36C25626R0047 EXHIBIT C.docx
DOCX document 27 KB Posted
- Solicitation number
- 36C25626R0047
About this file
This is a Subcontractor Information and Consent Form (Exhibit C) for solicitation 36C25626R0047, which pertains to the Abate Central Chase & Replace Fire Main project (Project #667-26-111) at the Overton Brooks VA Medical Center under the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 16.
The form requires major subcontractors and teaming partners to provide their written consent allowing the Government to disclose their past and present performance information to the prime contractor during the source selection process. The form requests standard company information including firm name, contact details, DUNS/CAGE code, and the name and details of the prime contractor submitting the proposal. Subcontractors and teaming partners must also provide a reference list containing at least three contracts, including contract number and title, description of their role (prime or subcontractor) and work performed, and the reference point of contact information (name, email, and phone number). This consent mechanism facilitates the Government's assessment of past performance relevancy to support best value determinations during source selection.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25626R0047 0003.pdf | ||
| 36C25626R0047 0002.docx | DOCX document | |
| Attachment No. 3 WD LA20260031.pdf | ||
| 36C25626R0047 0002.pdf | ||
| Attachment No. 1 Piping Asbestos Survey.pdf | ||
| Attachment No. 2 Pre-bid Conference Sign-in Sheet.pdf | ||
| 36C25626R0047 0001.pdf | ||
| 36C25626R0047.pdf | ||
| Abate Central Chase - 1- SOW.pdf | ||
| Abate Central Chase - 8 - CRA.pdf | ||
| WD LA20260031 01022026.pdf | ||
| Abate Central Chase - 13 - ICRA.pdf | ||
| 36C25626R0047 EXHIBIT B.docx | DOCX document | |
| 36C25626R0047 EXHIBIT D.docx | DOCX document | |
| Abate Chase - FY26 - Final Drawings.pdf | ||
| Abate Chase - FY26 - IFC Specs - Updated.pdf | ||
| Abate Central Chase - 14 - Class II Precautions.pdf | ||
| 36C25626R0047 EXHIBIT A.docx | DOCX document | |
| 36C25626R0047 EXHIBIT E.docx | DOCX document | |
| 36C25626R0047 EXHIBIT F.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 667-26-111 Abate Central Chase & Replace Fire Main 36C25626R0047
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. 36C25626R0047 3 for Project #667-26-111) |
| 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 .