36C25626R0031 EXHIBIT C.docx
DOCX document 27 KB Posted
- Attached to
- Z1DZ--502-23-707 Replace Wayfinding and Signage Federal contract opportunity
- Solicitation number
- 36C25626R0031
About this file
This file is an exhibit form—specifically a Subcontractor Information and Consent Form—that is part of the RFP 36C25626R0031 for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 to replace wayfinding and signage (Project No. 502-23-707). The form is designed to obtain written consent from major subcontractors and teaming partners to allow the Government to disclose their past and present performance information to the prime contractor during the source selection process.
The form requires subcontractors and teaming partners to provide their firm name, contact information, DUNS/CAGE code, and identify the prime contractor they are partnering with. A company representative with legal authority must sign the consent form, and the form includes a required reference list section where firms must document at least three previous contracts, describing their role (prime or subcontractor), work performed, and providing point of contact information including name, email, and phone number for each reference.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25626R0031 0003.docx | DOCX document | |
| 36C25626R0031 VA Response RFI Register_FINAL.pdf | ||
| 36C25626R0031 0002.docx | DOCX document | |
| Site Visit Sign in Sheet dtd 03162026 - Replace Wayfinding and Signage.pdf | ||
| 36C25626R0031 0001.docx | DOCX document | |
| 36C25626R0031 EXHIBIT E.docx | DOCX document | |
| 36C25626R0031 EXHIBIT B.docx | DOCX document | |
| SOW - Replace Wayfinding and Signage .docx | DOCX document | |
| DOL Wage Determination LA20260051 dtd 01022026 - Copy.pdf | ||
| 36C25626R0031 EXHIBIT F.docx | DOCX document | |
| SPECS - Replace Wayfinding and Signage dtd 02032026 Revision 1 .pdf | ||
| DRAWINGS - Replace Wayfinding and Signage .pdf | ||
| 36C25626R0031 RFP.docx | DOCX document | |
| 36C25626R0031 EXHIBIT D.docx | DOCX document | |
| 36C25626R0031 EXHIBIT A.docx | DOCX document | |
| ICRA_PRA 502-23-707 Replace Wayfinding Signage .pdf |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-23-707 Replace Wayfinding and Signage 36C25626R0031
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. 36C25626R0031 for Project 502-23-707 Replace Wayfinding and Signage) |
| 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 .