EXHIBIT C SUBCONTRACTOR INFORMATION AND CONSENT.docx

DOCX document 44 KB Posted

Attached to
Project No. 667-18-110, Replace Transformer and Correct Electrical Deficiencies, Bldg 4 Federal contract opportunity
Solicitation number
36C25622R0028
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a subcontractor consent form and details of a federal contract opportunity for electrical work. The Department of Veterans Affairs is seeking proposals to replace a transformer and correct electrical deficiencies at Building 4 of the Overton Brooks VA Medical Center in Shreveport, Louisiana. The estimated value is between $500,000 and $1 million. Interested parties should monitor the SAM website for the full solicitation to be posted around January 18th, with proposals due approximately 30 days later on February 18th. The performance period is 180 days from the notice to proceed. This is a 100% set-aside for service-disabled veteran-owned small businesses. Proposers must be verified in the Vendor Information Pages database and registered in SAM and represent that they meet the NAICS code size standard of $39.5 million at time of submission. The subcontractor consent form allows disclosure of past performance information to prime contractors during the source selection process.

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Other files for this federal contract opportunity

Other files attached to Project No. 667-18-110, Replace Transformer and Correct Electrical Deficiencies, Bldg 4, newest first.
File Type Posted
36C25622R0028 0001.docx DOCX document
Bldg 4 Transformer Laydown Area.pdf PDF
36C25622R0028 0002.docx DOCX document
FCA Basic Report - B4 Electrical.pdf PDF
RFIs - Bldg 4 Transformer - Shreveport VA.docx DOCX document
SPECS - Replace XFMR and Correct Elec Def B-4.pdf PDF
Exhibit B Past and Present Performance Questionnaire.docx DOCX document
36C25622R0028.docx DOCX document
EXHIBIT E SURETY FORM.docx DOCX document
DRWGS - Replace XFMR and Correct Elec Def B-4.pdf PDF
Building 4 Transformer Class II Precautions Final.docx DOCX document
Building 4 Transformer ICRA Final.docx DOCX document
SOW - Replace XFMR and Correct Elec Def B-4.pdf PDF
EXHIBIT A PERFORMANCE RELEVANCY SURVEY (1).docx DOCX document
EXHIBIT D CONTRACTOR EVALUATION FORM CONSTRUCTION SAFETY v2.docx DOCX document
36C25622R0028- Presolicitation Notice.docx DOCX document
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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 36C25622R0028 Building 4 Replace Transformer

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. 36C25621R0158 for Project 667-18-101, Correct Tunnel Discrepancies

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 .