36C25625R0084 EXHIBIT C.docx
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- Solicitation number
- 36C25625R0084
About this file
This document is a Subcontractor Information and Consent Form for a Design-Build (DB) project involving temporary shoring and safety measures for parking garages at the Southeast Louisiana Veterans Healthcare System in New Orleans, LA. The solicitation (RFP #36C25625R0084) is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), with a construction cost range between $100,000 and $250,000. The project will require architectural plans and specifications prepared by a registered Architect-Engineer (AE), who must collaborate with VA requirements and base design on VA's preliminary design plan.
Key procurement details include a tentative RFP release date of 04/28/2025, with first-phase proposals due approximately 30 calendar days later (around 05/28/2025). The contract performance period is 150 calendar days after the Notice to Proceed. Offerors must be verified in the SBA VetCert database, registered in SAM, and meet the NAICS Code 236220 small business size standard of $45M. Proposals must remain valid for 120 days, and the evaluation will involve two phases, with only the highest-rated contractors advancing to the second phase proposal stage.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 629-25-100; Temporary Shoring & Safety Measures for Parking Garages 36C25625R0084
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. 36C25625R0084 for Project No. 629-25-100) |
| 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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