Att 13 - Sample Consent Letter.docx

DOCX document 16 KB Posted

Attached to
DHA DAD-MA Patient Safety Program for Military Medical Treatment Facilities
Solicitation number
HT001124R0080
Issued by

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Written by GovTribe AI ·

This document is a Sample Consent Letter that authorizes the sharing of a subcontractor's past performance information with the prime contractor for a federal contract opportunity.

The related federal contract opportunity is for the Defense Health Agency (DHA) to procure a Patient Safety Program (PSP) for Military Medical Treatment Facilities (MTFs). The PSP will provide products, services, and educational/training resources to promote safety and prevent harm, as mandated by National Defense Authorization Act and DoD Instruction. The contract will include Patient Safety Specialists, Consultants, Coordinators, and Data Analysts at inpatient and outpatient MTFs. This is a 100% Small Business Set-Aside acquisition with NAICS code 541611. Proposals are due by August 26, 2024. The government reserves the right to withdraw, modify or eliminate aspects of the requirement prior to award. Only one contract is anticipated to result from this solicitation.

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Other files

File Type Posted
Att 2 - DAD-MA PSP Price Sheet REV 3.xlsx XLSX spreadsheet
Att 2 - DAD-MA PSP Price Sheet REV 2.xlsx XLSX spreadsheet
HT001124R0080-0002 DAD-MA PSP for MTFs Amd 0002.pdf PDF
Att 1 - DAD-MA PSP PWS Final Revised.pdf PDF
Att 2 - DAD-MA PSP Price Sheet Revised.xlsx XLSX spreadsheet
Att 15 - DAD-MA PSP FOR MTFs Q and A List Final.pdf PDF
HT001124R0080-0001 DAD-MA PSP for MTFs Amd 0001.pdf PDF
Att 6 - PWS 7.1.2 - DHA Annual Mandatory KTR Training List.pdf PDF
Att 9 - PWS App A - BAA.docx DOCX document
Att 11 - SOFAs.pdf PDF
Att 5 - PWS 7.1.1 - DMDC TASS Application Spreadsheet.xlsx XLSX spreadsheet
Att 7 - PWS 7.2 - DHA Form 49 for KTR.pdf PDF
Att 14 - OCI Contract List.xlsx XLSX spreadsheet
HT001124R0080 DAD-MA PSP for MTFs RFP Final.pdf PDF
Att 1 - DAD-MA PSP PWS final 20240815.pdf PDF
Att 12 - Past Performance Questionnaire.docx DOCX document
Att 4 - PWS 7.1.1 - CAC Req Process.pdf PDF
Att 8 - PII-PHI-Fed Info Rqmts.pdf PDF
Att 2 - DAD-MA PSP Price Sheet.xlsx XLSX spreadsheet
Att 10 - CDRL Portfolio PSP.pdf PDF
Att 3 - QASP Final.docx DOCX document
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Attachment 4

SAMPLE CONSENT LETTER

Dear Vicki Whiteman:

We are currently participating as a (subcontractor/teaming partner) with (prime contractor or name of entity providing proposal) in responding to the Defense Health Agency Solicitation HT001124R0080 for the procurement of DHA DAD-MA Enterprise-Wide Patient Safety Program for Military Medical Treatment Facilities (MTFs).

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 and Title of individual who has the authority to sign for and legally bind the company) (Company Name) (Company Address)

File details come from the government source that posted it. Updated .