36C25622R0092 - Exhibit C - Subcontractor Information and Consent.docx
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- Attached to
- Y1JZ--Project No. 520-22-177 Construct Three-Sided EMPI Structure Biloxi, MS Federal contract opportunity
- Solicitation number
- 36C25622R0092
About this file
This document contains a subcontractor consent form template for the solicitation number 36C25622R0092 regarding Project 520-22-177 to construct a three-sided EMPI structure in Biloxi, Mississippi. Major subcontractors and teaming partners are requested to complete the consent form to allow their past performance information to be discussed with the prime contractor during the source selection process. The consent form requires the subcontractor's name, address, phone number, and contact information as well as a list of at least three references including the contract number, role on the contract as either prime or subcontractor, work performed, and point of contact details. Completing this form facilitates the government's performance confidence assessment in obtaining best value for the solicitation.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 520-22-177 Construct Three-Sided EMPI Structure 36C25622R0092
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. 36C25622R0092 for Project 520-22-177 Construct Three-Sided EMPI Structure
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: |
File details come from the government source that posted it. Updated .