36C25624R0055 EXHIBIT C.docx
DOCX document 27 KB Posted
- Solicitation number
- 667-24-120
About this file
This document is a Subcontractor Information and Consent Form related to a federal contract opportunity. It requests that major subcontractors or teaming partners provide consent for the prime contractor to discuss their past and present performance information with the government during the source selection process for Solicitation No. 36C25624R0055 for Project No. 667-24-120, "Renovate for VA Kids Care." The form requires the subcontractor to provide a reference list with contract numbers, titles, their role, work performed, and contact information for reference points of contact. This is to facilitate the government's performance confidence assessment during the evaluation of proposals for this $667-24-120 design-build renovation project for the Department of Veterans Affairs Veterans Health Administration.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25624R0055 0001.docx | DOCX document | |
| SOW - Renovate for VA Kids Care 6-10-24.docx | DOCX document | |
| 667-24-120 VA Kids Care RFI Register 06132024.docx | DOCX document | |
| 667-081 OUTPATIENT MH IMPR_BSMNT AND 1st FLOOR AS-BUILTS A101.pdf | ||
| SOW Attachment 2 - VA Kids Care Space Design Guide.pdf | ||
| 36C25624R0055 SOW 667-24-120 022224.docx | DOCX document | |
| SOW Attachment 3 - Final Response to VCAP PSRDM Deviation Request.pdf | ||
| 36C25624R0055 EXHIBIT A.docx | DOCX document | |
| 36C25624R0055 EXHIBIT B.docx | DOCX document | |
| 36C25624R0055 EXHIBIT E.docx | DOCX document | |
| 36C25624R0055 EXHIBIT F.docx | DOCX document | |
| SOW Attachment 1 - Program for Design.pdf | ||
| 36C25624R0055 RFP.docx | DOCX document | |
| 36C25624R0055 WD LA20240031 Mod 01052024.pdf | ||
| 36C25624R0055 EXHIBIT D.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. 667-24-120; Renovate for VA Kids Care 36C25624R0055
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. 36C25624R0055 for Project No. 667-24-120) |
| 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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