Attachment 08 - Subcontractor Past Performance Consent Form - 2 Pages.docx

DOCX document 18 KB Posted

Attached to
Z2DA--Construct New Hybrid Operating Room Federal contract opportunity
Solicitation number
36C24825R0026
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

This document is a Subcontractor Past Performance Consent Form for the Department of Veterans Affairs solicitation number 36C24825R0026, related to constructing a new hybrid operating room at the VA Caribbean Healthcare System in San Juan, Puerto Rico. The form requires major subcontractors and teaming partners to provide consent for releasing their past performance information to the prime contractor during the source selection process.

The form mandates that each major subcontractor or teaming partner complete the consent form, providing a minimum of three references from previous contracts where they served in a prime or subcontractor role. References cannot be from the proposing prime contractor, and the form requires detailed contact information for each reference, including contract number, project title, role performed, point of contact name, phone number, and email address. By signing the form, subcontractors authorize the government to discuss their past and present performance information with the prime contractor to facilitate the performance confidence assessment process.

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Text version

SOLICITATION ATTACHMENT

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 (if any). In an effort to assist the Government in assessing your past performance relevancy we request that this 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.

SAMPLE FORM:

__________________________ (Company name of Subcontractor or Teaming Partner) is currently planning on participating as a (Subcontractor or a Teaming Partner) with ____________________________ (prime contractor or name of entity providing proposal) for the Department of Veterans Affairs, Solicitation No. .

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 as well as our recommended references as listed on the attachment.

(Signature) / (Date) (Title of Individual with authority to sign for and legally bind the company)

Company Name: _____________________ Telephone #_________________________ Unique Entity Identifier: ____________________ Email: _________________________ Address: ____________________________________________________________ Reference List (required and not to be from proposing prime contractor):

1. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________

2. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________

3. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________

Each major subcontractor and or Teaming Partner must complete the “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify at a minimum three (3) references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposing offeror are not acceptable. Written references for subcontractors and 2nd tier subcontractors may be included and are encouraged.

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