EXHIBIT C SUBCONTRACTOR INFORMATION AND CONSENT.docx
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- Attached to
- RFP***Z2DA--NRM - 502-19-103 Remove and replace air handling units Bldg. 7 Federal contract opportunity
- Solicitation number
- 36C25620R0143
About this file
This document contains an exhibit for a federal contract solicitation and the related solicitation details. The exhibit provides a consent form for subcontractors to allow their past performance information to be shared with prime contractors for an HVAC replacement project at a VA medical center in Alexandria, Louisiana. The solicitation is for replacing air handling units in Building 7 and will be issued as a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. The project cost is estimated between $5-10 million. The solicitation number is 36C25620R0143 and proposals are due around June 8, 2020. The contract performance period is 365 days following notice to proceed at the Alexandria VA Health Care System located at 2495 Shreveport HWY in Pineville, Louisiana.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 502-19-103 Replace BLDG 7 AHU’s 36C25620R0143
EXHIBIT C – 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 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 Proposal No. 36C25620R0143 for Project 502-19-103 Replace BLDG 7 AHU’s.
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.
| (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):
| 1. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
| 2. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
| 3. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
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