36C25626R0072 EXHIBIT B- Subcontractor Information and Consent Form.pdf
PDF 186 KB Posted
- Attached to
- SOLICITATION | Y1DZ | DESIGN -BUILD | 36C25626R0072 |586-26-100 | RENOVATE RADIATION ONCOLOGY DEPARTMENT
- Solicitation number
- 36C25626R0072_DB_RENOVATE_RADIATION_ONCOLOGY_BUILDING
About this file
This is a Subcontractor Information and Consent Form for the "Renovate Radiation Oncology Department" project (Project No. 586-26-100, RFP No. 36C25626R0072). The form is required to be completed by major subcontractors and teaming partners identified in proposals submitted to the prime contractor in response to this federal solicitation.
The form serves to obtain written consent from subcontractors and teaming partners allowing the Government to disclose their past and present performance information to the prime contractor during the source selection process. The Government emphasizes past performance as a key evaluation criterion for achieving best value in source selections. Subcontractors and teaming partners must provide their firm name, contact information, DUNS/Cage/SAM identifier codes, and the name and details of the prime contractor they will partner with. The form requires a signature from an individual with authority to legally bind the company. Additionally, each subcontractor or teaming partner must submit a required reference list containing at least three contract examples that include the contract number and title, description of their role (prime or subcontractor) and work performed, and reference point of contact information (name, email address, and phone number).
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See RFO FAR 2.101 & 3.104
Project No.586-26-100 RENOVATE RADIATION ONCOLOGY DEPARTMENT 36C25626R0072
EXHIBIT B – 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
Telephone:_____________ Address:_______________
City/State/Zip Code:_______ DUNS/Cage/SAM Unique Identifier Codes:_________________ partner with
Name of Prime:__________________________________
(PRIME CONTRACTOR OR NAME OF ENTITY
PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25626R0072 for Project No.
586-26-100)
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 #
File details come from the government source that posted it. Updated .