36C25624R0052 EXHIBIT C.docx
DOCX document 27 KB Posted
- Solicitation number
- 36C25624R0052
About this file
This document contains a subcontractor information and consent form for a federal contract opportunity to upgrade mechanical systems at three Department of Veterans Affairs locations. The solicitation number is 36C25624R0052 and involves upgrading mechanical systems at the Joint Ambulatory Care Clinic in Pensacola, FL, the Magnolia Clinic in Panama City, FL, and the VA Clinic at Eglin Air Force Base in FL. Major subcontractors and teaming partners are required to complete the consent form to allow their past performance information to be shared with prime contractors during the source selection process. The form requests company information and references from at least three prior contracts describing the firm's role and work performed, along with points of contact.
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Other files
| File | Type | Posted |
|---|---|---|
| Full Drawing Set Final.pdf | ||
| 36C25624R0052 EXHIBIT B.docx | DOCX document | |
| WD Okaloosa County FL20240217.pdf | ||
| P03 Brand Name JA 520-22-169 (CO Signed) - Copy_Redacted.pdf | ||
| 36C25624R0052 EXHIBIT E.docx | DOCX document | |
| Attachment_A_Basis of Design Submittals rev1.pdf | ||
| 36C25624R0052 EXHIBIT F.docx | DOCX document | |
| 36C25624R0052 EXHIBIT A.docx | DOCX document | |
| 36C25624R0052 Solicitation.pdf | ||
| Attachment_B_Decon Site Prep.pdf | ||
| 36C25624R0052 EXHIBIT D.docx | DOCX document | |
| WD Bay County FL20240005.pdf | ||
| ICRA JACC Mechanical Upgrade Contract ONLY.pdf | ||
| P09 (REVISED) 520-22-169 SOW Upgrade Mech Systems JACC Eglin PCY rev4.docx | DOCX document | |
| WD Escambia County FL20240203.pdf | ||
| Specs rev6.pdf | ||
| 36C25624R0052 Pre-solicitation.docx | DOCX document | |
| P09 (REVISED) 520-22-169 SOW Upgrade Mechanical Systems JACC Eglin PCY rev4.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. 520-22-169 Upgrade Mechanical Systems 36C25624R0052
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/SAM Unique Identifier Codes:_________________
Name of Prime:__________________________________
| (PRIME CONTRACTOR OR NAME OF ENTITY PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25624R0052 for Project No. 520-22-169 Upgrade Mechanical Systems |
| Telephone:________________ |
Address:__________________
City/State/Zip Code:___________
DUNS/Cage/SAM Unique Identifier Codes:____________
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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