36C25621R0148 EXHIBIT C.docx
DOCX document 44 KB Posted
- Solicitation number
- 36C25621R0148
About this file
This document contains a subcontractor information and consent form template for the solicitation Project #502-17-300 Convert Laundry To Distribution and Storage Facility. The form requires subcontractors to provide contact information and consent to the release of their past performance information to the prime contractor. Subcontractors must also include a list of at least three references with relevant contract numbers, descriptions of the subcontractor's role and work performed, and points of contact. The consent forms are to be submitted by the prime contractor along with their past performance volume in response to solicitation number 36C25621R0148 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for the referenced project.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25621R0148 0003.docx | DOCX document | |
| RFI Register 502-17-300 23 July 2021.docx | DOCX document | |
| Equipment List.docx | DOCX document | |
| 36C25621R0148 0002.docx | DOCX document | |
| Pre-Award RFI Register 19 May 2021 Final.pdf | ||
| 36C25621R0148 0001.docx | DOCX document | |
| Sign in Sheet.pdf | ||
| 36C25621R0148 Specifications.pdf | ||
| 36C25621R0148 Drawings .pdf | ||
| 36C25621R0148 EXHIBIT F.docx | DOCX document | |
| 36C25621R0148 EXHIBIT E.docx | DOCX document | |
| 36C25621R0148 ICRA.pdf | ||
| 36C25621R0148 JA.pdf | ||
| 36C25621R0148 EFT Form.pdf | ||
| 36C25621R0148 Vendor Request Form.xlsx | XLSX spreadsheet | |
| 36C25621R0148 SOW .docx | DOCX document | |
| 36C25621R0148 EXHIBIT G.docx | DOCX document | |
| 36C25621R0148 EXHIBIT A.docx | DOCX document | |
| 36C25621R0148 Solicitation.docx | DOCX document | |
| 36C25621R0148 EXHIBIT B.docx | DOCX document | |
| 36C25621R0148 EXHIBIT D.docx | DOCX document | |
| 36C25621R0148 WD.txt | TXT text file | |
| 36C25621R0148 Pre-Sol.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 502-17-300 Convert Laundry to Distribution and Storage 36C25621R0148
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. 36C25621R0148 for Project 502-17-300 Convert Laundry to Distribution and Storage
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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