36C25625R0108 EXHIBIT C.docx
DOCX document 27 KB Posted
- Solicitation number
- 36C25625R0108
About this file
This document is a Subcontractor Information and Consent Form for a VA Fisher House Site Prep Construction project (Solicitation Number 36C25625R0108). The form is designed to obtain consent from potential subcontractors or teaming partners to release their past performance information to the prime contractor during the source selection process. The form requires subcontractors to provide company details, reference contracts, and authorization for the government to share performance information with the prime contractor. The solicitation is for the Department of Veterans Affairs Veterans Health Administration, specifically within Veterans Integrated Service Network 16, and relates to a construction project involving site preparation for a Fisher House, with the contract number 667-23-113.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25625R0108 0002.docx | DOCX document | |
| 36C25625R0108 RFI Registrar 667-23-113 081425.pdf | ||
| 36C25625R0108 0001.docx | DOCX document | |
| 36C25625R0108 Sign in Sheet 667-23-113.pdf | ||
| 36C25625R0108 Combined Drawings.pdf | ||
| 36C25625R0108 ICRA - Fisher House.pdf | ||
| 36C25625R0108 EXHIBIT F.docx | DOCX document | |
| 36C25625R0108 EXHIBIT B.docx | DOCX document | |
| 36C25625R0108 EXHIBIT A.docx | DOCX document | |
| 36C25625R0108.docx | DOCX document | |
| 36C25625R0108 WD LA20250031 022825.pdf | ||
| 36C25625R0108 SPECIFICATIONS FISHER HOUSE OVERTON BROOKS VAMC 6-26-2025.pdf | ||
| 36C25625R0108 EXHIBIT E.docx | DOCX document | |
| 36C25625R0108 EXHIBIT D.docx | DOCX document | |
| 36C25625R0108 SOW - Fisher House 062325.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
667-23-113 CON Site Prep for Fisher House 36C25625R0108
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. 36C25625R0108 for Project #667-23-113) |
| 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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