36C25621R0148 EXHIBIT C.docx

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Project #502-17-300 Convert Laundry To Distribution and Storage Facility***RFP***
Solicitation number
36C25621R0148
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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 PDF
36C25621R0148 0001.docx DOCX document
Sign in Sheet.pdf PDF
36C25621R0148 Specifications.pdf PDF
36C25621R0148 Drawings .pdf PDF
36C25621R0148 EXHIBIT F.docx DOCX document
36C25621R0148 EXHIBIT E.docx DOCX document
36C25621R0148 ICRA.pdf PDF
36C25621R0148 JA.pdf PDF
36C25621R0148 EFT Form.pdf 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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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 NamePhone:Fax:
Email address:
2.Contract No. And Title:
Describe role (Prime/Sub) and work Performed:
Reference POC NamePhone:Fax:
Email address:
3.Contract No. And Title:
Describe role (Prime/Sub) and work Performed:
Reference POC NamePhone:Fax:
Email address:

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