming Partner) is currently planning on participating as a (Subcontractor or a Teaming Partner) with ____________________________ (prime contractor or name of entity providing proposal) for the Department of Veterans Affairs RFP Multiple Award Task Order Contract (MATOC) Solicitation 36C25227R0001.
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.
(Signature) / (Date) (Title of Individual with authority to sign for and legally bind the company)
Company Name: _____________________ Telephone #____________________
Address: ___________________________________________________________
Reference List (required and not to be from proposing prime contractor):
1. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Fax____________ Email address: ________________________________
2. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Fax____________ Email address: ________________________________
3. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Fax____________ Email address: ________________________________
Each major subcontractor and or Teaming Partner must complete the “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify at a minimum three (3) references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposing offeror are not acceptable. Written references for subcontractors and 2nd tier subcontractors may be included and are encouraged.
Solicitation 36C25225R0004 Project 58521-115 Replace Boiler Plant Attachment 5 – Subcontractor Info Consent Page 1 of 2
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