36C25625R0064 EXHIBIT C.docx
DOCX document 26 KB Posted
- Attached to
- Z1DA--Project 667-25-185 CON Install VAV Boxes Surgery Storage Federal contract opportunity
- Solicitation number
- 36C25625R0064
About this file
This document is a Subcontractor Information and Consent Form for a Department of Veterans Affairs project (Solicitation Number 36C25625R0064) involving the installation of VAV (Variable Air Volume) boxes in a surgery storage area. The form is designed to obtain consent from potential subcontractors and teaming partners to release their past performance information to the prime contractor during the source selection process. The form requires detailed information including the subcontractor's company name, contact details, DUNS/CAGE code, and a reference list of previous contracts, which will be used to assess performance confidence in the competitive bidding process.
The solicitation is for Project 667-25-185, issued by the Veterans Health Administration's Veterans Integrated Service Network 16, with a closing date of 4/29/2025 at 2:00 PM. The primary objective appears to be the installation of VAV boxes in a surgery storage area, though specific technical details are not provided in this consent form. Potential subcontractors are required to complete this form, providing references and authorizing the release of their performance information to help the government obtain the best value during the source selection process.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| VAV Project_Updated Drawings 4.7.25.pdf | ||
| 36C25625R0064 0001.pdf | ||
| Project No. 667-25-185 Site Visit Sign In 4.7.25.pdf | ||
| Install VAV Boxes Surgery Storage ICRA.pdf | ||
| P07 WD LA20250031 Mod 0 dtd 1.3.2025.txt | TXT text file | |
| 36C25625R0064 EXHIBIT E.docx | DOCX document | |
| SURGERY VAV - 2 - DRAWINGS.pdf | ||
| Install VAV Boxes Class V Precautions.docx | DOCX document | |
| 36C25625R0064 EXHIBIT D.docx | DOCX document | |
| P09 Surgery VAV - 1 - SOW.doc | DOC document | |
| 667-25-185 Combined Specs.pdf | ||
| 36C25625R0064 EXHIBIT A.docx | DOCX document | |
| 36C25625R0064 EXHIBIT B.docx | DOCX document | |
| 36C25625R0064 EXHIBIT F.docx | DOCX document | |
| 36C25625R0064 SOL.pdf |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 667-25-185 Install VAV Boxes Surgery Storage 36C25625R0064
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 Code:_________________
Name of Prime:__________________________________
| (PRIME CONTRACTOR OR NAME OF ENTITY PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25625R0064 for Project 667-25-185 (Install VAV Boxes Surgery Storage) |
| Telephone:________________ |
Address:__________________
City/State/Zip Code:___________
DUNS/Cage Code:____________
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 #
File details come from the government source that posted it. Updated .