36C25625R0082 EXHIBIT C.docx
DOCX document 26 KB Posted
- Solicitation number
- 36C25625R0082
About this file
This document is a Subcontractor Information and Consent Form for a Department of Veterans Affairs contract (Solicitation Number 36C25625R0082) related to Project 667-25-190 for installing isolation valves on the domestic water system in Building 1. The form is designed to obtain consent from potential subcontractors or teaming partners to allow the government to release their past performance information to the prime contractor during the source selection process.
The form requires subcontractors to provide key company details including name, contact information, DUNS/CAGE code, and a reference list with contract numbers, roles, work performed, and reference point of contact information. By signing the consent form, subcontractors authorize the prime contractor to discuss their past and present performance information during the source selection process, which the government is emphasizing to obtain best value in the procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25625R0082 0003.docx | DOCX document | |
| 36C25625R0082 0002.docx | DOCX document | |
| 667-25-190 RFI Register 05142025.docx | DOCX document | |
| 36C25625R0082 0001.docx | DOCX document | |
| 667-25-190 Install Isolation Valvles B1 Sign in Sheet.pdf | ||
| 36C25625R0082 RFP.docx | DOCX document | |
| 36C25625R0082 667-25-190 ISO Valves - Drawings .pdf | ||
| 36C25625R0082 667-25-190 BLDG 1 Asbestos Report .pdf | ||
| 36C25625R0082 EXHIBIT F.docx | DOCX document | |
| 36C25625R0082 EXHIBIT E.docx | DOCX document | |
| 36C25625R0082 667-25-190 Combined Specs 02102025 .pdf | ||
| 36C25625R0082 SOW 667-25-190 02102025.doc | DOC document | |
| 36C25625R0082 WD LA20250031 02282025 .pdf | ||
| 36C25625R0082 EXHIBIT A.docx | DOCX document | |
| 36C25625R0082 667-25-190 Class IV Precautions - ISO Valves .pdf | ||
| 36C25625R0082 EXHIBIT D.docx | DOCX document | |
| 36C25625R0082 667-25-190 ICRA - ISO Valves .pdf |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 667-25-190 Install Isolation Valves on Domestic Water System, BLDG 1 36C25625R0082
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. 36C25625R0082 for Project 667-25-190) |
| 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 #
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