36C25622R0014 - Exhibit C Subcontractor Information and Consent.docx

DOCX document 44 KB Posted

Attached to
Z2DZ--Regular Construction Project: 520-22-102 Replace Multiple Flat Roofs, Biloxi Federal contract opportunity
Solicitation number
36C25622R0014
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a subcontractor consent form template for the solicitation number 36C25622R0014 to replace multiple flat roofs at the Biloxi Veterans Affairs facility. Major subcontractors are requested to complete the form to consent to the prime contractor discussing their past performance information with the government during the source selection process. The form requires the subcontractor's name, signature with authority to bind the company, reference contact information for up to three past contracts describing the subcontractor's role and work performed on each.

The related federal contract opportunity is for solicitation number 36C25622R0014 to perform project 520-22-102 replacing multiple flat roofs at the Biloxi VA facility. The solicitation is for regular construction work issued by the Department of Veterans Affairs Veterans Health Administration VISN 16.

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Other files for this federal contract opportunity

Other files attached to Z2DZ--Regular Construction Project: 520-22-102 Replace Multiple Flat Roofs, Biloxi, newest first.
File Type Posted
36C25622R0014 A0004 - RFI Register.pdf PDF
36C25622R0014 0004.docx DOCX document
36C25622R0014 - ARCH REC DWGS 40(AE-514).pdf PDF
36C25622R0014 - ARCH REC DWGS 20(AE-201).pdf PDF
36C25622R0014 - ARCH REC DWG BLDG 31 ROOF LAYOUT.pdf PDF
36C25622R0014 - RFI Register.pdf PDF
36C25622R0014 - ARCH REC DWGS 42(AE-530).pdf PDF
36C25622R0014 - ARCH REC DWGS 38(AE-512).pdf PDF
36C25622R0014 - ARCH REC DWGS 36(AE-510).pdf PDF
36C25622R0014 - ARCH REC DWGS 23(AE-310).pdf PDF
36C25622R0014 - ARCH REC DWGS 22(AE-301).pdf PDF
36C254622R0014 - Revised Specifications (31).pdf PDF
36C25622R0014 - ARCH REC DWGS 41(AE-515).pdf PDF
36C25622R0014 - ARCH REC DWGS 39(AE-513).pdf PDF
36C25622R0014 - ARCH REC DWGS 21(AE-202).pdf PDF
36C25622R0014 - VAAR Clause 852.219-77 - Certification.docx DOCX document
36C25622R0014 - ARCH REC DWGS 37(AE-511).pdf PDF
36C25622R0014 - ARCH REC DWGS 25(AE-312).pdf PDF
36C25622R0014 - ARCH REC DWGS 24(AE-311).pdf PDF
36C25622R0014 - ARCH REC DWGS 13(AE-130).pdf PDF
36C25622R0014 0003.docx DOCX document
36C25622R0014 - ARCH REC DWGS 18(AE-140).pdf PDF
36C25622R0014 0002.docx DOCX document
(2) Site Visit Sign-In Sheets - Proj 520-22-102.pdf PDF
36C25622R0014 0001.docx DOCX document
36C25622R0014 - A0001 RFI Register.pdf PDF
36C25622R0014 - Exhibit A Performance Relevancy Survey.docx DOCX document
36C25622R0014 - Infection Control Constr Permit-IRCA.pdf PDF
36C25622R0014 - Exhibit E - Surety Form.docx DOCX document
36C25622R0014 - Drawing 2 (T-104).pdf PDF
36C25622R0014 - Site Visit Map - Biloxi VA.pdf PDF
36C25622R0014_1.docx DOCX document
36C25622R0014 - Exhibit F - Request for Information Form.docx DOCX document
36C25622R0014 - Specifications.pdf PDF
36C25622R0014 - Davis Bacon Wage Determination.pdf PDF
36C25622R0014 - Exhibit D - Contractor Evaluation Form Construction Safety.docx DOCX document
36C25622R0014 - Exhibit B - Past and Present Performance Questionnaire.docx DOCX document
36C25622R0014 - Drawing 1 (Bldg 31).pdf PDF
36C25622R0014 - Drawing 3 (T-105).pdf PDF
Show all 39

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 520-22-102 Replace Multiple Flat Roofs, Biloxi 36C25622R0014

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. 36C25622R0014 for Project 520-22-102 Replace Multiple Flat Roofs, Biloxi

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:

File details come from the government source that posted it. Updated .