36C25622R0002 EXHIBIT C.docx
DOCX document 26 KB Posted
- Solicitation number
- 36C25622R0002
About this file
This document includes a subcontractor consent form and details of a federal contract opportunity to repair elevators at a Veterans Affairs medical center. The opportunity involves repair of elevators numbers 1 through 5 at the Alexandria VA Health Care System located in Pineville, Louisiana. Interested offerors are asked to review all documents in full prior to submitting any questions by September 16, 2021. A site visit will also be conducted on this date. The solicitation for this 100% set-aside for Service-Disabled Veteran-Owned Small Businesses will be issued on or shortly after September 6, 2021 on beta.SAM.gov. The work includes providing all labor, materials, tools and equipment to complete the elevator repairs as defined in project documents. The estimated value is between $500,000 and $1,000,000. The primary NAICS code is 238290 and the work will be funded under the new fiscal year, contingent upon appropriated funds availability.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25622R0002 Revised SOW.docx | DOCX document | |
| 36C25622R0002 0002.docx | DOCX document | |
| 36C25622R0002 Pre-Award RFI Register .docx | DOCX document | |
| 502 21 700 Sign in Sheet.pdf | ||
| 36C25622R0002 0001.docx | DOCX document | |
| 36C25622R0002 Elevators 4 and 5 v4.pdf | ||
| 36C25622R0002 Elevator Layout 4 and 5.pdf | ||
| 36C25622R0002 Elevators 4 and 5 v3.pdf | ||
| 36C25622R0002 EXHIBIT F.docx | DOCX document | |
| 36C25622R0002 WDLA20200051 Mod 2 06182021.pdf | ||
| 36C25622R0002 Elevators 4 and 5.pdf | ||
| 36C25622R0002 EXHIBIT E.docx | DOCX document | |
| 36C25622R0002 Elevators 4 and 5 v2.pdf | ||
| 36C25622R0002 Elevator 3.pdf | ||
| 36C25622R0002 Existing Conditions.pdf | ||
| 36C25622R0002 EXHIBIT D.docx | DOCX document | |
| 36C25622R0002 RFP.docx | DOCX document | |
| 36C25622R0002 SOW .docx | DOCX document | |
| 36C25622R0002 EXHIBIT A.docx | DOCX document | |
| 36C25622R0002 EXHIBIT B.docx | DOCX document | |
| 36C25622R0002 Elevator 1 and 2.pdf | ||
| 36C25622R0002 Specifications Repair Elevators.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-21-700 Repair of Elevator Nos. 1, 2, 3, 4 & 5 for BLDG 7 36C25622R0002
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: _________________________________
| (That is currently planning on participating as a subcontractor and or a teaming partner with) |
| Telephone:_____________ |
Address:_______________
City/State/Zip Code:_______
DUNS/Cage Code:_________________
Name of Prime:__________________________________
| (PRIME CONTRACTOR OR NAME OF ENTITY PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25622R0002 for Project 502-21-700 Repair of Elevator Nos. 1,2,3,4 & 5 for BLDG 7) |
| Telephone:________________ |
Address:__________________
City/State/Zip Code:___________
DUNS/Cage Code:____________
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
Reference List (required):
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
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