Attachment 11 - Subcontractor Past Performance Consent Form (1 page).pdf

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Attached to
Z1DA--Replace Patient Lifters at South Bed Tower and SICU
Solicitation number
36C24823R0156
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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 technical proposal.

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 #:________________.

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

Company Name: _____________________ Telephone #____________________

DUNS #: ___________________________ Email: ________________________

Address: ___________________________________________________________

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